HomeMy WebLinkAboutS2017-0202 - PermitsCity of Newport Beach - Building Division *S2017-0202* POOLPermit : S2017-0202
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)6443288 Project No : 1076-2017
Inspection Requests Phone (949)644-3255
Job Address: 2136 BALBOA BLVD E Floor:
Suite: Bldg: 1
Description of Work:SFR -CHANGE OF CONTRACTOR` NEW POOL/SPA 594 SF
Ins ectorArea: 1
p
- 1076-2017 °
—
Plan Check No:
1076-2017 � a � �� '
f
Legal Description: TR 756 LOT 37(AND NWLY1/2
LOT 38
Code Edit:
2016
k"
Owner: ARDEN COMPANIES LLC
Contractor:
I BUILD CONSTRUCTION
Architect:
Address: 2560 E CHAPMAN AVE #173
Address:
27795 SAGEBRUSH ROAD
Address:
ORANGE CA 92869
SUN CITY CA 92585
Phone:
Phone:
951-3453605
Phone: State Lie:
Applicant: I BUILD CONSTRUCTION
Address: 27795 SAGEBRUSH ROAD
Con State Lie:
931796
Engineer: KOLODZIEJ KENNETH J
e • °
SUN CITY CA 92585
Lie Expire:
Bus Lie:
04/30/2019
BT30060618
Address: 400 E ESTHER PLACE
° • •
• ° °
o • • • •:
° '
Phone: 951345-3505
Lic Exp Date:
0913012018
PLACENTIA CA 92870 • •
Phone: 714-996-1219 State Lic:C-064768 • •
®° •'
Building Rear:
Setbacks: Front:
Workers Compensation Insurance
Special Conditions:
° ° ° ° • °
as
° ° • °.
Left:
Carrier:
NORGUARD
Replace S2017-0093
•
° ° °
Right:
Policy No:
Expiration:
JAWC870398
04/27/2018
c/o contractor letter attached
Construction Type : V-B
Issued Date: 12/01/2017
• ® °
FEES
Construction Valuation: $0.00
°°°•••
Building Permit Fee: $0.00
Permit Issuing Fee: $0.00
Record Management:
$0.00 Water Quality --
Investigation Fee: $0.00
Drainage Permit Fee :
$0.00
Building Dept Inspection Fee:
$0.00
Building Green Fee: $0.00
Drainage Plan Check:
$0.00
Water Quality Dept Insp Fee:
$0.00
Plan Dept Plan Check: $0.00
Grading Consultant Fee :
$0.00 Others
Building Dept WQ Plan Check:
$0.00
Building Dep Plan Check: $0.00
Building PC Investigation : $0.00
Additional Fee :
$33.00
$0.00
Plan check Ext. Fee : $0.00
$0.00
WQ Compliance Insp Fee: $0.00
TOTAL FEE: $33.00 Plan Check Fee ; $0.00 Fee Due at Permit Issuance :
PROCESSED BY: PLAN CHECKED BY::
ZONINGAPPROVAL: APPROVALTOISSUE:_ C:41 _
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 3of 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 ($500). 400 E ESTHER PLACE i
.
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
improved for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 704, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I nderstand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.lelinfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent site:http://www.lelinfo.ca.gov/calaw.html.
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm yQrjgfy$nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se 'on 01 of Division 3 of the Business a my license is in full force
nd eb act. License CIBss License NoD �Z�11, Zv; �7 Contractor Si atu
iMRPjiRS' (;0MnNSATION DECLARATION
QgRNII�LG: FAILURE Y6 SECbRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENT LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
GaST O POMPENSATJON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Le
r€By affirm urine;penalty of perjury one of the following declarations:
1Dave and w'ItMaintain 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 tomance of the work for which this permit is issued. Policy No.
......
` •3 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' compensa loi
�e carrier and policy number are:
_ Policy Number
P-Wify that, 4r:tne performan of the work for which this permit is issued, I shall not employ any person in any
if I should 6epome syhj e-worker,' compensation provisions of Section 3700 of the Labor Code, I shall
:reby affirm and .. enalty of perjurythat there is a construction lending agency for the performance of the work 1
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 o ner's behalf.
I have read this application and the information I have provi d is correct.
I agree to comply with all applicable city and county ordi ces and state laws relating to building construction.
1 authorize representatives of this ty or county to a -identified property for inspection purposes.
nature of Prooertv Owner or Authoriz gent Print Property Ownel
ACTION DATE BY/DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXTENED LJAUWI u
POOL ALARMS ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
INSTALLED PROPOSED DEMOLITION.
Date
so as to become subject to the workers' compensation laws of California, and agre,
i comply with those provisions.
�'L7 i
i this permit is issued (Section 3097,Civil Code).
USE
City of Newport Beach - Building Division II�II�IIIII1I�IIIIIIIIIIIIIIII1IIIIIII1IIIIIIII1 II
o 100 Civic Center Drive, Newport Beach, CA 92660
Permit. Counter Phone (949)644-3288
.lob Address: 2136 BALBOA BLVD E Floor: Suite: Bldg: 1
Description of Work:SFR NEW POOUSPA 594 SF
Inspector Area: 1
Legal Description: TR 756 LOT 37(AND
Owner.
