HomeMy WebLinkAboutS2018-0084 - PermitsCity of Newport Beach - Building Division *S2018-0084*
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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P001 -Permit: S2018-0084
Project No: 1149-2018
Inspection Requests Phone (949)644-3255
Job Address: 230 KINGS PL Floor: Suite: Bldg: 1
Description of Work:SFR POOLISPA 600 SF (DRAINAGE 2620-2017)
Inspector Area: 2 Plan Check No: 1149-2018
Code Edit: 2016
Legal Description: N TR 1219 BILK D LOT 1
Owner:
FRANCIS TRAN
Address:
1973 WARDLOW LN
Investigation Fee:
HUNTINGTON BEACH CA 92646
Phone:
$2.00
Applicant: BAYLESS JEFF
Address:
111 DIJE CT
$338.00
SAN CLEMENTE CA 92672
Phone:
951-830-6264
Building Rear:
Setbacks: Front:
Left:
Right:
Construction Type :
Construction Valuation: $50,000.00
Building Permit Fee :
$380.00
Permit Issuing Fee:
$0.00
Investigation Fee:
$0.00
Building Green Fee:
$2.00
Plan Dept Plan Check:
$0.00
Building Dep Plan Check:
$338.00
Building PC Investigation :
$0.00
Plan check Ext. Fee :
$0.00
WQ Compliance Insp Fee:
$0.00
TOTALFEE:
PROCESSED BY:
Contractor: BAYLESS JEFF ENTERPRISES
Address: 111 DIJE CT UNIT C
SAN CLEMENTE, CA 92672
Phone: 951-830-6264
Con State Lic:
371092
Lic Expire:
.10/31/2018
Bus Lic:
BT30053918
Lic Exp Date:
02/28/2019
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 9092149
Expiration: 03/11/2019
FEES
Architect:
Address:
Phone: State Lic
Engineer: ZHANG YAO
Address: 15375 BARRANCA PKWY, H106
IRVINE CA 92618
Phone: 949-788-0424 State Lic:C-074572
Special Conditions
Issued Date: 07/16/2018
Record Management:
$14.00
Water Quality ---
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Drainage Permit Fee:
$0.00
Water Quality Dept Insp Fee:
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Drainage Plan Check:
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Building Dept WQ Plan Check:
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$481.00
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Additional Fee :
$0.00
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Plan Check Fee :
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Record Management:
$14.00
Water Quality ---
Building Dept Inspection Fee:
$0.00
Drainage Permit Fee:
$0.00
Water Quality Dept Insp Fee:
$0.00
Drainage Plan Check:
$0.00
Building Dept WQ Plan Check:
$0.00
Grading Consultant Fee :
$481.00
Others
$0.00
Additional Fee :
$0.00
$0.00
Plan Check Fee :
$642.00 Fee Due at Permit Issuance:
$573.00
PLAN CHECKED BY::
ZONING APPROVAL:. APPROVAL TO ISSUE:_
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
8/Z U
DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable itew(s)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicAnj,for
he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
3rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
lot more than five hundred dollars ($500). 15375 BARRANCA PKWY, H106
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale
Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property,
novided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it
vas not built or improved for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License
-aw does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑�. Y:•
lam exempt from licensure under the Contractors' State License Law for the following reason:
• • • • _ By my signature below I acknowledge that, except for my personal residence in which I must have
esroee Tor at lepst„dhEyear prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by
Icensed contrastors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web
cife;httbJ/wvhv.legbfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent -
• • Date LICENSED CONTRACTOR'S DECLARATION
, 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 `o/ vlswfl/,j�bf the Business and
°roffsSion s is' full f e and effect. License Class License No Date l—ice Contractor
3ignstsrre
WORK S' C SAI�I,ON DECLARATION
�kFAILURE TO SEC RE WOYYKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
,OS OF OMPEN>; WR, MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
,h qW affirm undeEpdnalty of perjury one of the following declarations:
It have and 4111,m:.�intain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
)erformance of the work for which this permit is issued. Policy No.
O"Ve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol
nsurance carrier and policy number are:
;arrier Policy Number Expiration Date
Jame of Agent Phone #
:1I certify that, in the perfo a work for ich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' c pensation laws of California, and agre
hat, if I should becomes e e rs' co pens on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Dat _
)ECLARATION REG DI G T C LENDING AGENCY
hereby affirm under anal y of erji the is a construction lending agency for the performance of the work for which this permit is issued (Section 309 Civil Code).
-ender's Name Lender's Address
3y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information 1 have provided is rrect. -
I agree to comply with all applicable city and c nt r nces a at a laws relating to building construction.
I authorize representatives of this city or cou to ter av -I Ified property for inspection purposes.
Si nature of Properly Owner or Authorized Age Print Property Owner's or Authorized Agent's Name Je D/e--
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ACTION DATEBY 10 OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
EGULATION ART 61 OF TITLE 40 AND AQl RULE
PERMITEXP/RED
1403
I SUBMITTED ASBESTOS NOTIFICATION TO
All feqtiored alai,, 15,1atches
gates & fences which serve
as part of a pool / spa
barrier, shall be in place
prior to approval to fill
pool/spa & Shall remain In
place & be maintained foi
the ft Of I a
PERMITCANCELLED
DEPA
PERMITEXTENDED
L3AQMD
POOLALARMS
INSTALLED
u ,%L3
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ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
PERMITFINAL
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