HomeMy WebLinkAboutX2021-1177 - Permitswt; City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
w , Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
f:ays� Combination Type - BLDG
IIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1177
x 2 0 2 1 1 1 7 7 Project No: 0904-2021
Issued Date : 05111/2021
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 05/1112024 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: 1978 PORT TRINITY CIR NB
Description: SFR DEMO (E) POOLISPA
Legal Dese.: N TR 7031 LOT 11
Owner:
BINDER MARK N
Address:
1978 PORT TRINITY CIR
Record Management:
NEWPORT BEACH, CA 92660
Phone:
$0.00
Applicant:
DEVORE POOLS
Address:
PO BOX 828
Hazardous Mat
SAN JUAN CAP CA 92693
Phone:
949-547-1366
Code Edit : 2019
Type of Construction: VB
Occupancy Group: U
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: $2.000.00
Building Permit Fee: $110.00
Plan Check Fee: $95.70
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: $206.70
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
DE VORE POOLS & SPAS
Address:
PO BOX 828
Fair Share
SAN JUAN CAPSTRNO CA 92693
Phone:
949-547-1366
Con State Lie:
401549
Lie Expire:
04/30/2022
Bus Lie:
BT97026761
Lie Exp Date:
11/30/2021
Worker's Compensation Insurance
Carrier: STATE COMP INS
Policy No: 1222520
Expire: 11/01/2021
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: /
Left: I
Right: I
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Architect:
Address:
Phone: State Lie:
Engineer:
Address:
Phone: State Lie:
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard Zone : N
Planning Department -
Fire Department
Plan check Fee
Fire Inspection:
Fair Share
Fire Plan Rev
SJH Trans
Demolition Fee
In -lieu Housing Fee:
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check :
$0.00
San Dist :
$0.00
NMUSD Fee:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $206.70
¢ PJ1BLIC6LZKS APPgOVAL:
¢ ¢ PLAN CHECK BY: ¢
<c a APRROVALTO¢ISSJJF:
¢ c c
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $206.70
¢ PJ1BLIC6LZKS APPgOVAL:
¢ ¢ PLAN CHECK BY: ¢
<c a APRROVALTO¢ISSJJF:
¢ c c
OWNER -BUILDER
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
he 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
lot more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
iusiness 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
Tiprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or
reproved 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
Ipply 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 1 am exempt from licensure under the Contractors' State License Law for the following reason:
iy 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 legall,
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
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0)IV1 i 3 of the Business and P ofe io dde, and licy ense,i� in full force
Ind effect. License Class License No Date 1 Contractor Signatur L✓
VORKERS' 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 THOUSA OLLARS ($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:
1 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
performance of the work for which this permit is issued. Policy No.
have and willalnle'n workers' c� nsation 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 an Doli, number are' i / it
Date
ne of Agent
I certify that, in the pert rmance of the work for which this pe}mit 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
I, if I should become bject to the orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant
CLARATION REG RDING NSTRUCTION G AGENCY
areby affirm underipenalty 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).
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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county j,Benter th ove-identified property for inspection purposes.
DATE BY [ EtI_ARA lONONS OF O630n-TCE WITH CODE LE 40 AND AQMF RUDERAL FOR OFFICE USE ONLY
PERMIT EXTENDED UAQMD • • -"-
PERMITFINAL U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF PROPOSED DEMOUJIQN••• • • • •••
OCCUPANCYISSUED SIGNATURE:
•• ••• • • •• •• •••