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Home My WebLink AboutX2021-0592 - Permitsr City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 rr Inspection Requests Phone (949)644-3255 'di.r�.lti+fis Combination Type - BLDG COMB Permit: X2021-0592 Project No : 0334-2021 Issued Date : 03/12/2021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE CUMPLt IEU MY U317i12U24 UK 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 Job Address: 2312 LA LINDA PL NB Description: BLOCK WALL 6' X 28 LF CITY STD (P/L FENCE AGREEMENT ON PLANS) Legal Desc.: N TR 5615 LOT 17 Owner: ADAM MARY Address: 2312 LA LINDA PL NEWPORT BEACH, CA 92660 Phone: Applicant: SCOTTIPETERSON POOLS Address: 31715 CORTE ROSARIO TEMECULA CA 92592 Phone: 951-2554176 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: Valuation: Building Permit Fee: $127.00 Plan Check Fee: $110.49 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 : $1.00 TOTAL FEE: $238.49 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: PETERSON POOLS Address: 31715 CORTE ROSARIO TEMECULA CA 92592 Phone: 95112554175 Con State Lic: 842241 Lic Expire: 07/31/2022 Bus Lic: BT30073625 Lic Exp Date: 1113012021 Worker's Compensation Insurance Carrier: W/C EXEMPT Policy No: Expire: Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical %: Plumbing %: Rear: / Front: I Left: I Right: I 'arkin0 Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Architect Address: Phone: State Lic r oc? Engineer: BIEDENBACH CHRISTOPHER ' Address: 1201 N TUSTIN ANAHEIM CA 92807 ' Phone: 714-630-6100 State Lic:C-074003 Designer: Address: Phone: Special Conditions: P/L FENCE AGMT ON PLANS ' Fire Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $0.00 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 $0.00 Fee Due at Permit Issuance : $238.49 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 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(,) ;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 :he 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 (_) 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). ❑ 1, 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 thet I hive built as an owner -builder if it h not been cons d-inits�ntirety 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 pp u milted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmL Firreruro. of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATI I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter �9 (commencing with Section 7000 of Division 3 of the Business and Professions Cod and y license is in full force O and erf3ct. License Class �.� _ License No 22,4 / Date 1� v7j ZJ� Contractor Signature NQRKERS' CCM?5NSATION DECLARATION {MRNAJ: 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 ^PPT O� COMPENSATION, LAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hemhy affirm ur.dar penalty of perjury one of the following declarations: ❑ 1 I,aje 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 the jerform3nce of file ww k for which this permit is issued. Policy No. nave 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 once carrier nrd rolicy number are: ier Policy Number Expiration Date of Agent Phone # rtify that, in the perfor ce of the work for which this permR 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 if I should become s Jett to tthhkers/' �omyERae��rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ature of Applican ! / Date ;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). Ider'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 property owner's behalf. I have read this application and the information I have rovided is correct. I agree to comply with all applicable city and county rdmances and state laws relating to building construction. I authorize representatives of this city or county enter th enhfll i property for inspection purposes. ` �.n� nature of Prooertv Owner or Authorized AGent Print Prooertv Owner's or Authorized AGent's Na �c N vj�51 ACTION DATE BV / DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY i REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED UAQMD PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED I I/P r" ESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: