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Home My WebLink AboutS2018-0039 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 1 8 0 0 3 9 E; n Permit Counter Phone (949)644-3288 Y r�2)FOYP1 Job Address: 4645 CAMDEN DR Floor: Suite: Description of Work:REFINISH EXTG POOL 264 SF Inspector Area: 5 Legal Description: N TR 3357 LOT 127 Owner: MAI MICHAEL THANG 8: CHAULINH Address: 4645 CAMDEN DR CORONA DEL MAR, CA 92625 Phone: Applicant: RICHARDS CHRIS Address: 1250 COAST VILLAGE RD, STE J SANTA BARBARA CA 93108 Phone: 805-969-5074 Building Rear: Setbacks: Front: Left: Right: Construction Construction Valuation: $4,000.00 Building Permit Fee : $127.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $1.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $110.49 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE: $466.00 PROCES ZONING Bldg: 1 Plan Check No: 0540-2018 Code Edit: 2016 Contractor: MILO CONSTRUCTION Architect: Address: 101 VIA MONTE PICAYO Address: SAN CLEMENTE CA 92673 Phone: 949-290-6429 Phone: Con State Lic: 871429 Engineer: Lic Expire: 03/31/2020 Address: Bus Lic: BT30038762 Lic Exp Date: 03/31/2019 Phone: POOLPermit : S2018-0039 Project No : 0540-2018 Inspection Requests Phone (949)644-3255 G. CUING THIEP HOANG • , • , ° w.w - 1250 COAST VILLAGE RD, STE J SANTA BARBARA CA 93108 805-969-5074 State LIc:C018995 State Lic: Worker's Compensation Insurance Carrier: EXEMPTION Policy No: Expiration: Special Conditions: Issued Date: 0412712018 FEES Record Management: $0.00 Water Quality --- Building Dept Inspection Fee: $0.00 Drainage Permit Fee: $0.00 Water Quality Dept Insp Fee: $0.00 Drainage Plan Check: $0.00 Building Dept WQ Plan Check: $0.00 Grading Consultant Fee : $0.00 Others $0.00 Additional Fee : $0.00 $0.00 Plan Check Fee : PLAN CHECKED BY:: APPROVAL TO ISSUE PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Fee Due at Permit Issuance : $466.00 r 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 C-) all of or (_) 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 below 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 legally sell a structure tha:::i.ve 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, in 3r,ailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. S-onature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I h€rebg affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) o Divisi n 3 of the Business and Profe ns Cod and my li n is in full force and ef`oct. License Class License No Date 2-1 19 Contractor Signature ✓'l�% . �G INORK'ERS' COMPENSATION DECLARATION M RNIRG. FAILURE TO SECURE 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 C(1¢T OF COMPENSATION, UNMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ( prPhy affirm ulloer penalty of perjury one of the following declarations: ❑ I ha,. 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 thi Drrtormaice of thr'v,rk 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' ranee carrier and po:icy number are: Policy Number Expiration Date of Agent Phone # CItertify 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' compensation laws of California, and hat, if I should become s ject to the worcLers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant 46- /7CIvil m Z7-/f )ECLARATION REG DING CONSTRUCTION LENDING AGENCY hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this pemlit is issued (Section 3 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 couylly ordinances and state laws relating to building construction. I authorize representatives of this city or countfto enter the above -identified pr erty for inspection purposes. 3ignature of Property Owner or Authorized Agent/ Print Property Owner's or Authorized Agent's Name /y7�!�' ACTION DATE BY DECLARATION OF COMPLIAN E WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED SUBMITTED ASBESTOS NOTIFICATION TO INS(Z/t, '�W ASBESTOS NOTIFICATION —I PIROPOSEDAEMOUTIONI OTALLED MS 4� ``� -i IS NOT APPLICABLE TO