HomeMy WebLinkAboutX2021-0564 - PermitsCity of Newport Beach - Building Division
o & 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
�`r�i 3 Combination Type - BLDG PLUM
*X20210564* COMB Permit: X2021-0564
Project No: 0516-2021
Issued Date : 03/0912021
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/09/2024 OR PERMIT WILL BE INVALID
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 74 LINDA ISLE NB
Description: DEMO POOL AND SPA (METHOD B) CITY STANDARD
Legal Desc.: N TR 4003 LOT 74 ...
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Owner:
MUMMA JULIE
Address:
74 LINDA ISLE
7600015443191
NEWPORT BEACH CA 92660
Phone:
714-448-9835
Applicant:
R D M S INC
Address:
250 E BAKER ST # 300
Bus Lic:
COSTA MESA CA 92626
Phone:
714.448-9835
Code Edit :
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Contractor:
R D M S INC
Address:
250 E BAKER ST # 300
7600015443191
COSTA MESA CA 92626
Phone:
714-448-9835
Con State Lie:
815872
Lie Expire:
1213112022
Bus Lic:
BT30008726
Lie Exp Date:
01/31/2022
2019 Worker's Compensation Insurance
Carrier:
EVERSTREMIER INS CO
U Policy No:
7600015443191
0 - Expire:
09101/2021
0
CA Seismic Safety:
Building Setbacks
Rear: /
$0.00
Front: I
$0.00
Left: I
$1.00
Right: I
Building Permit Fee: $161.00
Plan Check Fee: $140.07
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
'$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $316.56
PROCESSED BY:
ZONING APPROVAL:
Architect:
Address:
INSPECT®,Oe
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Fire Department
Phone:
O
State Lie:
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$0.00
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$0.00
Engineer:
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Address:
9 Om
$0.00
Grading PC Consultant:
O 0 !
smJCtl
$0.00
Demolition Fee
Phone:
State Lie:
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CONSTRUCTION WOR.A'm
Building Dept Adm
Desl¢6Q
Address:
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Public Works Department -
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Phone:
mmoom
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Special ConditioyyN
SATURDAYS
Refund Deposit
Excise Tax:
$0.00
Planning Department-
Fire Department
Additional Fee :
$0.00
Plan check Fee :
$0.00
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
WO Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
PAN Plan Check : $0.00
Grading Bond:
$0.00
Electrical %:
$0.00
San Dist: $0.00
Mechanical %:
$0.00
NMUSD Fee: - $0.00
$0.00
Plumbing %:
$14.49
$0.00
Plan Check Fee:
$0.00 Fee Due at Permit Issuance :
$316.56
"✓'-`
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
1 G�
GRADING APPROVAL: APPROVAL TO ISSUE
OWNER -BUILDER DECLARA
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 P 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 oft". 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 apermit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
improved for the purpose of sale).
❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an ownePdfpl(aperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
El .
I amexempt iro•m7icensure under the Contractors' State License Law for the following reason:
t3)•ITIJStnalur$belov0 Lacknowledge 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 legall,
sell a structure that I'IRve 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
Firofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
3ign9hlre of Propedy Owner or Authorized Agent Date
41UN$ED CftITA9CTOR'S DECLARATION
Ilnerr'oy affirm unLigr pe,Ralty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec Div' ion 3 of the si ass and Profes,giaj Ode-ea\my license is in full force
arW-effect. LicanseCless License No D Contr for Signature z. , +
WORIfERS' C0.1piNSATION DECLARATION
NAVIAN !FAILURE TO SE�1jRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES U TO ONE HUNDRED THOUSAND DOLLARS ($'I00,000[. IN ADDITION TO THE
C:)s OF cOMPEN$AlIOy,ISMAGESAS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE; INTEREST, AND ATTORNEY'S FEES.
I P@ySby affirm un8dr penalty, of perjury one of the following declarations:
o
have and will•maiDtain 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
mance of the work for which this permit is issued. Policy No.
61r d 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'
carrier and policy number are:
Policy Number
of Agent
Date
]I certify that, inthe p an 'ca
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 ork
iat, if I should be o subject tot workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi
lignature of ApAder
a
IECLARATIORDING CONSTRUCTION LENDING AGENCY
hereby affirm nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
enders 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 owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city d county ordinances and state laws relating to building construction.
I authorize representatives of this ci r county to anter inspection purposes.
iicnature of ProDertv Owner or Authori Aqent [--_� Print Property Owner's or Authoriz d nt's Name
ACTION DATE -� BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED UEPA
PERMIT EXTENDED UAQMD
PERMITFINAL / ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OFS ROPOSED DEMOLITION
OCCUPANCYISSUED 1 (/ SIGNATURE:
compensation aws of California, and agre
Civil Code).
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