Loading...
HomeMy WebLinkAboutS2020-0039 - PermitsCity of Newport Beach - Building Division -i 100 Civic Center Drive, Newport Beach, CA 92660 w Permit Counter Phone (949)644-3288 ear; �etr .lob Address: 420 POINSETTIA AVE Floor: Suite: Description of Work:SFR NEW POOL/SPA ON ROOF 169 SF Inspector Area: 5 Legal Description: CORONA DEL MAR BILK 443 LOT 16 Owner: FADAVI ALI R Address: 420 POINSETTIA AVE CORONA DEL MAR CA 92625 Phone: Applicant: PAUL ELLISON Address: 24642 VIA RAZA LAKE FOREST, CA 92630 Phone: 949-688-9861 Building Rear: Setbacks: Front: Left: Right: Construction Type: VB II II I III I C I a 11 III0 III I II 0�III I II I�I I I m POOLPermit : S2020-0039 Project No: 0455-2020 Inspection Requests Phone (949)644-3255 Plan Code Edit: Check No: Z6 o6 oll Y's Contractor: MISSION POOLS OF ESCONDIDO Address: 22600 E LAMBERT LAKE FOREST CA 92630 Phone: 949-688-0100 Con State Lie: 326760 Lie Expire: 12/3112021 Bus Lie: BT30049245 Lie Exp Date: 11/3012020 Worker's Compensation Insurance Carrier: FEDERAL INS Policy No: 54309921 Expiration: 04/0512021 FEES Construction Valuation: $40,000.00 Building Permit Fee : $418.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $2.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $373.00 Building PC Investigation: $0.00 Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $0.00 II TOTAL FEE : $1,112.00 PROCESSED BY: P ZONING APPROnu Architect Address: Phone: State Lie Engineer: WALLACE SCOTT Address: 22706 ASPAN ST #402 LAKE FOREST CA 92630 Phone: 949-455-9875 State Lic:S-003613 Special Conditions: YARD DRAINAGE WIX2017-2099 HIGH DENSITY AREA Issued Date: 07130/2020 I Record Management: $26.00 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 : $304.00 $0.00 Plan Check Fee : $666.00 Fee Due at Permit Issuance : $446.00 s .'a PLAN CHECKED BY:: \-IT e i © APPROVAL TO ISSUE: uoo PERMITEXPIRES100,DA, E AFk.R IuSUANCE OR LAST VALID INSPECTION o c 0 0 ° mu css . a oe eu� ume OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjurythat 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 penally of of more than five hundred dollars ($500). 22706 ASPAN ST #402 ® 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, 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 nproved for the purpose of sale). 1 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: 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 professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. ignature 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) f ivisior 3 of the Business and Prof s ns C e, an y I' ense is' ull force nd effect. License Class License No Dat 'L')Contractor Signatur VORKERS' COMPENSATION DECLARATION 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 1$100,0001, IN ADDITION TO THE DST 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: 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 lh once of the work for which this permit is issued. Policy No. ve and will aI ain 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' compensatior uurance carrier a poky number � :arrier o�l{Dy tuber Expiration Date lame of Agent(% Phone # 71 certify that, in the performance of the w o which permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compe sation laws of California, and agree iat, if I should become su a ers' ompe lion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. z` ;ignature of ApPhc��t ..., hereby affirm under penalty ofrperjury 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 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 be I have read this application and the information I have rowded is c act. /'� I agree to comply with all applicable city and county oMina d stet aws el mg to building construction. f /� I authorize representatives of this city or count t "e r th ab a-i tified erty for inspection purposes. �/fdL/ linnahrre of Prnnwrty Owner or Authorized Agent i Print Prooertv Owner's or Authorized Agent's Nam ACTION DATE BY ( DEC4A.RATIORLDbEQMPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ! REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE All required alarms,latches loos PERMIT EXPIRED-Ating; I SUBMITTED ASBESTOS NOTIFICATION TO : & fences Which serve-- • • • ' as part of a pool / spa ' •• •� •. • • • • • • s • • barrier, shall be in place prior to approval to fill poollspa & shall remain in PERMITCANCELLED UEPA • : •• PERMIT EXTENDED QMD POOLALARMS LIASBESTOS NOTIFICATION IS NOT APPLICABLE TO INSTALLED PROPOSED DEMOLITION. • • • plane & be maintained for `� •• e• SIGNATURE: • •• i' the life of the pool/spa ° • • • • � Y( /��� PERMIT FINAL — i • N � N H V H rr U W Qj ® Pa W O H O w a z �d - F+i U d• u w 'y7 o o W v� Con F o ItCIO O N O O U o cq U a +� a H i•ii .� ti "" o w k'+ x cli Na DO Q U Q � U h C r. cn 0 cdtH kn O y ?+ r - � o 3 ^' O h Le) '� U o d L 4. 0 -55 'd mbp Q. +s 79 o off ate.°• >, a�i a"i 4"+ a zy000 O p '.'q �1 '� > 54 ttM A a ,2 �C�++D 7'i O b "Ij w a y m •.= o 0o a�'o a o pv az� I M N O Y y H z ti O 7J � U � o z00 O , N M N � DC •� O ,v 1.