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Home My WebLink AboutS2017-0090 - Permits®®City of Newport Beach - Building Division 0 100 Civie penjerprike, NGivpbrt Beach, CA 92660 Perrot Countar Pborle (949)6' 4-3288 `'� '� o• e e a °•• me • m o Job Address ° A MdNTd(Ag9RY F1564- ° Suite: Bldg: 1 Description of Work:SFR POOLISPA 600 SF & YARD DRAINAGE Inspector Area: 4 Legal Description: N TR 15409 LOT 58 Owner: HOPKINS DAVID/ELIZABETH Address: 19 MONTGOMERY NEWPORT BEACH, CA 92660 Phone: Applicant: ALBERTO/LANDMARK CUSTOM Address: 26981 VISTA TERRACE #B LAKE FOREST CA 92630 Phone: 714-669-8882 Building Rear: Setbacks: Front: Left: Right: Construction Construction Valuation: $42,300.00 Building Permit Fee : $380.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $2.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $338.00 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : $1,357.60 PROCESSED BY: AYE ZONING APPROVAL: SIII2IIIIVIIIILII7 1111110 0 9 SII II Plan Check No: 1057-2017 Code Edit: 2016 Contractor: LANDMARK CUSTOM LANDSCAPE Architect P001 -Permit: S2017-0090 Project No: 1057-2017 Inspection Requests Phone (949)644-3255 Address: 26981 VISTA TERRACE STE B Address: LAKE FOREST CA 92630 Phone: 714-669-8882 Phone: Con State Lie: 725317 Engineer: LACHER TODD Lie Expire: 0713112018 Address: 1201 N TUSTIN AVE Bus Lie: BT30069461 ANAHEIM CA 92807 Lie Exp Date: 0613012018 Phone: 714.630-6100 Worker's Compensation Insurance Special Conditions: Carrier: INSURANCE CO OF THE WEST Policy No: WPL602076204 Expiration: 03124/2018 Issued Date: 0610812017 FEES Record Management: $8.00 Water Quality --- Building Dept Inspection Fee: Drainage Permit Fee: $293.00 Water Quality Dept Insp Fee: Drainage Plan Check: $0.00 Building Dept WQ Plan Check: Grading Consultant Fee : $336.60 Others: Additional Fee : $0.00 Plan Check Fee : $0.00 State )_1c: State LiC-06�PS Crop $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,357.60 PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION OWNER -BUILDER DECLARATION •: ••• • • •• •• ••• I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) :helve pl$cejl ngxt to 'the applicalle 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 t9 its 1S: uanoe, also requi>;es the applicant for ie 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 Sedlon 7006) of division 3 otfie Business and 'rofessions 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 of more than five hundred dollars ($500). 1201 N TUSTIN AVE ... • • • ,, 1, 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.intenrjeU qr offjrbd JorsaIe (Sestion`/A44, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds oMmproves the•prspertyjrhviheQthat the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will havethe6rden of protipg that tt. s%pt built or nproved 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 pply 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 exempt from licensure under the Contractors' State License Law for the following reason: ly 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 ell a structure 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.Ca.gOV/Galaw.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0 D' it n of the Business and Professions a and m1 lice s is in full force nd effect. License Class -. License No Da Contractor Siinat e IIORKERS' COMPENSATION DECLARATION DARNING: 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Hereby, affirm under penalty of perjury one of the following declarations: ].I 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 thi Itrmance of the work for which this permit is issued. Policy No. iave 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' compensatior rance carrier and policy number are: Policy Number Date me of Agent F'none of I 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 agre t, if I should beco2DING bject t/o theme,{ q�rkers' corAppense n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.mature of Applica/ l V\^'""\ D CLARATION R CONSTRUCTION LENDING AGENCY ;reby 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). lder'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 propertyowner'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 law relating to building construction. I authorize representatives of this city orcoury to enter a ove-id, tifie operty for iflon purposes. /� �� nature of Properly Owner or Authorized Apent \ , Prin roperty Owner's or Authorized Agent's Nam X (�'i— �jJ Date ACTION DATE BY j J( DECLARATION OF COMPLIANCE WITH CODE -OF FEDERAL FOR OFFICE USE ONLY IREGULATIONS PART61 OF TITLE 40AND AQMD RULE TO PERMIT CANCELLED PERMIT EXTENED POOLALAHM5 U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO INSTALLED/ n PROPOSED DEMOLITION. ,S 1 , (F a, SIGNATURE: FINAL