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HomeMy WebLinkAboutX2022-1608 - Permitsar City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 a Inspection Requests Phone (949)644-3255 P,{msa" Combination Type - BLDG IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2022-1608 x 2 0 2 2 1 6 0 6 Project No : Issued Date : 06/07/2022 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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 Jab Address: 1000 WHITE SAILS WAY NB Description: SFR POOL DEMO "METHOD B" Legal Desc.: N TR 2202 LOT 27 ."`° `• Owner: WHITE SAILS WAY LLC Contractor: Address: 1000 WHITE SAILS WAY Address: CORONA DEL MAR, CA 92625 Phone: Phone: Applicant: MASINA RAJESH Con State Lic: Address: 1000 WHITE SAILS WAY Lic Expire: CORONA DEL MAR, CA 92625 Bus Lic: Phone: 713-689.9097 Lic Exp Date: Code Edit : 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units, 0 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $10,000.00 Building Permit Fee: $246.00 Plan Check Fee: $214.02 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $515.02 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: OWNERIBLDR O/B Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical %: Plumbing %: Rear: I Front: 1 Left: I Right: / icing Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: ®aa6 Cr State Lic: .0. ... .... State Lic: Special Conditions: O/B FORM ATTACHED Fire Planning Department - Plan check Fee Fair Share: SJH Trans : In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 11 Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Plan Check Fee : $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: L- $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $515.02 . a a.aw�a . . . •.a• aomo• ooa000 a ° a ooaco. a • ao �. 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). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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-Builderwill have the burden of proving that it was not built or improved for the purpose of sale). 4�lf. as owner ofttle property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not p an ownecofpsoperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). •S-a"exempt fremaicensure under the Contractors' State License Law for the following reason: ly my s189naturE:be1Qw f 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 set p s%icture that) have built as an owner -builder if it has Lbbe n constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Codes available upon request whgn y4js appliea \F^ mitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. %(7 Signati re of Prop UbMiner or Authorized Agen Date 1— aIC%NSED C014WACTOR'S DECLARAT N If affirm lyndpf S4halty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, a d my license is in full force %ryd effptt. License Class License No Date Contractor Signature WARISERS' COI9IPENSATION DECLARATION 1yAR?QNG:FAILURF• F0 %EC�RE 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 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. l e'rebyeffirm under penalty of perjury one of the following declarations: 0*** I have and wMl4alhtain 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 tht performance of the work for which this permit is issued. Policy No. I have 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' urance carrier and policy number are: Policy Number Expiratic of Agent Phone # Date I certify that, in the performanc 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 agref It, if I should become s%ubject t t orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ]nature of Applicant X Dat 0 6 Lb 7 :CLARATION REG RDING CO TRUCTION LENDING AGENCY ereby 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, Ivil Code). rider'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 o antes and state laws relating to building construction. I authorize representatives of this city or county wto/�n r�9 h Bove -identified property for inspection purposes. /j p ) mature of Prooertv Owner or Authorized Agent I Y I Print Property Owner's or Authorized Agent's Nam¢ )( ��- KARSf♦ T'( AS'P/ADat�O 616-J/ ZZ ACTION I DATE BY DECEARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMITEXTENDED AOMD ] PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF I-+y �� PROPOSEDRT0L{ OCCUPANCYISSUED SIGNATIIR \