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HomeMy WebLinkAboutX2021-0987 - Permitswrf, City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 -.{ Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 gdrvRc* Combination Type - BLDG IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-0987 Project No: 0904-2021 Issued Date : 05/1112021 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0511112024 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: RETAINING WALLS FOR IN -GROUND TRAMPOLINE (INSIDE FOR PAL) Legal Desc.: N TR 7031 LOT 11 Owner: BINDER MARK N Address: 1978 PORT TRINITY CIR 1222520 NEWPORT BEACH, CA 92660 Phone: 949.547-1366 Applicant: DEVORE POOLS Address: PO BOX 828 Bus Lic: SAN JUAN CAP CA 92693 Phone: 949-547-1366 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: DE VORE POOLS & SPAS Address: PO BOX 828 1222520 SAN JUAN CAPSTRNO CA 92693 Phone: 949.547-1366 Con State Lic: 401549 Lic Expire: 04130/2022 Bus Lic: BT97026761 Lic Exp Date: 1113012021 2019 Worker's Compensation Insurance VB Carrier: STATE COMP INS U Policy No: 1222520 0 Expire: 11/01/2021 0 CA Seismic Safety: Building Setbacks Rear: 10' $0.00 Front: 20' $0.00 Left: 5' $1.00 Right: 5' Building Permit Fee: $416.00 Plan Check Fee: $361.92 Overtime Plan Ck: $0.00 Investigation Fee: $416.00 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: $1,194.92 PROCESSED BY: ZONING APPROVAL: Architect: Address: Phone: State Lic Engineer: PETROV PLAMEN Address: 28161 CASITAS CT LAGUNA NIGUEL CA 92677 Phone: 714-717-7542 State Lic:C-066947 Designer: Plan check Fee : Address: $0.00 Phone: Special Conditions Zone:N 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 WQ 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 %: $0.00 $0.00 Plan Check Fee : $361.92 Fee Due at Permit Issuance: $833.00 PT'JBLIC WORKS APP20VAL: PLAN CHECK B9': ° GRADING APPROVAL: ° <. o ° ARPROYAL TO ISSUE: ° c c cc° oc ccc c c occ ccG 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 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). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not 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, 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 n roved 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 legally 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 70 0) of Divi ion 3 of the Business and Profgs;jerfs�6ond my license is in fu force nd effect. License Class License No Dat "�c Contractor Signature JJCC VORKERS' COMPENSATION DECLARATION )16 'ARNING: 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 the erfAmance of the work for which this permit is issued. Policy No. have and will ,main workers' n�pensation 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 carri and licv number .6re:1 r. t `l A Expiration Date of Agent 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 agree I, if I should become subj ct to the rkers' compensation provisions of Section 7.00 -of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Z Date CLARATION REGARPING PONSTIRUCTION LENDING AGENCY / :reby affirmunder penal f perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). tder'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 rdinances and state laws relating to building construction. I authorize representatives of this city or count ntert bove-identifiedrop erty for inspection purposes. / /�-,/ nature of Pro eed 4� /_.1%/JLirtv Owner or AuthorizAcent -Z. C. '`�RriaRRrsesrkw9wner's-or Authorized Agent's NamVl1'W1./Z- ACTION DATE BY I'lDECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED ISUBMITTEDA Sl*ft C)TIFT& IONTO PERMIT CANCELLED UEPA PERMIT EXTENDED LJAQMD PERMITFINALi7 y� ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCYISSUED•• �•� • • • �•• SIGNATURE: • • • • • - •• ••• • • •• •• •••