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HomeMy WebLinkAboutS2020-0110 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 13001 -Permit: S2020-0110 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 0 0 1 1 0 Project No: 1369-2020 g, Permit Counter Phone (949)644-3288 pw,�^ Inspection Requests Phone (949)644-3255 Job Address: 1244 IRVINE AVE Floor: Suite: Bldg: 1 Description of Work:NEW COMM POOL 1,328 SF & SPA 86 SF Inspector Area: 3 Plan Check No: 1369-2020 Code Edit: 2019 Legal Description: IRVINE SUB LOT 164 BILK 53 5.83 AC IN LOT Owner: SHEA HOMES LP Contractor: AQUATIC TECHNOLOGIES Address: 2 ADA STE 200 Address: 32232 PASEO ADELANTO #A Building Dep Plan Check: IRVINE CA 92618 Building PC Investigation : SAN JUAN CAP CA 92675 Phone: $0.00 Phone: 949-493-9548 Applicant: ZOSCAK LISA/AQUATIC TECH Con State Lie: 744177 Address: 32232 PASEO ADELANTO #A Lie Expire: 12131/2021 $0.00 SAN JUAN CAPISTRANO CA 92675 Bus Lie: BT97021623 Phone: 949-338.4189 Lie Exp Date: 06130/2021 Building Rear: Setbacks: Front: Left: Right: Construction Tvoe : VB Construction Valuation: $125,000.00 Building Permit Fee: $430.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $5.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $387.00 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WO Compliance Insp Fee: $0.00 TOTAL FEE: PROCESSED BY: ZONING APPRO� Worker's Compensation Insurance Carrier: ZURICH AMERICAN Policy No: WC450355608 Expiration: 10/0112021 FEES Architect Address: Phone: State Lie Engineer: BIEDENBACH CHRISTOPHER Address: 1201 N TUSTIN ANAHEIM CA 92807 Phone: 714.630.6100 State Lic:C-074003 Special Conditions: "THE CAY ATMARINERS SHORES" Issued Date: 1011912020 Record Management: $42.00 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: $0.00 Others: $0.00 Additional Fee : $0.00 $0.00 Plan Check Fee : $362.00 000 000 00 ®c e r o 6HECKED BY::, GC fl O � B O O O L APPROVAL TO ISSUE c c c o PERMIT EXPIRES 180 DAYS APTGRGSEW.NCEOR LAST VALID INSPECTION c 0 o c c c o c r cc c cy c c c u ccc ua 00 o c coli oc Fee Due at Permit Issuance : $502.00 OWNER -BUILDER 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 haye placed next to the applicable item(s) (Section 7031.5, Business and Professions Cade: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the 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 Professions 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 not more than five hundred dollars ($500). 1201 N TUSTIN H 1, 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, provided 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 was not built or im roved 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 Law 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). ❑ 1 am 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 resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that 1 have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that 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 site:http://www.leginfo.ca.gov/calaw.htm]. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 71000 0 ivi i n 3 of the Business and Profe SCD, ,and y Ij4en e ' in 1 force and effect. License Class License No Date Contractor Sign f WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain 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. have and will qtai'plain 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 Isurance carrier a d`p ' y number are: farrier \ _ I%A . PoI ,7Gojnbar Expiration Date lame of Agent '�7 .s (� !iL(,� Phone # ]I certify that, in the perforriftince of they work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation �Iws of California, and agre fat, if I should becom s j o e rker m/p�en,(sation pr 'sions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r� signature of Applicant /,yl/L, /`tI X' Dat 1, I hereby affirm under pcenalty of perjury that tWe is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By 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 I have provided is correct. I agree to comply with all applicable city and cou t inances and state laws rola' g to building construction. I authorize representatives of this city or cou a ve-i nti led pr a for inspection purposes. t e ti _ Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name / L2 L Dat ACTION DATE BY DECLARATION 0 OMPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY All required alarms latches REGULATIONS PA 61 OF TITLE 40ANDAQMD RULE gates & fenced which serve 1403 . ... .. ... ... PERMITEXPIRED U I SUBMITTED ASBESTOS N TI ICA'fl T e • • • • • barrier, shall be in placac e i PERMIT CANCELLED DEPA • • • : • prior to approval to fill pool/spa & shall remain in place & be maint jned for PERMIT EXTENDED E3AQMD POOLALARMS L1 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO INSTALLED PROPOSED DEMOLITION. ••e •�• the I ofttle IfSp ••� ••• ••• ••• SIGNATURE: e • • • e • • s X PERMIT FINAL