HomeMy WebLinkAboutX2020-0542 - Permitsrwro City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
E Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - BLDG
II COMB Permit: X2020-0642 III�II II I IIIIIIIIIIIIIIII IIIIIIIIII II
Project No: 2225-2019
Issued Date : 03/0212020
Inspection Area : 5
e000
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. •+.
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: 4701 HAMPDEN RD NB 'e++eo +
Description: SFR POOL DEMO "METHOD B"
Legal Desc.: N TR 3357 LOT 25 e• ° • °� °
Owner:
CHUNG YOON & SHINHYE
Address:
4701 HAMPDEN RD
CORONA DEL MAR, CA 92625
Phone:
949.975-0123
Applicant:
TEALE MARK
Address:
2900 BRISTOL ST BLDG A203
COSTA MESA CA 92626
Phone:
949-976-0123
Code Edit :
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Contractor: MILO CONSTRUCTION
Address: 101 VIA MONTE PICAYO
SAN CLEMENTE CA 92673
Phone: 949-290-6429
Con State Lie:
871429
Lie Expire:
03/31/2020
Bus Lie:
BT30038762
Lie Exp Date:
0313112020
2016 Worker's Compensation Insurance
Carrier:
NO EMPLOYEES
U Policy No:
0 Expire:
0
Building Setbacks
Rear: /
Front: /
Left: /
Right: /
Use Zone:
Parkins Spaces: 0
Building Permit Fee: $152.00
Plan Check Fee: $0.00
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
TOTAL FEE: $153.00
PROCESSED BY:
ZONING APPROVAL:
. •
Architect:
TEALE MARK
Address:
2900 BRISTOL ST
BLDG A203
o e:
• • +
COSTA MESA CA
92626
Phone:
949-975.0123
State Lic:CO22162
eo s
Engineer:
HAKIM FADY
• +
Address:
124 PEONY
® °t
IRVINE CA 92618
Phone:
310-422-1636
State Lic:C-075736
e•ee
Designer:
Address:
Phone:
Special Conditions:
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee :
$0.00
Plan check Fee :
$0.00
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
P/W Plan Check :
$0.00
Grading Bond:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$153.00
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 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).
❑ 1, as owner (Alle` `property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
ELusines!6and ProfeSSibns 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
ilglpmvemants ase not4ntended 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
improveddfor the.purpose of sale).
f, ;bwner 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?O an own `r of flc fperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
a 4am-exempt fferR licensure under the Contractors' State License Law for the following reason:
sy 4Issignature belov* Lacknowledge 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 Iega111
M'Mrvcture 1%1,1'hape 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
"ft;S9ions 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 PropeAy Owner or Authorized Agent Date
IlCtNSED COATI MCTOR'S DECLARATION
•heS".affirm untgr pdhalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0] of Division 3 of the Business and Profes 2s Codq, and my license is in full force
AV.effgCt. Lic%rfst"laiss License No Date %- .7— Contractor Signature u-t r
MORKERS' CCTM?)FNSATION DECLARATION
YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI Al PENALTIES AND CIVIL FINES UP TO ONE HUNDR D THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
:DST OF COMPENSATION, 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:
have and 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
)rmance 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' compensa
rance carrier and policy number are:
Policy Number Expiratic
of Agent Phone #
Date
certify that, in the perfor ante 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' comprisation laws of California, and agre
tat, if I should become su ject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant - Date 7J Z • u.�
IECLARATION REGA DING CONSTRUCTION LENDING ENCY
hereby 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).
Enders Name Lender's Address
Iy my signature below, I certify to each of the following:
I am the property owner or authorized to act on the pro arty owner's behalf.
I have read this application and the information I have rovided is correct. -
I agree to comply with all applicable city and county glidinances and state laws relating to building construction.
I authorize representatives of this city or county to etter the above -identified Dproperty for inspection purposes.
ionature of Prooertv Owner or Authorized ADent /iZ v-GD-oc_. Print Prooertv Owners or Authorized ADent's Name!'G1F,[FLL %,-
PERMIT CANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE I BY DECLARATION OF 4 REG_WATIONS PART0MPLIANCE WITH CODE OF 61 OF IIT E 40 AND QMD RULE
FOR OFFICE USE ONLY
I SUBMITTED ASBESTOS NOTIFICATION TO
IS NOTAPPLICABLE TO