The URL can be used to link to this page

Home My WebLink AboutX2022-0418 - PermitsCity of Newport Beach - Building Division *X2022-0418' COMB Permit: X2022-0418 " o 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0369-2022 ,. { .. Permit Counter Phone(949)644-3288 T^ Inspection Requests Phone (949)644-3255 Ce I V 1 Issued Date : 02/1/12022 113 a� s � iJ Combination Type - BLDG PLUM Inspection Area : 3 PERMIT EXPIRES 190 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 02/11/2025 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 Jab Address: 1459 GALAXY DR NB Description: SFR DEMO (E) POOL & SPA 1 , Legal Desc.: N TR 4224 LOT 257 Owner: VON DER AHE DANIELLE & GEOFF Address: 1459 GALAXY DR NEWPORT BEACH, CA 92660 Phone: 949-235-4382 Applicant: MILO CONSTRUCTION Address: 101 VIA MONTE PICAYO SAN CLEMENTE CA 92673 Phone: 949-290.6429 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 Contractor: MILO CONSTRUCTION Address: 101 VIA MONTE PICAYO SAN CLEMENTE CA 92673 Phone: 949-290-6429 Con State Lic: 871429 Lic Expire: 03/31/2022 Bus Lic: ST30038762 Lic Exp Date: 0313112022 Worker's Compensation Insurance Carrier: NO EMPLOYEES Policy No: Expire: Building Setbacks Rear: I Front: / Left: / RinhtI Architect Address: Phone: State Lic: > > Engineer: Address: •, Phone: State Lic: Designer: FORKERT ENGINEERING &SURVEYING It;(: Address: 22311 BROOKHURST ST #203 HUNTINGTON BEACH, CA 92646 Phone: 714-953-6793 Special Conditions n:ers: Flood Zo lZonee: F Use Zone: Parkin Spaces: 0 Fire Hazard Zone : N Construction Valuation: $5 000.00 Building Permit Fee: $122.00 Excise Tax: $0.00 Planning Department - Plan Fee : $104.00 Fire Department Fire Inspection: $0.00 Plan Check Fee: $223.00 Additional Fee : Grading Bonds Fee: $0.00 $0.00 check Fair Share : $0.00 Fire Plan Rev $0.00 Overtime Plan Ck: Investigation Fee: $0.00 $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 $0.00 Demolition Fee Building Dept Adm $27.00 Record Management : $0.00 Grading Permit Fee: $0.00 $0.00 In -lieu Housing Fee : Public Works Department - General Service $ .00 Energy Compliance: $0.00 Grading PC Fee: WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit 27 $1,127.00 CA Seismic Safety : $0.00 PM Plan Check: $0.00 Grading Bond: $0.00 Disabled Access : Hazardous Mat $0.00 $0.00 Electrical %: $0.00 San Dist: $0.00 1 $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $10.98 TOTAL FEE : $1,879.98 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,879.98 1Z PUBLIC WORKS APPROVAL: ZONING APPROVAL: , A S w 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 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Cade: 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-Builderwill 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 ^m exempt from licensure under the Contractors' State License Law for the following reason: oy niy signatl ire beio'v 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 ,rave 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 R-ofe: sions 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 -ICENSED CON-i RACTOR'S DECLARATION ht.rdby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cade, and my licensp is in full force ccc :affect. Licem:.e Class License No Date X Z -N • Zpz>_ Contractor Signature"Gf�lare.L Q.,. NOrKERS' COMPENSATION DECLARATION I_R.%.N3: FAILURE TO SifCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU W ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :UST 01 COMPENSAT'OW 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 anc 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 th )erformance of the work for which this permit is issued. Policy No. 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' rance carrier and policy number are: Policy Number Expiration Date of Agent 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 if I should become sub ect to the workers' compensatiourovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. RSi hereby affirm under penalty 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). -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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified party for inspection purposes. signature of Property Owner or Authorized Agent Print PropertyOwner's or Authorized Agent's Name Dat ACTION DATE BY DECLARATION OF COMPLIA E WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED Dii SUBMITTED ASBESTOS NOTIFICATION TO PERMITEXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCY ISSUED ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED r ."I