Loading...
HomeMy WebLinkAboutS2022-0024 - Permitswrrk City of Newport Beach - Building Division r 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 n a +ur�iu� Job Address: 2636 BASSWOOD ST Floor: Suite: Bldg: 1 Description of Work:SFR NEW SPA 126 SF Inspector Area: 4 Legal Description: N TR 4893 LOT 5 Owner: KOST KURT Address: 2636 BASSWOOD ST NEWPORT BEACH, CA 92660 Phone: Applicant: HAN VANESSA Address: 1901 NEWPORT BLVD STE 350 COSTA MESA CA 92627 Phone: 917-434-1788 'S2022--0024* T CR, Plan Check No: 0166-2022 Code Edit: 2019 Contractor: BELLAGIO CONSTRUCTION INC Address: 6107 EL PRADO AVE EASTVALE CA 92080 Phone: 949-278-5060 Con State Lic: 849312 Lic Expire: 11/30/2022 Bus Lic: BT30074668 Lic Exp Date: 0313112022 Building Rear: 6 Worker's Compensation Insurance Setbacks: Front: 6 Carrier: STATE COMPENSATION INS FUND Left: 6 Policy No: 9300375 Right: 6 Expiration: 06/12/2022 ,onsrrucnon Construction Valuation: $25,000.00 Building Permit Fee: $440.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $1.00 Plan Dept Plan Check: $O.DO Building Dep Plan Check: $396.00 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTALFEE: PROCESSED BY: IJ ZONINGAPPROVAL Cl•�i� FEES Architect: Address: POOLPermit : S2022-0024 Project No : 0166-2022 Inspection Requests Phone (949)644-3255 Phone: State Lic Engineer: BIEDENBACH CHRISTOPHER Address: 1201 N TUSTIN ANAHEIM CA 92807 Phone: 714-630-6100 State Lic:C-074003 Special Conditions: Issued Date: 02122/2022 Record Management: $10.00 Water Quality --- Building Dept Inspection Fee: $0.00 Drainage Permit Fee : $0.00 Water Quality Dept Insp Fee: $152.00 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 : $396.00 Fee Due at Permit Issuance : $603.00 PLAN CHECKED BY:: Y T KA 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, priorto its issuance, also requires the applicant for to 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). 1201 N TUSTIN ❑ as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business nd 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). I, as owner of thr property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not poly 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 f,m li^ensure under the Contractors' State License Law for the following reason: Iy 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 all 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" Qdsiness and 'mfesrions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. I/ ignPture of Property Owner or Authorized Agent Date IC NSED CONTRACTOR'S DECLARATION hereby affirm unJzr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of D ision 3 of the Business and Professions Cy €, a d myAcensen full force nd effect. License Class License No Date V� /.vJ,a,2 Contractor Signature / iIGRKGRS' CGMP'cNSATION DECLARATION 'ARNING: FAILURE. G SECJRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($160,066(, IN ADDITION TO THE Us OF rOMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3766 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm unriRl 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 thi grformance of the work for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as r qudred by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Fence carrier and policy number are ier Policy Number Expiration Date Ie of Agent CO, V Phone # My workers' certify that, in the performance of the work for which this pet`mit 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 , if I should become subject to the worko' cD,rfipensation pp`rrovisqR§_?f Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant CLARATION REGARDING CONSTRUCTION LENDING AGENCY -reby affirm under penalty of perjury that th e is a construction lending agen ider's Name 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 ordinanc s and state la I authorize representatives of this city or county to enter thobove-id ntifiec of ProOertv Owner or Authorized ACTION PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED POOLALARMS INSTALLED RATION OF I DATE BY DECI REGULATIONS PPARTO61 I SUBMITTED ASBESTOS Date'` ©' of the work for which this permit is issued (Section 3097, Civil Code). Address to building construction. w inspection purposes. �{^ /z _L Print Property Owner's or Authorized Agent's Name /y/ Date [ODE OF FEDERAL I FOR OFFICE USE ONLY D AQMD RULE gates & fences which serve as part of a pool / spa barrier, shall be in place prior to approval to fiR pool/spa & shall remain in place & Dq maintained for PERMIT FINAL