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Home My WebLink AboutX2018-2707 - Permitsr,* tr, City of Newport Beach - Building Diutsion° 0 0 IIIXIIII�In�IIIIIIIIIIIIIIIIiIIiIIIIIIIIIIIIIIIIIIII COMB Permit: X2018-2707 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 m e c e e ° ® ° °, m e Project No Inspection Requests Phone (949)644-3255 c+ ag C b, f m nx# oIna ton Type -BLDG m e Issued Date: 09/11/2018 Inspection Area : 4 PERMITS EXrI4EE 1 DAY3os1FT ISS I= OR LAST VALID INSPECTION. Job Address: 7 SAN MATED WAY NB Construction Hours: Monday - Friday 7.00 a.M. td 8:30 p.m. and Saturday from 8:00 a.m. to 6:00 P.M. No work on Sundays or Holidays Description: POOL & SPA DEMO USING METHOD W Legal Desc.: N TR 7844 LOT 28 Owner: PICKART GAIL P Contractor: FRISCH AND SONS CONSTRUCTION INC Architect: Address: 7 SAN MATEO WAY CORONA DEL MAR, CA 92625 Phone: Applicant: FRISCH AND SONS CONSTRUCTION INC Address: 2546 NORTH ORANGEHILL ROAD ORANGE CA 92867 Phone: 714-282-0643 Code Edit: 2016 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 _ Bldg Sprinklers: Address: 2546 NORTH ORANGEHILL ROAD Excise Tax: `ORANGE CA 92867 Phone: 714-282-0643 Con State Lic: 696810 Lic Expire: 06/30/2019 Bus Lic: ST30060076 Lic Exp Date: 0 813112 01 9 Worker's Compensation Insurance Carrier STATE FUND Policy No: 713-0023083 Expire: 01 /0112 01 9 Building Setbacks Rear: / Use Building Permit Fee: $142.00 Excise Tax: Plan Check Fee: $123.54 Additional Fee: Overtime Plan Ck: $0.00 Grading Bonds Fee: Investigation Fee: $0.00 Grading PC Consultant Record Management: $0.00 Grading Permit Fee: Energy Compliance: $0.00 Grading PC Fee: CA Seismic Safety: $0.00 WQ Insp. Fee: Disabled Access : $0.00 $0.00 Hazardous Mat $0.00 Electrical W Building Green Fee : $1.00 Mechanical %: $0.00 Plumbing %: TOTAL FEE: $304.04 PROCESSED BY: ZONING APPROVAL: Front: I Left: / Right: / 0 Address Phone: State Lic: Engineer: Address: Phone: State Lic: Designer: Address: Phone: Special Conditions: !SPECTOR Fire Hazard Zone : N $0.00 Planning Department - $0.00 Plan check Fee $0.00 $0.00 Fair Share $0.00 $0.00 SJH Trans $0.00 In -lieu Housing Fee $0,00 $0.00 Public Works Department - $0.00 Park Dedication: $0.00 $0,00 PAN Plan Check: $0.00 $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $304.04 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: Fire Department $37.50 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0,00 General Service $0.00 Refund Deposit $0,00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $304.04 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION elemWio I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License caul; fa tFusa rea$on(s)'ndicated below repair the checcture. prior I have issuance. also placed next to the applicable Item(s) Section 7031.5, Busissland Professions that he ode: Any licensed city orcountypursuthat to the linesproa permit ons fto Gonstru lhe Contractors' State ove, Law g(Chapterr 9 (commencing with rSe tion 7000) of Division 3 of the Busquires the iness end he permit to file asigned professions Code) or that he or she is exempt from licensure and the basis for the alleged e� am ptigjl. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty o iot more than five hundred dollars ($500). • • • ° ° °' LV II of or ) podionSof; hawerk;and the structure is not intended or offered for sale (Section 7044, I, as owner the property, or my employees with wages as their sole compensation, wcl db 3usiness and Professions fessions Code: The Contractors' State License Law does not apply to an oWnerof propels Whq,'fjrougF.empijSy*s' or personal effort, builds or improves the property, provided that the mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of complc tion!the Owner -Builder will have the burden of proving that it was not built or mproved 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 legs ll sell 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 www.leginfo.ca.gov/calaw.htmi. Code, is available upon request when this application is submitted or at the following Web site:http://Date Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Div's on 3 of the Buse to SSignatur fes ion Code, d my titins in ful ecce and affect. License Class License No WORKERS' COMPENSATION DECLARATION WARNING: 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 (11100,000), IN ADDITION TO T COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penally 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 th rmance of the work for which this permit is issued. Policy No. have and Will intain workers' -compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work far which this permit is issued. My workers' compensatioi fHa in3Xrance carrier and policy number are: Expiration Date (larriwt Policy Number Phneo it de of Agentu 1 "3 certify that, in the perform a work for I h th' permit is issued, I shall no mploy any person in any manner so as to become subject to the workers' compensation laws of California, and agre if I should become subj Ct to workers' c Piens ion p %visi sof Section 0 of the Labor Code, I shall forthwith comply with those provisions. ��!' / // D _ nature of Applies t CLARATION RE I G CON RUCTI L DI :reby affirm under penalt of that there is a n coon lending agency for Lender's Address of the work for which this permit is issued (Section 3097, suit Code). Ider's Name 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 rovided is correc I agree to comply with all applicable city and coun ordinances a s la r sting to building nstruction. I authorize representatives of this city or county to enter th I ab -1 tifi operty f .ins e n purposes. (nature of Property Owner or Authorized A int Pt Pro a Owners or Authorized Agent's Nam ;TION DATE BV DE ATION OF COMP J L WITH CODE OF FEDERAL FOR OFFICE USE ONLY oc -uA MS PART fi F LE 40 AND AQMD RULE EXPIRED CANCELLED PERMITFINAL�` 'J2L"i /� ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF r'-�J I PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: