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Home My WebLink AboutS2021-0100 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 u: r. s� Job Address: 1532 KEEL DR Floor: Suite: Bldg: 1 Description of Work:POOL AND SPA 544/96 SF WIDRAINAGE Inspector Area: 6 Legal Description: N TR 6152 LOT 115 Owner: DOYLE JOHN M Address: 1532 KEEL DR CORONA DEL MAR, CA 92625 Phone: Applicant: LANDMARK CUSTOM Address: 26981 VISTA TERRACE #B LAKE FOREST CA 92630 Phone: 714.669-8882 Building Rear: Setbacks: Front: Left: Right: Construction Valuation: $90,000.00 Building Permit Fee : $430.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $4.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $387.00 Building PC Investigation : $0.00 Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $0.09 TOTAL FEE: PROCESSED BY: ZONING I1Iill Ill llil illi lill ll lillil i�i IIII ill I IIillIlIdi Plan Check No: 0869-2021 Code Edit: 2019 Contractor: LANDMARK CUSTOM LANDSCAPE Architect Address: 26981 VISTA TERRACE STE B Address: LAKE FOREST CA 92630 Phone: 714-669-8882 Phone: Con State Lic: 725317 Engineer: Lic Expire: 0713112022 Address: Bus Lic: BT30074962 Lic Exp Date: 04/30/2022 Phone: POOLPennit : S2021-0100 Project No: 0869-2021 Inspection Requests Phone (949)644-3255 oa° State Lic: e ZHANG YAO ' 16375 BARRANCA PKWY, H106 IRVINE CA 92618 • • 949-788.0424 State Lic:C-074572 Worker's Compens " n Special Conditions: Carrier: PREFERRED P FESSIONAL Policy No: ON0836204 Expiration: 0312412022 Issued Date: 0512812021 Record Management: Drainage Permit Fee : Drainage Plan Check: Grading Consultant Fee Fee FEES $10.00 Water Quality --- Building Dept Inspection Fee: $232.00 Water Quality Dept Insp Fee: $195.00 Building Dept WQ Plan Check: $0.00 Others $0.00 Plan Check Fee : $387.00 PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION $0.00 $0.00 $0.00 $0.00 $0.00 at Permit Issuance: $871.00 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) .ction 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 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 fessions 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 more than five hundred dollars ($500). 15375 BARRANCA PKWY, H106 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale ction 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, vided 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 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 v 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). ❑ 1 am exempt from licensure 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 lea%tong year prior to completion of the improvements covered by this permit, I cannot legally 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;l/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 Sectio 7000) of Division 3 of the Business and ProViSILns de m license is in full force and effect. License Class License No Dat Contractor Si°gnat�re �� IDIOFjI�E S' COMPENSATION DECLARATION uyl�RjJr�: AILURF"TOOSSCURE 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 OST OF GOMPENSAT10p1,DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. 'h 4* affirm under penalty of perjury one of the following declarations: and wfll maTtain 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 perfor a ce of �hework for which this permit is issued. Policy No. Ja and wjl�q a�jain wo kers' 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' compensatiol ins ce carrier and pClicy number are: Carrier Policy Number Expiration Date me of Agent Phone # 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 workers' compensation laws of California, and agre t, if I should become subject tp the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Dateat� �;1 2�i1,� CLARATION REGAJI DING CONSTR11eT'ION LENDING AGENCY -reby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code) ider's Name Lenders Address By 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 county to enter the above -identified property for inspection purposes. , Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na e i ACTION DATE BY DECLARATION O OMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLYAp wired alarms,latches / REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE gates & fences which serve 1403 as part of a 1;0011 spa PERMITEXPIRED 0 1 SUBMITTED ASBESTOS NOTIFICATION TO barcier. shall t-e in place priof to apr- it to fill pool/spa & sn,:: terrain in _ place & be maintained for PERMITCANCELLED OEPA PERMIT EXTENDED UAQMD POOLALARMS LJAS13ESTOS NOTIFICATION IS NOT APPLICABLE TO INSTALLED PROPOSED DEMOLITION. the life of the pool/spa _ SIGNATURE: X PA/