HomeMy WebLinkAboutS2018-0203 - PermitsCity of Newport Beach- Building Division II�IIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIII II
h 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 1521BAYADERE TER Floor:
Description of Work:SFR POOLISPA 408 SF
Inspector Area; 5 -
Legal Description: N TR 2813 LOT 155
.Owner: IRVINE COMPANY
Address: 1521 BAYADERE TER
CORONA DEL MAR, CA 92625
Phone:..
Applicant: JCIINSTANT POOLSCAPES ,
Address: 28562 OSO PKWY #D243
RSM CA 92688
Phone: 949-795-0848
Building Rear: 10,
Setbacks: Front: 10,
Lek: 4 -
Right: 4 -
Construction Type
Construction Valuation: $40,000.00
Building Permit Fee :
$405.00
Permit Issuing Fee:
$0.00
Investigation Fee:
$0.00
Building Green Feer
$2.00
Plan Dept Plan Check:.
$0.00
Building Dep Plan Check:.
$361.00
Building PC Investigation :
$0.00
Plan check Ext. Fee:
$0.00
WQ Compliance Insp Fee:
$0.00
TOTAL FEE : $1,368.00
WC EXEMPT
PROCESSED BY:_
ZONING APPROVE
Suite: Bldg:1
Plan Check No: 2631-2018
Code Edit: 2016
Contractor:
INSTANT POOLSCAPES
Address:
28562 OSO PARKWAY #D243
Phone:
RSM CA 92688.
Phone:
949-795.0648
Con State Lic:
1009644
Lic Expire:
12/31/2019
Bus Lic:-
BT30063469
Lic Exp Date:
12/31/2018
Worker's Compensation
Insurance
Carrier:
WC EXEMPT
Policy No:
(NO EMPLOYEES)
Expiration:
$0.00
Additional Fee:
FEES
POOLPermit : S2018-0203
Project No : 2631-2018
Inspection Requests Phone (949)644-3255
Architect:
$26.00
Address:
Phone:
State Lic:
Engineer:
LACHER TODD.
Address:
1201 N TUSTIN AVE
Water Quality Dept Insp Fee:
ANAHEIM CA 92807
Phone:
714-630-6100 State Lic:C-067656
Special Conditions:
$0.00
X2018.1226 YARD DRAINAGE
Issued Date:
01/0212019.
Record Management:
$26.00
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:
$118.00
Others
$0.00
Additional Fee:
$412.00
$0.00
Plan Check Fee :
$294.00 Fee Due at Permit Issuance
: $1,074.00
PLAN CHECKED BY .
O
'APPROVAL TO ISSUE: L
PERMIT EXPIRES'1 IRO DWYS15TER 13SJAN6E OR LAST VALID INSPECTION
000 LOE 00' O G tib f'O°
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 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
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 AVE
❑ 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, 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 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
Professions 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
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 if Diyisio of the Business r Ion�Code, �anse�fu�llfor
and effect. License Class License No Date CC.. Contractor Signatu
INORKERS' COMPENSATION DECLARATION
NARNING: 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:
1 h ve 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 thi
rfy
7eance of the work for which this permit is issued. Policy No.
have and willII��aa�I��rrtain 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'
rance carrier a%n licy numbers
Date
lame of Agents t Phone #
71 certify that, in the performan a of the work for hic 4yaaXperson in any manner so as to become subject to the workers' compensation laws of California, and agre
rat, if I.should become sub act t the workers' c on provi ions of Section 3700 of the Labor CWeI7411 forthwith comply with those provisions.
(9 ignature of Applicant Date -�-Z-
IECLARATION REGA ING CONST
hereby 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 3097, Civil Code).
Ender's Name Lender's Address
y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the propert behalf.
I have read this application and the information I have ovided is come . ( Z ( q
I agree to comply with all applicable city and county rdinances and state la relating to building construction. 1
I authorize representatives of this city or county to ter tl�e� ye -identified p perty for inspection purposes. _ N P r 11711 r,r(' �
ACTION DATE BY DECLARftQN OF COMPLIA E WITH CODE OFTEDERAL FOR OFFICE USE ONLY 7
REGULATIONS TITLE 40ANDAQMD RULE
1403 •• .•• ..•
PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO • •�
PERMITCANCELLED EPA + • •• . `
PERMIT EXTENDED• • `
QMD
POOLALARMS ASBESTOS VITIFICATIONI NOT APPLICABLE
INSTALLED P OSEDDE OLITION. • • `•� ••� �•• •.• •�•
NATURE: • •A •• •• =
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