HomeMy WebLinkAboutS2015-0131 - Permitse-
�,��y, City of Newport Beach -Building Division *S2015-0131* POOLPermit : S2015-0131
fl$ - 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1956-2015
"t;. Permit Counter Phone (949)644-3288
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`�K{jpiyµ�s 9 Inspection Requests Phone (949)644-3255
Job Address: 20172 ORCHID ST Floor: Suite: Bldg: 1
Description of Work:NEW SWIMMING POOL AND SPA 379 SF
Inspector Area: 3 Plan Check No: 1956-2015
�j 16 Code Edit: 2013
If applica "
Legal Description: N TR 1500 LOT 38 C
Owner: NGUYEN BEAU Date: CL
POOLS BY FRANCO A to 0 80% or 101100% refund
Address: 20172 ORCHID ST Address:C562-20
AR,'l
NEWPORT BEACH CA 92660 - 6Phone: Lipire:
Phone: t0 Wi10rri: .
Applicant: NGUYEN BEAU ate 7 Engineer: LACHER TODD
Address: 20172 ORCHID ST 10/31/2016 Address: 1201 N TUSTIN AVE
NEWPORT BEACH CA 92660 Bus Lic: B 0 27 NAHEIM CA 92807 ° ,
Phone: Dat 1 e: 4-630-6100 State Lic C-067656
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Building Rear: ork mpe a RFDal Conditions: r =i
Setbacks: Front: EXEMPT
Left: Policy No:
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Right: Expiration: I e�I�pat a ��"L+0/1r�(2fp1�5 e� m
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Construction Type : DI
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Construction Valuation: $30,000.00
Building Permit Fee :
$503.00
Permit Issuing Fee:
$0.00
Investigation Fee:
- $0.00
Building Green Fee:
$2.00
Plan Dept Plan Check:
$32.00
Building Dep Plan Check:
$362.16
Building PC Investigation:
$0.00
Plan check Ext. Fee:
$0.00
WQ Compliance Insp Fee:
$36.00
TOTAL FEE: $967.16
PROCESSED BY:
ZONING APPROVAL:
Plan Check:
(,work started)
$8.00
$0.00
$0.00
Plan Check Fee :
Water
(no work started)
Building Dept Inspection Fee:
Water Quality Dept Insp 40sp.
$0.00
$0.00
Fee Due at Permit Issuance :
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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)WNER-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 have placed next to the applicable item(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 applicant for
is 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
'rofessions 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
of more than five hundred dollars ($500).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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
nproved for the purpose of sale).
1 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
pply 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:
ly 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
ell a structure that I have built as an owner -builder if it has not been constructed.in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION op, 10
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with: Section 7000) of Division 3 of the usiness and Profes i s C nd my license is in full force
nd effect.
icense Class ••••" License No DContracto -C nature
4ARM&RS' COMPENSATION DECLARATION
IARNING FAILURt•TAWbRE 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
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR.CODE, INTEREST, AND ATTORNEY'S FEES.
Aeby affirm under penalty of perjury one of the following declarations:
L h9hie and 41`M Iain a certificate of consent to self -insure for workers' compensation,
ohllance of the wofl� for which this permit is issued. Policy No.
heve and wlll.main;ain 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'
Rgdce carrier agd policy number are:
issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
Policy Number
Date
pertormance of the WK
pKr this permit is issued, I shall not employ any person in any manner so as to become subject to the
m subject to the ors' pensation provisions of 'en-3'�00'ofthe Labor Code, I shall forthwith comply with those provisions.
;reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section
Ider's Name Lender's Address
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 county ordinanc d e laws relating to buildin co ction.
I authorize representatives of this city or c my to enter b -I i d
r Inspection purposes.
nature of Property Owner or Authorizes(Merit
Print Property Owner's or Authorized Agent's N'
ACTION DATE BY
DECLARATION OF COMPLIANCE VVI TH CODE OF
FEDERAL REGULA TIONS PART 61 OFTITLE 40 AND
AQMDRULE 1401
- ❑ LSUBiwTTEDASBESTOsNO77FICAT(ONTO:
❑ EPA
❑ AQMD
❑ ASBESTOS N077RCA770NIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT EXPIRED.
PERMITCANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTWICATEOF
OCCUPANCYISUED I I II SIGNATURE:.
Civil Code).
laws of California, and