SMITH VINCIENT
Address:
2136 E. ALBOA BLVD
NEWPORT BEACH, CA 9266
Phone:
949-230-9422
Applicant IBUILD CONSTRUCTION
Address'
2831 E. GRETTA LANE
ANAHEIM, CA 92806
Phone:
9513453505
Building Rear:
Setbacks: Front:
Left:
Right:
Construction Type : V-B
Date
1076-2017
Plan Check No: 1076-2017
Code Edit: 2016
POOLPermit :-52017-0093
Project No: 1076-2017
Inspection Requests Phone (949)644-3255
.°.
•
Phone:- L 949325.*028-- , - � • • • •
Phonraf a,P l• r @ State Lic: r
ft
Is L738 Engineer: KOLODZIEJ KENNETH J ;i `•
is Expire �g212�18 f Addr&:80S 0 E�3R2'RR}('�C�
$us L• ��"'.kkT3 524.t t' n ��'ABE dAJ9Y5'7A r81F
0`Phone: 714-996-1219 State Llc�:C 64*8 0 •e•'
to W hm e°°o•
Wo-pensahon Insurance Special Conditions:
Ca e CGp ST.r6GC#FJS --
Po 3:a VRC,.�¢t ` is
Q 14/201$y >= Lj ;2sued Date: 0712112017 o"BBe
y
CA 92674
a
Construction Valuation: $35,000.00
�
FEES
F
Building Permit Fee :
$380.0
Reco Mana ement
g I
'' k$20.00
- --
:Water Quality -
-
Permit Issuing Fee:
Investigation Fee:
$0.0
(�'+,''
"'""?��
Building Dept 4rspectibn Fee
$0.00
$0.0
Drainage Permit Fee .
$293.00
:Water Quality Dept Insp Fee:
- $0.00
Building Green Fee:
$2.0
jN r,54_. Drainage Plan Check:
14
$0.00
- "Building Dept:..WQ Plan Check:
$0.00
Plan Dept Plan Check:
$0 0
' ij t �'. Grading Consultant Fee:
$236.00
Others
Building Dep Plan Check:
$338.0
-'—"--
Building PC Investiga4;4
e :
$0.00 ---"`---------
-
$0.00
$0.00
Plan check Ext. Fee
_
- -WQ
Compliance InspTOTALFEE:
Plan Check Fee :
$562.20 - -m-. - _e
a Permit Issuu�a�nce : $706.80
PROCESSED BY:
PLAN CHECKED BY::
/�
ZONING APPROVAL:
/!
/
APPROVAL TO ISSUE:
IL —
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). 400 E ESTHER PLACE
❑ 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,
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 licensed Contractor pursuant to the Contractors' State License Law).
❑ 1 am exempt from licensure under th&Gbn1mi msWAaia aw for the following reason:
By my signature below I acknowlddge that, except for my peon si n or at least one year prior to completion of the improvements covered by this permit, I cannot legs
sell a structure that I have built a an ow Qer if it h n n c ' ad m entirety by licensed con m of the applicable law, Section 7044 of the Business and
Professions Code, is available uVn re e a ati n's ub it rat following Web site:http:/N✓ww.leginfo.ca.gov/calaw.html.
Sianature of Prall M QNner or thorized Agent --- . Date
OP
m Imde; penalty of rju hat I a nse rovi s of ap 9 (coo... encin with Section OOOj of—Diy�siory 3 of the Business and Profs si Cgnd rry�l}Eense is in full force
Liciase Class:: License:,? ""`ll'°,^. WDate�Pllt&:l/ �?.SorptRSkOA �Signaturl ��// �/ .�
PROVIDED FOR IN SECTION 3706 OF
re" affirm under pejl�lty of erju follow�fR�g I atlons
'me and will malntTtn a ertif t ant tit se r s ;: r fi _n
•an
ce of the work o,,wh h thi p it i sued ~ o N es 5g k_
fiayyaand will-TaiplalWv ers' c n in re ar by Se &tr 70i f LabolA od
Iraflce carrier and poWq i ber are:
n4er•Policy Number
ne of Agent • • - q
certify that, in the per,drm nce rk 'r��Ic� r d is�isL3e( not employe'ion y
1, if I should become sylb a to wor pefia n vi+e df c�700 of the L bor g3de,gi s _ I
nature of Applicant rk ry.�r•11 -� i
CLARATION REG -1 NSTR ION LENDING AGENCY` 7 (
rreby affirm under penalty f rN2 Wt there is a construction lending agency for the performance of the` '"
._. ider's Name [CC Lender's Address
3y my signature below, l;'ce to each of the 8
I am the property ow,her r authorized to ac
I have read this appllcat he informa
I agree to comply withall applicable cI y anI
I authorize representatives of this city or co
signature of Property Owner or Authorized Age
ACTION I DATE I BY
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENED
POOL ALARMS
INSTALLED
on the property owners behalf.
it lW �C Print Prop
DECLARATION OF COMPLIANCE WITH CODE OF FEDEI
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS
❑ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
\LTIES AND CIVIL FINES UP TO ONE HUNDRED THOIAND DOLLARS ($100,000), IN ADDITION TO THE
whom.- �
of Industrial Relations as provided for by lection 3700 of the Labor Code, for the
�k
performance of the work for which this peit Is issued. My workers' compensatiol
i
Expiration Date h
Phone # v
:r so as to become subject to the workers compensation laws of California, and agre
tals�06W)ssued (Section 3097,
FOR OFFICE USE ONLY
A
FINAL