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Home My WebLink AboutX2021-0557 - Permits'X20210557* COMB Permit: X2021-0557 Project No : 0510-2021 Issued Date : 0310912021 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0310912024 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: 76 HILLCREST LN NB Description: DEMO POOL AND SPA (METHOD B) CITY STANDARD PLAN Legal Desc.: N TR 7223 LOT 31 Owner: City of Newport Beach - Building Division ' 16901 MILLIKAN AVE o 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone y (949)644-3288 Applicant: Inspection Requests Phone (949)644-3255 r rru 1v „- Combination Type - BLDG 'X20210557* COMB Permit: X2021-0557 Project No : 0510-2021 Issued Date : 0310912021 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0310912024 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: 76 HILLCREST LN NB Description: DEMO POOL AND SPA (METHOD B) CITY STANDARD PLAN Legal Desc.: N TR 7223 LOT 31 Owner: PIERCEY WILLIAM Address: 16901 MILLIKAN AVE LEWC912262 IRVINE, CA 92606 Phone: 949-887-4750 Applicant: LEGACY CUSTOM HOMES INC Address: 1000 QUAIL ST, STE 220 Bus Lie: NEWPORT BEACH CA 92660 Phone: 949-887-4750 Code Edit: Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Contractor: LEGACY CUSTOM HOMES INC Address: 1000 QUAIL ST, STE 220 LEWC912262 NEWPORT BEACH CA 92660 Phone: 949-887-4750 Con State Lie: 986194 Lie Expire: 08/3112021 Bus Lie: BT30045036 Lie Exp Date: 1013112021 2019 Worker's Compensation Insurance Carrier: OAK RIVER INSURANCE U Policy No: LEWC912262 0 Expire: 12102/2021 0 CA Seismic Safety: Building Setbacks Rear: / $0.00 Front: I $0.00 Left: / $1.00 Right: I Building Permit Fee: $161.00 Plan Check Fee: $140.07 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee: $1.00 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: Excise Tax: $0.00 Planning Department - Fire Inspection: Additional Fee : $0.00 Plan check Fee Demolition Fee Grading Bonds Fee: $0.00 Fair Share General Service Grading PC Consultant: $0.00 SJH Trans Grading Bond: Grading Permit Fee: $0.00 In -lieu Housing Fee Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 P/W Plan Check : $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 TOTAL FEE: $302.07 Plan Check Fee n. PROCESSED BY: ZONING APPROVAL: L/JA GRADING APPROVAL: • e • e •eeene e • ® ® o State Lie: ae e• • n e • o n .• n State Lie: •e • e o 0 0 0• a ooammo C $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $302.07 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: a r O e C em n ee•oo e oe000 o 000ro 0 0 0 c c. ee•enr� 0 0 •omo 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: •e • e o 0 0 0• a ooammo C $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $302.07 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: a r O e C em n ee•oo e oe000 o 000ro 0 0 0 c c. ee•enr� 0 0 •omo 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) 1 have placed next to the applicable items) action 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 ifessions 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). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, ;iness 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 )rovements 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 )roved for the purpose of sale). 1, 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 )ly 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 exempj"Mill '¢ensure under the Contractors' State License Law for the following reason: my signature below t 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 legally IastZucture 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 ifessibns Coftl% liTailable upon request when this application is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw.html. natere of Property Owner or Authorized Agent Date 5149ED CONTRACTOR'S DECLARATION •reGy affirm uridet penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Be ion 00 Di Ision 3 of the Business and P ofess 6 d an Qlicense is in full force ?Wptt. LiceeWClass License No ee Contractor Sig e )IiKERS' COIOIDENSATION DECLARATION WWONAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND O LLARS ($700,000), IN ADDITION TO THE ;T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. weVy®ffirm uncle rpelalty of perjury one of the following declarations: Sbave and WmaSitain 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, 1f1g2�VU.1ince of t%vi;%l for which this permit is issued. Policy No. rhave 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' compensatiol trance carrier and policy number are: Policy Number Date Tie of Agent riiuiie n certify that, i the performance of the work for h this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' ompe atio 'laws of California, and agree I, if I should be lett to w m sation provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. �y j nature of A; ca t r to CLARATION RE ARDING C FRH O LENDING AGENCY )reby affirm under penally 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 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' orrect. I agree to comply with all applicable city and count r inan s state laws relating to building construction. �..w i I authorize representatives of this ci or co o nter a -i roperty for inspection purposes. P�D Wy(vg�s, nature of Prooertv Owner or Authorize Gent _. Print Property Owner's or Authorized Agent's amee -� tate ACTION DATE Y DECLArJATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMITFINAL UASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF / PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: