HomeMy WebLinkAboutS2021-0208 - Permits�cXw#'cap' City of Newport Beach - Building Division
{... 100 Civic Center Drive, Newport Beach, CA 92660
!, Permit Counter Phone (949)644-3288
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POOLPermit: S2021-0208
Project No : 2101-2021
Inspection
90t
,lob Address: 518 SAN BERNARDINO AVE
Floor: Suite:
Bldg: 1
+
Description of Work:NEW SPA 64 SF
Inspector Area: 3
Plan Check No:
2101-2021
Code Edit:
2019
Legal Description: FIRST ADD TO NEWPORT HEIGHTS
BILK 33 LOT 5
Owner: THORP STEPHEN
Contractor:
RYAN BURRESS INC
Architect:
Address: 518 SAN BERNARDINO AV
Address:
246 CATALINA DR
Address:
NEWPORT BEACH CA 92663
NEWPORT BEACH CA 92660
Phone:
Phone:
714-975-1434
Phone:
State Lic:
Applicant: RYAN BURRESS INC
Con State Lic:
946479
Engineer:
BIEDENBACH CHRISTOPHER
Address: 246 CATALINA DR
Lic Expire:
12/31/2022
Address:
1201 N TUSTIN
NEWPORT BEACH CA 92660
Bus Lic:
BT30053605.
ANAHEIM CA 92807
Phone: 714-975-1434
Lic Exp Date:
01/31/2022
Phone:
714-630-6100 State Lic:C-074003
Building Rear:
Worker's Compensation Insurance
Special Conditions:
Setbacks: Front:
Carrier:
STATE COMP. INS
Left:
Policy No:
9207309
Right:
Expiration:
0312412022
Issued Date:
09/13/2021
Construction Type :
FEES
Construction Valuation: $20,000.00
Building Permit Fee :
$440.00
Permit Issuing Fee:
$0.00
Investigation Fee:
$0.00
Building Green Fee:
$1.00
Plan Dept Plan Check:
$0.00
Building Dep Plan Check:
$396.00
Building PC Investigation :
$0.00
Plan check Ext. Fee :
$0.00
WQ Compliance Insp Fee:
$0.00
II TOTAL FEE : $843.00
PROCESSED BY:
l
ZONING APPROVAL:
Record Management:
$6.00
Water Quality ---
Building Dept Inspection Fee:
$0.00
Drainage Permit Fee :
$0.00
Water Quality Dept Insp Fee:
$0.00
Drainage Plan Check:
$0.00
Building Dept WQ Plan Check:
$0.00
Grading Consultant Fee :
$0.00
Others
$0.00
Additional Fee :
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $843.00
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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
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 of the 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 a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500). 1201 N TUSTIN ❑
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, 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).
❑ 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
apply 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).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By 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 Iegall�
sell 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
Professions 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
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) of�pi /isi9l of the Business and Profess' ns �(a d my license is in full force
and effect. License Class License No Dat Contractor Signature
INORKERS' COMPENSATION DECLARATION
NARNING: 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 I$100,0001, IN ADDITION TO THE
COST 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 the
nrmaase-ef-f*work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
of Agent
Date
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
t, if I should become subjec a compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. (7 /
nature of Applicant Datel 7 1
CLARATION REGARDING C I NDING AGENCY
ereby affirm under penalty of perjury tha there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
lder'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 co ordin es and state laws relating to building construction.
�Yauthorize representatives of this city or count�tEe.i lentified prgperty for inspection purposes.
of Prooertv Owner or Authorized
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMITEXTENDED
POOLALARMS
INSTALLED
PERMIT FINAL
DATE BY I REGULATIONDECLARAaaS UPART 0610 TIITE40AND AQMD RULE CE WITH CODE OF AL
NOTIFICATION TO
NOTIFICATION IS NOT APPLICABLE TO
FOR OFFICE USE ONLY
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