HomeMy WebLinkAboutS2018-0151 - Permits15 , City of Newport
off` 100 Civic Center Drive,. Newport
r ,p} Permit Counter Phone (949)644-3288
f:
Beach m Bul Division{
Beach ^ A 92 60 °
p m •
-
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIII
e e S 2 8 1 8
POOLPermit: S2018-0151
0 1 5 1
Project No : 2035-2018
Inspection Requests Phone (949)644-3255
Job Address: 212 MARSALA DR Floor:
- Descriptions ofWork:REPLASTER,TILE,COPING,
Inspector Area::8
Legal Description: TR 12309 LOT 5 POR OF LOT
Owner: IRVINE. COMPANY
' Address: 550 NEWPORT CENTER DR
NEWPORT BEACH, CA 92660.
`•Suite:• ;Idtl 1°•
NEW. EQUIP FOR EXTG POOL
Contractor:
Address:.
•°• °e®
7372 SF /POOL FENCING
- Plan Check
Code Edit:
CUESTA CONSTRUCTION
3195A AIRPORT LOOP DR
COSTA MESA CA 92626.
"NEWPORT NORTH"
No. " 2035-2018
2016
CO Architect:
Address:
Phone: 949-720-2829..
Phone:
714-557-5877
Phone:. State Lie:
Applicant: CAZARES JOSE
Con State Lie:
668466 -
Engineer:. WELSH STEPHANIE
Address:. 2605 STATE ST, STE B
: Lie Expire:
05131/2019 --
Address: 12722 BARRETT LNC,
SAN DIEGO CA 92103
Bus Lie: -
ST20012806
-SANTA ANA CA 92705
>
Phone: 619.325.1993
Lie Exp Date::
12131/2019 -.
Phone: 714-352-6297 State Lic:S-002998
Building Rear:
Worker's Compensation
Insurance
Special Conditions.
Setbacks -'Front.
Carrier:
INSURANCE CO OF THE WEST
Left:
Policy No:
WSD603883000
Right: -
Expiration:
'12131/2019 -
issued Date: 02/21/2019
Construction Type :
-
FEES
n'Z
Construction Valuation $50,000.00
Building Permit Fee: .`$692.00
Record Management:
:$0.00
Water Quality-
Permit Issuing Issuing. Fee: : $0.00
...Building Dept Inspection Fee:
$0.00
:investigation Fee: $0.00
Drainage Permit Fee:
.$0.00
Water Quality Dept InspFee:
$0.00..
Building Green Fee: - $2.00 '.
Drainage Plan Check..
$0.00
Building Dept WQ Plan Check: `,.
$0.00
"Plan Dept Plan Check: .$0.00.
Grading Consultant Fee:
$0.00 -
Others
Building Dep Plan. Check:. $602.04
$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 :. $1,296.04
Plan Check Fee :
$602.04'. Fee Due at Permit Issuance:
$694.00
PROCESSED BY:
PLAN CHECKED BY.:
ZONING APPROVAL: ____ IYVCT4
APPROVAL TO ISSUE: -
-
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
OWNER -BUILDER DECLARATION .': "; ; •• •••
1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s)jnc:catinbelovq b4 the chsckmark(s) I have placed next to theapplicable item(s)
lection 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve!cjgnolislt, or repair aRystructurg, 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 rChaj ter 9 (comAlendiltgwith 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 applicantto a. civil penalty of
of more than five hundred dollars ($500). , 1722 BARRETT LN
l,. as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) porticlls}Jf t11•wgfk,tJ tl=e ffiructure is rroa 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, thrugh employees) or personal effort, jlulds 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 eemp;lion, tI14Qwg%rzBuild%r vyill h1* the burden of proving that it was not built or
nproved for the purpose of sale).
3 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).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
lyi my signature below 1 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 legalk
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.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 Prgfessi9 Code, and )loans In full force
nd effect. License Class .License No Dated 'v2 /'/9 Contractor SignatL T /C�F'�'�lf ,
IIORKERS' COMPENSATION DECLARATION
DARNING: 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 0706 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
erkrmance of the work for which this permit is issued. Policy No.
ve 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' compensatioi
LViance carrier and policy number are:
arrier T/�S (�n o)Cnti ,- /Lt?f4- Policy Number 60S/) iO3 Jff?0-of Expiration Date
lame of Agent LoCk%n ApxI • rs�, / i e, Phone# ,7/3
]I 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 agre
iat, if I should become subject t the workers'
�co/mm ensatio revisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. q
IECignBLArRATION Applicant
REGA DINGONSTRUOTT ON LENDGENCY Day
o
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 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 rata g to building construction.
1 authorize representatives of this city or county to ant he above -id ' led pro a for inspection purposes.
i nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name . Date
\CTION DATE BY DECLARATI N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
I REGULATIONS PART 61 OF TITLE 40 AND AC MD RULE
TO
POOLALARMS ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
INSTALLED PROPOSED DEMOLITION.
/ / i SIGNATURE:
LO
r
T
z M
U N
rn
O
U M
W m�
L A G q
L� Q O W
Or
zm
wAm all
Z W o C.
c
U
U v
0
0
m
N C c
N N
L
O .L.
N O
C >1
o�n
n
70 >• o
a
G —
� f6
Cha7
of
L N
a7 N
L
o�
C U Q
off°
a L
o N
V/
0
O
�v
O c �
1—:
S
U Q
m o
¢
cx
LLJ
w
C
0
_
U UO
O'
W
Q
O
° a�
o
`
O U_ fA
2�
O
N
C
aa,
Z
7 O O
a O
N
p `o
Co o. G
N
E (D o
L U
W
0.
y
°aGa
a
o 0 0
C N `N U
ki
F
U O .+ N
Q
r. -A
��ma
2
0
m
O U
Lu (Q
C C
O
-00
rra o
J U
N O
Q) ca E
w
U
N N
ow
n -o
C
o�
c
m N
yL.+ L
>, o m
L7 O fN/J
ao�
U
N — N
0 0 0
t Ey
� � 3
a
Cr
U U
C
_O a7 l0
—�
N .O O
U
F
�y Y
o E
m
LL aw
OLo�
w E m E
a
0a c E
(Q O�
U)$ a Q
0
3
L
z
¢
a
O'
Q
Q
O
W
y
Z
C9:Ll
Old
m
d
2
m
a
r
2
¢
a
O U
Lu (Q
C C
O
-00
rra o
J U
N O
Q) ca E
w
U
N N
ow
n -o
C
o�
c
m N
yL.+ L
>, o m
L7 O fN/J
ao�
U
N — N
0 0 0
t Ey
� � 3
a
Cr
U U
C
_O a7 l0
—�
N .O O
U
F
�y Y
o E
m
LL aw
OLo�
w E m E
a
0a c E
(Q O�
U)$ a Q