The URL can be used to link to this page

Home My WebLink AboutS2021-0118 - PermitsCity of Newport Beach - Building Division 11111111111111p11111p11111111111p11111p111p1111111 r 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 1 0 1 1 8 Permit Ccunter Phone (949)644-3288 r• a ,lob Address: 2218 FRANCISCO DR Floor: Suite: Bldg: 1 Description of Work:POOL & SPA 760 SF W/DRAINAGE Inspector Area: 3 Legal Description: N TR 3282 LOT 44 Owner: GUYSER JASON & MACAULA Address: 2218 FRANCISCO DR NEWPORT BEACH, CA 92660 Phone: 949-514-5226 Applicant: ELLISON PAUL Address: 24642 VIA RAZA LAKE FOREST CA 92630 Phone: 949-683-9861 Building Rear: Setbacks: Front: Left: Right: Construction Construction Valuation: $48,000.00 Building Permit Fee : $430.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $2.00 Plan Dept Plan Check: $0.00 Building Delp Plan Check: $387.00 Building PC Investigation : $0.00 Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE: $1,258.00 PROCESSED BY:, ZONING APPROV �PTan Check No: ode Edit: 02itC' S5 i s Phorvg' . Con State Lic 0/8,al € Lic Expire Bus Lic a' kox Lic Exp Date �. '��z r•9 i1 orker's Compensatiori4nsurance Carrier. - Policy No: - Expiration. g R C "IFLES � sfa,tec�) Ra?rdManagenO.0" $12.00 Permit Fee: titan Ctec : $195.00. roosultant Fee: $0.011-- POOL -Permit: S2021-0118 Project No : 1082-2021 Inspection Requests Phone (949)644-3255 IN 1082-I 21,pklCable 2019 �00% refund S0% or Archite Address: ��' to wk)OM-- ',�,�, State Lic: Engineer: BIEDENBACH CHRISTOPHER.0 ss: 1201 NJ TUSTIN ANAHEIM CA 92807 - - - -� Won 714-630-6100 State Licp' 0 ,�: •; - s Special Conditions: -+%�-- 6� Tate: `yslClVA21 Plan Check Fee : $0.00 Building Dept Inspecim"A$vbt PLAN CHECKED APPROVAL TO I PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Fee DuA at Permit Issuance : $0.00 $0.00 $0.00 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by Lhe checkmark(s) I have placed next t„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 is 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 L) all of or U portions of the work, and the Be is\otintended 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 per effort, buildroves the property, provided that the npr vements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comple' a Owner-Builde9„the burden of proving that it was not built or oved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (S 7044, Business and ProfessiprThe Contractors' State License Law does not Ip y to an owner of property who builds or improves thereon, and who contracts for the projects with a ed Contra, to\ellrsuant to theGo�it(8�'o License Law). I am exempt from ,icensure under the Contractors' State License Law for the following reaso � 'd. 0 O \� iy my rignature below acknowledge that, except for my personal residence in which m ve residedyy��oiP�� t one yGaf� completion of th im ovements covered by this permit, I cannot legally ,el, a svucture that rnve built as an owner -builder if it has not bee t m " - Irety by license�bdhtfactor . I yrt(decstand that a copy a applic le law, Section 7044 of the Busin ss and 'rofessions Code, is available upon request when t p ti is the following Web site:htt / Qtg nfo.ca.gov/calaw. 3lgnatu-e of Property Owner or Authorized Agent'_<. ,Date s / Z/ _ICENSED CCNTRACTOR'S DECLARATI N (� uFreby affirm antler penalty of perjury that I am licensed provi 'ons of Ch r 9 (comrcrc with Section ZOY•Division 3 of the Business and fofes" ions Co ,and my license is in full force and effect. License Class Lice o Q�' Contractor Signature, §. rliORKERS' COPAP€NSATION DECL ON JARN,NG: FAILURE TO SECURE WORKERS' NSATION RA NLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP Toi HUN i�D.THO ND DOLLARS ($100,000), IN ADDITION TO THE 'CST O` :OMPENSATION, DAMAGES A IDED FOR IN SE 6 OF THE LAabR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm Lnde, penalty of perjury one of th owing declarations: nave and w, lI main' in a certificatE'of consent -insure -'elf -insure for workers' compensation Iss erl ' he actor of Industrial Relations as f b Se n 3790 of the Labor Code, for th )e.ia,n,ance of tha wo,F f whtckwYhis permit is issued Policy No. Ns�' 7 �I have and will maintain orkers compensation insurance, as required by Section 3700 of the LaSo�Code, for the performan t eeor or which this peFmri-.:is sued. My workers' compensatiol nsurance carrier and policy mbeFtare: : `�� '4w` Policy Number - �o.i —E}x� ate J e of A ant �`�1 one # If at, in thAperforof w rk 'ch this permit is issued, I shall not employ any pers in many gpmeQO become subject e w r s' c ens tion laws of California, and agre ,jf ouId beco0 satio':provisions of Section 3700 of the Labor Cod all forth P't comply with thos visionsSignature of Applica��a\)ECLARATION REUC O G AGENCY ` Shereby affirm underat t construction lendin en r he performance of the work for this permit' hsue coon 3097, Civil Code). .ender's Name %I,�der's Address 3y my signature below, I certify to each the followin eke I am the property owner or authorized act e DID ner' eA'w - 1 have read this application and the inf ati rovid ct. I agree to comply with all applicable city nd c ordi a nd ate w el to building tru 'on. I authorize representatives of this city or on n e o-identif for in ton M11i #"/ i rG� 5 signature of Property Owner or Authorized Ag t P' roperty Owner's or Authorized Agent's Name; U �/Q Da ACTION DATE BY DE OF COMPU WI DE OF FEDERAL FOR OFFICE USE ONLY LATIONS PAR OFT 0 AND AQMD RULE 1403 PERMIT EXPIRED y 'J.S�V11WOeSBESTOS NOTIFICATION TO PERMITCANCELLED Ilk Lji PERMIT EXTENDED qM D POOLALARMS ASBESTOS NOTIFICATION IS NOT APPLICABLE TO INSTALLED PROPOSED DEMOLITION. SIGNATURE: