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Home My WebLink AboutS2021-0155 - Permits�., City of Newport Beach -Building Division *S2021-0155* ., ad 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 �'rtWnu�w� Job Address: 460 MENDOZA TER Floor: Description of Work:SFR POOL/SPA 427 SF Inspector Area: 5 Legal Description: N TR 1237 LOT 141 Owner: 460 MENDOZA LLC Address: 1 CORPORATE PLAZA #110 NEWPORT BEACH CA 92660 Phone: Applicant: GLASS NANCI Address: 1278 GLENNEYRE ST LAGUNA BEACH CA 92651 Phone: 714-865-4466 Building Rear: Setbacks: Front: Left: Right: Construction Tvoe : Construction Valuation: $100,000.00 Building Permit Fee: $440.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $4.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $396.00 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTALFEE: PROCESSED BY: ZONING APPRO�, Suite: Bldg:1 POOLPermit: S2021-0155 Project No : 1501-2021 Inspection Requests Phone (949)644-3255 Plan Check No: 1501-2021 Code Edit: 2019 Contractor: STEELE BRET/STEELE POOLS Address: 4921 E LEEDS ORANGE CA 92867 Phone: 714-496-1427 Con State Lic: 923975 Lic Expire: 1013112022 Bus Lic: BT30042152 Lic Exp Date: 02/28/2022 Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: NO EMPLOYEES Expiration: FEES Architect: Address: Phone Engineer: LACHER TOD❑ Address: 1201 N TUSTIN AVE ANAHEIM CA 92807 Phone: 714-630-6100 Special Conditions: Issued Date: 08/23/2021 Record Management: $14.00 Water Quality- -- Building Dept Inspection Fee: Drainage Permit Fee : $0.00 Water Quality Dept Insp Fee: Drainage Plan Check: $0.00 Building Dept WQ Plan Check: Grading Consultant Fee : $0.00 Others: Additional Fee : $0.00 e State Lic: .... • ° em a oe••oo e • s • o •• m • e m • m o e• o State Lic:C-067656 o eo o e o 00 ° m m • o o me000 mm eo 0 e0000 ° omoeco em • m ° o m • o 0 o mo m••000 m•co•o mo•o ll $0.00 $152.00 $0.00 $0.00 $0.00 Plan Check Fee : $344.00 Fee Due at Permit Issuance : $662.00 �/p� PLAN CHECKED BY:: b � K— 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) 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). 1201 N TUSTIN AVE I, 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 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 lega111 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 Professions Code, is available upon request when this application is submitted or at the following Web site:hitp://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED COW11ACTOR'S DECLARATION h hereby affirm unrle4 penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section, 7Q the Business and Prof i de,and my license is in full force 6ndet%t. Ligefi52CjSSs License No Date d l Contractor Signature NfORKERS' COMPENSATION DECLARATION NARNIIAG: FAILURE A 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 CAST OAF COMPENSRTIOM DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. h0r.egy affirm under penalty of perjury one of the following declarations: fle Have and;wiy r%iintain 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 the grg%nce oMevmrk for which this permit is issued. Policy No. F Here 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' compensatio urarioe camel' artd'Qolicy number are: rwar. " ' Policy Number Expiration Date ma of Agent :. Phone # 1 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 It, if I should bec a subt a tens' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r1-� Inature of Applican _- Date�l� V S / .n1 non... , oCr _ nTIn1J CunlNr nrCNry JJTT hereby 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) -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 hav rovided is correct. I agree to comply with all applicable city and co - ces and state laws relating to building construction. I authorize representatives of this city or cou er ter the ve- 'ad property for inspection purposes. �+�-' y `''"� 3 y Signature of Property Owner or Authorized Agen - — - Print Property Owner's or Authorized Agent's Nam' Dat ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE All required alarms latches 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO as part of a pool / spa barrier, Shall be in place prior to approval to fill pool/spa & shall rem In PERMITCANCELLED EPA PERMITEXTENDED AQMD POOLALARMS BESTOS NOTIFI TAPPLICABLE TO INSTALLED o� OUTplace & b 'planned f inTURE: the 1' 0 x PERMIT FINAL