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Home My WebLink Aboutx2021-0489 - Permitsa City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 4.. _ Permit Counter Phone (949)644-3288 :.. .. S' Inspection Requests Phone (949)644-3255 PiK Combination Type - BLDG GRAD COMB Permit: X2021-0489 IIIIXI�III�IIII�2I�IIII�IIIIIIIIII4I�IIIIIII II Project No: 0451-2021 Issued Date : 08/20/2021 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0812012024 OR PERMIT WILL BE INVALID 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: 4621 ORRINGTON RD NB Description: CONCRETE PILES (9) FOR POOL Legal Desc.: N TR 3357 LOT 67 Owner: WELLING GLEN & LAURI Address: 4621 ORRINGTON RD CORONA DEL MAR, CA 92625 Phone: Applicant: ELLISON HUNTER Address: 24642 VIA RAZA LAKE FOREST CA 92630 Phone Code Edit, 2019 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: Flood Zone: Building Permit Fee: $799.00 Plan Check Fee: $695.13 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 Contractor: MERIDIAN CUSTOM POOLS INC Address: 23905 CLINTON KEITH RD 186-114 WILDOMAR CA 92595 Phone: 800-616-7946 Con State Lic: 775011 Lic Expire: 02/28/2022 Bus Lic: BT30076346 Lic Exp Date: 08/31/2022 Workers Compensation Insurance Carrier: EXEMPT Policy No: No employees Expire: Building Setbacks Rear: / Front: / Left: / Right: / Use Zone: Parkin Spa Excise Tax: $0.00 Additional Fee : $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant : $1,239.84 Grading Permit Fee: $973.00 Grading PC Fee: $272.16 WQ Insp. Fee: $0.00 Electrical %: $0.00 Mechanical %: $0.00 Plumbing %: $0.00 TOTAL FEE: $3,981.13 a Plan Check Fee o eee a ° e PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Architect: Address: Phone: State Lic Engineer: BIEDENBACH CHRISTOPHER Address: 1201 N TUSTIN ANAHEIM CA 92807 Phone: 714-630-6100 State Lic:C-074003 Designer: Address: Phone: Special Conditions Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PM Plan Check : $0.00 San Dist : $0.00 NMUSD Fee: $0.00 N Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,031.13 Fee Due at Permit issuance: $2,950.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: N. 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 statementihat 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 U 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). ❑ I 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 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:http://w .leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION � _ I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SP,Etion 7 of Div ion 3 of the Business and Pro sio od d y li is in full force and effect. License Class License No �� Date %N Contractor Signatur 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thi performance of the work for which this permit is issued. Policy No. ❑I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior Ki u ance carrier and policy number are: UarpylPolicy Number Expiration Date Na a of Agent Phone # I -ify that, in the p=that f r whit t s permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensationaw$ of California, and agre, a if I should becom' comp tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Ocf// /� gnature of Applicant Da .DECLARATION REGALENDING AGENCY I hereby affirm under pere is a construction lending agency for the performance of -the -work for which this permit is issued (Section 3097, Civil Code). Lenders Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners be I have read this application and the information I have p ed is6-de t. I agree to comply with all applicable city and county o inan e ws r ing to building construction. I authorize representatives of this city or county to ter t ovfed perty for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY E C COF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY R GULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED LJ I SUB VI TTED ASBESTOS NOTIFICATION TO • s • • • • • • • • • PERMIT CANCELLED EPA PERMIT EXTENDED L3AQMD PERMITFINAL OTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION s•e a ••• •• • OCCUPANCYISSUED SIGNATURE: • s o e e e s 000 oe eee a eoe •e