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Home My WebLink AboutX2021-1566 - PermitsCity of Newport Beach - Building Division *X2021-1566* COMB Permit: X2021-1566 G� 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 PPRg,,� k ^� w (V9 EC Project No: ` J' c. Inspection Requests Phone (949)644-3255 Issued Date : Combination Type - BLDG Inspection Arearea :2021 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0611712024 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 339 MILFORD DR NB Description: SFR POOL DEMO "METHOD A" Legal Desc.: N TR 3357 LOT 177 Owner: BARKEN GARY Address: 339 MILFORD DR CORONA DEL MAR, CA 92625 Phone: Applicant: LOS PINOS LANDSCAPES Address: 10661 FRANCES AVENUE GARDEN GROVE CA 92643 Phone: 714-791-5120 Code Edit : 2019 Type of Construction: Occupancy Group: U Added. /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Valuation Building Permit Fee: $212.00 Plan Check Fee: $184.44 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $399.44 PROCESSED BY: ZONING APPROVAL: Contractor: LOS PINOS LANDSCAPES Address: 10661 FRANCES AVENUE GARDEN GROVE CA 92643 Phone: 714-791-5120 Con State Lic: 796989 Lic Expire: 07/3112021 Bus Lic: BT30069136 Lic Exp Date: 1013112021 Worker's Compensation Insurance Carrier: FALLS LAKE FIRE Policy No: FLA008317 Expire: 02/0112022 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: / Left: I Right: I 'arkino Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Architect Address: Phone: State Lic: Engineer: Address: Phone: State Lic: Designer: Address: Phone: Special Conditions: FUEL MOD VHFHSZ Fire Hazard Zone : Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $399.44 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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). 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. Stgr,a,,ure of Pronerty Owner or Authorized Agent Date LIC�NSEDZON'i RACTOR'S DECLARATION 1 ;iereby affirm wider penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section O) f Division 3 of the Business and Pro sio ode, d ry license is in full force and effect. License Class License No Data -2 Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TG 6ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE SUS r OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 6areby affirm under penalty of perjury one of the following declarations: I have and Nill „naintain 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 th, oerformance of'" wcrk for which this permit is issued. Policy No. have and w-11 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' Lance carrier and policy number are: Policy Number of Agent Date I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workermpensation laws of California, and agre It, if I should becom ubject a workers',cfomppensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Inature of Applicant / 1iC Date iCLARATION REGARDING -CO NSTFUCTION LENDING AGENCY / ereby affirm under penalty of p that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil rider'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 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 ordinances and state laws relating to building construction. I authorize representatives of this city or countYY tt entet e aboveJ�'denptified property for inspection purposes. mature of Prooertv Owner or Authorized Aaent ' /� !.._ / J /`— Print Proaertv Owner's or Authorized Aaent's Name V:7Ca t ACTION DATE BY ✓ DKVR,#TION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMITEXTENDED AQMD PERMIT FINAL 6 tiYi /JPROP BEST05 NOTIIFC ON IS NOTAPPLICABLE TO OCCUPANCY155CERTIFICATE OF W _ q[rNA DErv(OJBTI�� OCCUPANCY ISSUED str,NAntaE: �