The URL can be used to link to this page

Home My WebLink AboutS2021-0248 - PermitsCity of Newport Beach - Building Division 11111111111111p11111p11111111111p1111111111p111111 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 1 0 2 4 8 Permit Counter Phone (949)644-3288 u 2' r'�t�riiY�N�a Job Address: 3404 QUIET COVE Floor: Description of Work:SFR POOL/SPA 487 SF Inspector Area: 6 Legal Description: N TR 6228 LOT 40 Owner: FLORIANI JORDAN Address: 1701 PORT MARGATE PL NEWPORT BEACH CA 92660 Phone: Applicant: MATA JOSE Address: 910 E 4TH STREET SANTA ANA CA 92701 Phone: 714-393-6358 Building Rear: Setbacks: Front: Left: Right: Construction Type : VB Construction Valuation: $60,000.00 Building Permit Fee : $440.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $3.00 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 : $999.26 PROCESSED BY:. ZONING APPROV Suite: Bldg:1 Plan Check No: 2550-2021 Code Edit: 2021 Contractor: MATA'S CONSTRUCTION CO Address: 910 E. 4TH ST SANTA ANA CA 92701 Phone: 714-393-6358 Con State Lic: 861880 Lic Expire: 07/31/2023 Bus Lic: BT30015664 Lic Exp Date: 0413012022 Worker's Compensation Insurance Carrier: CYPRESS INS CO Policy No: MAWC128604 Expiration: 0210112022 FEES Architect: Address: POOLPermit: S2021-0248 Project No : 2550-2021 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: 10/2812021 Record Management: $8.00 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 : $0.25 Others $0.00 Additional Fee : $0.00 $0.00 Plan Check Fee : $0.00 _ Fee Due at Permit Issuance : PLAN CHECKED BY:: APPROVAL TO ISSUI PERMIT EXPIRES -186 DAYS AFTER IS31JANCE 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 Iicensure 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 from Iicensure 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 legall) sell 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.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 f ivision of he Business and Pr as IAs d nd r ,�hse is in full force and effect. License Class License No Date Contractor Signatur NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH AND DOLLARS ($100,000), IN ADDITION TO THE COST 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: ❑ 1 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 the )erfo,pence of the work for which this permit is issued. Policy No. and will aln ' workers' co�pegsation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' carrier a d polic number ark`, J Date lame of Agent 1 i' Phone # ]I certify that, in the performance of the wok 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 agre iat, if I should become sub' of to the worke compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 'signature of Applicant t IECLARATION REGA I C G AGENCY hereby affirm under penalty of p 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 3y 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 rdinances an a laws relating to building construction. I authorize representatives of this city or county nter i' d property for inspection purposes. Signature of Property Owner or Authorized Agent I Print Property Owner's or Authorized Ag ACTION DATE BY DE ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY DE PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATIOA TO LIEPA PERMITCANCELLED PERMIT EXTENDED LJAQMD POOLALARMS INSTALLED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: PERMITFINAL —}—� Name All required alarms,latches gates & fences which serve barrier, shall be in place prior to approval to fifl pooltspa & shall remain In place & be maintained tor the life of the DooVsDa