HomeMy WebLinkAboutS2020-0056 - Permits (2)City of Newport Beach - Building Division *S2020-0056*
100 Civic Center Drive, Newport Beach, CA 92660
1. Permit Counter Phone (949)644-3288
nar#�ov.�ti.:
Job Address: 1718 NEWPORT HILLS DR W Floor:
Description of Work:NEW SPA (120 SF), YARD DRAINAGE
Inspector Area: 4
Legal Description: N TR 7032 LOT 13
Owner: HORNE JONATHAN
Address: 1718 NEWPORT HILLS DR W
NEWPORT BEACH, CA 92660
Phone
Applicant: INSTANT POOLSCAPE
Address: 833 DOVER DR #24
NEWPORT BEACH CA 92663
Phone: 949-795.0648
Building Rear:
Setbacks: Front:
Left:
Right:
,UI 15U UGLIUII
Construction Valuation: $40,000.00
Suite: Bldg:1
Plan Check No: 0739-2020
Code Edit: 2019
Contractor:
INSTANT POOLSCAPES
Address:
833 DOVER DR #24
Water Quality- --
NEWPORT BEACH CA 92663
Phone:
949-795-0648
Con State Lic:
1009644
Lic Expire:
1213112021
Bus Lic:
BT30053469
Lic Exp Date:
12/3112020
Worker's Compensation Insurance
Carrier: WC EXEMPT
Policy No: (NO EMPLOYEES)
Expiration:
FEES
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
12001—Permit: S2020-0056
Project No: 0739-2020
Inspection Requests Phone (949)644-3255
J PLICATE
State Lic
BIEDENBACH CHRISTOPHER
1201 N TUSTIN
ANAHEIM CA 92807
714-630-6100 State Lic:C-074003
Special Conditions:
Issued Date: 05122/2020
Building Permit Fee :
$418.00
Record Management:
$10.00
Water Quality- --
Permit Issuing Fee:
$0.00
Building Dept Inspection Fee:
$0.00
Investigation Fee:
$0.00
Drainage Permit Fee:
$322.00
Water Quality Dept Insp Fee:
$0.00
Building Green Fee:
$2.00
Drainage Plan Check:
$322.00
Building Dept WQ Plan Check:
$0.00
Plan Dept Plan Check:
$0.00
Grading Consultant Fee:
$236.00
Others
Building Dep Plan Check:
$373.00
$0.00
Building PC Investigation :
$0.00
Additional Fee :
$0.00
$0.00
Plan check Ext. Fee :
$0.00
WQ Compliance Insp Fee:
$0.00
TOTAL FEE: $1
PROCESSED BY:
ZONING APPROVAL:
Plan Check Fee :
PLAN CHECKED BY::
APPROVAL TO ISSUE
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Fee Due at Permit Issuance :
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) 1 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). 1201 N TUSTIN ❑
as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business
nd 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, 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).
I 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 legal
ell a structure that 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.htmi.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
IARNING: 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
OST 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.
71 have 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
Isurance carrier and policy number are:
Policy Number
Date
is of Agent rnune 1
certify that, in the performance of the 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 laws of California, and
, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant uare_
IECLARATION REGARDING CONSTRUCTION LENDING AGENCY
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
ly my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
r-1— -r o.,...va., n,.,, — A„H.ndvurI AnuN Print Pmnertv Owner's or Authorized ADent's Name
DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITC4NCELLED LIEPA
PERMIT EXTENDED QMD
POOLALARMS 0 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
INSTALLED PROPOSED DEMOLITION.
SIGNATURE:
PERMITFINAL
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