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Home My WebLink Aboutx2019-2497 - Permits�glvlra City of Newport Beach - Building Division IIII COMB Permit: X2019-2497 $ 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 4 9 7II�IIIIII'IIIIIIII�IIIIIIIIIIII�llllll1 Project No : 0353-2019 r+ t Permit Counter Phone (949)644-3288 £ Inspection Requests Phone (949)644-3255 rzrsmio`"'s Combination Type - BLDG - Issued Date : 08107/2019 Inspection Area 5 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: 1807 GALATEA TER NB Description: POOL DEMO "METHOD B" Legal Desc.i N TR 2813 LOT 144 Owner: MOHSEN PEGGY Contractor. SPINNAKER DEVELOPMENT LLC Architect: BRANDON CHRISTOPHER Address: 621 MALABAR DR Address: 428 32ND ST Address: 151 KALMUS DR #G-1 ° CORONA DEL MAR, CA 92625 NEWPORT BEACH CA 92663 COSTA MESA CA 92626 °"° Phone: Phone: 949-644-5806 Phone: 714-754-4040 State Lic,C031637 • ° • o o ®• • o Applicant: BRANDON CHRISTOPHER Con State Lie: 985114 Engineer: HAKIM FADY •• a Address: 151 KALMUS DR #G-1 Lie Expire: 07/31/2021 Address: 124 PEONY COSTA MESA CA 92626. Bus Lie: BT30029026 IRVINE CA 92618 ...... Phone: 714-754-4040 Lie Exp Date: 04/3012020 Phone: 310-422.1536 State Lic:C-075736 .... Code Edit: 2016 Worker's Compensation Insurance Designer. Type of Construction: Carrier: STATE COMP Address: Occupancy Group: U Policy No: 9105623 Added /New sq.ft. Bldg: 0 Expire: 07/01/2020 Phone: ..... Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I Special Conditions: No of Units: 0 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N .Construction Valuation: $1,000.00 - Building Permit Fee: $104.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection:. $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 - Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00. SJH Trans [ $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 CA Seismic Safety: $0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PM Plan Check, $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee:. $0.00 $0.00 . Plumbing %: $0.00 $0.00 TOTAL FEE : $$\5.00 Plan Check Fee: $0.00 Fee Due ermit Issuance : $105.00 PROCESSED BY: ! PUBLIC WORKS APPR VAL: , ZONING APPROVAL: 4/ PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: I hereby affirm under penalty of perjury that) 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 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 (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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature 6s'owe 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 legalh sell a structure f41of 1, Ae 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 PrP(e�syipns Code is available upon request when this application is submitted or at the following Web site:http:/Aw .leginfo.ca.govlcalaw.html. Signature of Proper; %Nner or Authorized Agent Date LICENSED CONT11ACTOR'S DECLARATION Che'r%Waffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) Divuigma ,.gthe Business and Pro s s Co ; and my lice s in full force aryl effect. LicglTs2•Cl�ss License No Date, CC (( Contractor Signature dVdIiKERS' COMIPENSATION DECLARATION IygPj ": FAILURCT()S'E'Ci1RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. tie�eb' affirm under penalty of perjury one of the following declarations: ' 1 haQe and 4"Ql Itam a certificete 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 03nce of the work for which this permit is issued.. Policy No. e and W I rrrairiain 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' compensatioi nsura ce carrier'aTM Qolicy number are: ier Policy Number Expiration Date Vame of Agent Phone # :1I certify that, in the perform the work for which th permit is issued, I shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and agre ,hat, if I should become ect to th wodders' compensa isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 42 Signature of Applicant— )ECLARATION REG DING CONSTRU TION LEN NG AGENCY 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). -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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and coun ces and state lawr r ting to building construction. I authorize representatives of this city or coun t tiF pert ction purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND, RULE PERMITEXPIRED I I I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED I LIAQMD PERMITFINAL ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF /J� 9 jle) PROPOSED DEMOLITION OCCUPANCYISSUED / 1 /�I )- I SIGNATURE: