HomeMy WebLinkAboutS2022-0103 - Permits�wt.,,�. City of Newport Beach - Building Division 111p1III 111111111111111111111111p111111111111111111 POOLPermit : S2022-0103
.y��;t ' 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 2 0 1 0 3 Project No : 1155-2022
�,; ° Permit Counter Phone (949)644-3288
Si h./..
�.� �'C" xM1�� Inspection Requests Phone (949)644-3255
Job Address: 1615 LINCOLN LN Floor: Suite: Bldg: 1
Description of Work:SFR NEW POOL & SPA 252 SF W/ DRAINAGE
Inspector Area: 3
Legal Description: N TR 3702 LOT 1
Owner: KOSICH WALTER
Address: 1615 LINCOLN
NEWPORT BEACH, CA 92660
Phone:
Applicant: WRIGHT JC
Address: 833 DOVER DR #7
NEWPORT BEACH, CA 92663
Phone: 949-795-0648
Building Rear:
Setbacks: Front:
Left:
Right:
.onstrucnon
Construction Valuation: $46,000.00
Building Permit Fee :
$440.00
Permit Issuing Fee:
$0.00
Investigation Fee:
$0.00
Building Green Fee:
$2.00
Plan Dept Plan Check:
$0.00
Building Dep Plan Check:
$396.00
Building PC Investigation :
$0.00
Plan check Ext. Fee :
$0.00
WQ Compliance Insp Fee:
$0.00
TOTAL FEE : $1,280.00
PROCES
ZONING
Plan Check No:
Code Edit:
Contractor: INSTANT POOLS LLC
Address:
116 SENCILLO PL
RANCHO MISSION VIEJO CA 92694
Phone:
949-795-0648
Can State Lic:
1009644
Lic Expire:
07/31/2023
Bus Lic:
BT30053469
Lic Exp Date:
12/31/2022
Worker's Compensation Insurance
Carrier: WC EXEMPT
Policy No: (NO EMPLOYEES)
Expiration:
Record Management:
Drainage Permit Fee:
Drainage Plan Check:
Grading Consultant Fee
Additional Fee :
FEES
$6.00
$237.00
$199.00
$0.00
$0.00
Plan Check Fee
1
1155-2022
2019
Architect:
'
Address:
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: 05/02/2022
Water Quality- —
Building Dept Inspection Fee: $0.00
Water Quality Dept Insp Fee: $0.00
Building Dept WQ Plan Check: $0.00
Others
$aoo
$0.00
$0.00
Fee Due at Permit Issuance :
PLAN CHECKED BY:: "
APPROVAL TO ISSUE:
.PERMITEXPIRES 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 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 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).
I am exempt rrom li-ensure under the Contractors' State License Law for the following reason:
Fly my signature ueluw 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 bL ucture ;ha; I I.ave 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, it Tvailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
4ignafure of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under oenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 of Cliyisio?,gf the Business a ssions C e, and my license is in full force
and uf:ect. License Class License No Date L C-contractor Sign
"GR:CERS' COMPENSATION DECLARATION
o4nRNAG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
nnFT O� COMPENSAI ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
i hereby affirm gilder penalty of perjury one of the following declarations:
I haae 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
per`crriance of the'vork 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
of Agent
Date
Krtfy that, in the performance of work for wh ch 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
I I should beco subject to workers' co an n provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions.
ignature of Applican' Dat
IECLARATION REG RD s O LENDING AGE
hereby affirm under penalty of perj at t re is a construction lendin ency for the performance of the work for which this permit is issued (Section 3097, C i1 Code).
ender's Name Lender's Address
y my signature below, I certify to each of the
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 prove c t.
I agree to comply with all applicable city and count or nces and sta laws relating to building construction. Z. l Z-
I authorize representatives of this city or countfyVet er the above -id tifie ^-^�^r^^ coon purposes.
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMITEXTENDED
POOL ALARMS
INSTALLED
or Authorized Aaent Print.Prooerty Owner's or Authorized AD
DATE I BY I DECLARAMN OF COMPLIANCE OF FEDERAL I FOR OFFICE USE ONLY
40 AND AQMD RULE
1403
1 SUBMITTED ASBESTOS NOTIFICATION TO
APPLICABLE TO
All
as part of a pool / spa
barrier, shall be in place
prior to approval to fill
pool/spa & shall remain in
place & be maintained for
the life of the DOOVSoa