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Home My WebLink AboutX2022-1679 - Permitswhly�, City of Newport Beach - Building Division "X2022-1679" 100 Civic Center Drive, Newport Beach, CA 92660 COMB Permit: X2022-1679 Project No : 1062-2022 kw Permit Counter Phone (949)644-3288 ! 14�t I"' �" �`Inspection Requests Phone (949)644-3255 y ' ti"'`'� i�"�Combination Type - SFP Issued Date : rea : 2022 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 4515 SURREY DR NB Description: DELTA 1 REVISION & ADD'L SCOPE: POOL REVISION & ADD 80 SF VAULT FOR EQUIPMENT. Legal Desc.: N TR 3519 LOT 73 Owner: SMITH JEREMY & DANA Address: 4515 SURREY DR CORONA DEL MAR, CA 92625 Phone: 949-351-6393 Applicant: HERRERA CHRIS Address: 14790 PIPELINE AVE #C CHINO HILLS, CA 91709 Phone: 562-6313.3296 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 : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Contractor: POOL ICONS INC Architect: Address: 15935 DEL PRADO DR Address: HACIENDA HEIGHTS CA 91745 Phone: 562-455-8883 Phone: Con State Lic: 479446 Engineer: Lic Expire: 10/31/2023 Address: Bus Lic: BT30077496 Lic Exp Date: 12/31/2022 Phone: Worker's Compensation Insurance Designer: Carrier: STATE COMPENSATION INS FUND Address: Policy No: 9268030 Expire: 0111612023 Phone: Building Setbacks Rear: 6 Front: 12 Left: 6 Right: 6 Use Zone: Parking Spec( 0 State Lic BIEDENBACH CHRISTOPHER 1201 N TUSTIN ANAHEIM CA 92807 714-630-6100 State Lic:C-074003 , Special Conditions: REV22-1061 Hazard Zone : N Construction Valuation: $5,000.00 Building Permit Fee: $161.00 Excise Tax: $0.00 Planning Department - Fire Department $0.00 Plan Check Fee: $140.07 Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 $0.00 Demolition Fee Building Dept Adm $0.00 Record Management: $8.00 $0.00 Grading Permit Fee: Grading PC Fee: $0.00 $0.00 In -lieu Housing Fee : Public Works Department - General Service $0.00 Energy Compliance: CA Seismic Safety : $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PM Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist : $0.00 $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 TOTAL FEE : $362.07 Plan Check Fee : $192.07 Fee Due at Permit Issuance : $170.00 PROCESSED BY: -5 PUBLIC WORKS APPROVAL: � Q BY: 5_LC G ZONING APPROVAL: PLAN CHECK GRADING APPROVAL: 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(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 Sectiopl 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). III ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 compl ion, 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 -1 B smess 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 rsuant to the Contractors' State License Law). J I am exempt from licensure under the Contractors' State License Law for the following reason: Vy my signature bs'^w I acknowledge that, except for my personal residence in which I must have resided for at least one yi ell a structure that) have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I unr rnfBssians Code, is available upon request when this application is submitted or at the following Web site:http://www.leginf lignaturu of Property Owner or Authorized Agent .LENSED CONTRACTOR'S DECLARATION `Iereli affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of nd effect. License Ciass License No Date YOPKERS' COMPENSATION DECLARATION ➢R91Nn: FAILURE TO FECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALT DST OF COMPENSAT:]'I, C4MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: i hai'e and �NJl.maiatain a certificate of consent to self -insure for workers' compensation, issued by the Director of Vmance of the worl, for which this permit is issued. Policy No. h3oe and w'll mmmain workers' compensation insurance, as required by Section 3700 of the Labor ode, for the pe Trance carrier'aud polic�y nu��m�be�r/area / `^� rier 4+0 6�-='/ �.//�V�p"Pol� Number / �V ne of Agent to completion of the improvements covered by this permit, I cannot that a copy of the applicable law, Section 7044 of the Business and 'calaw.html. Date rision 3 of the Business and Professions Code, and my license is in full force Contractor SignatureiC AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers Date 2:`1/— certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner Sol as to become subject to the workers' compensation laws of California, and agree , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant hereby affirm under penalty of):Ii that there is a construction lending agency for the performance of the work for which Ender's Name Lender's Address y 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 provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter a entified roperty for inspection purposes. ignature of Property Owner or Authorized Agent Print Prooertv Owners or Autl ACTION PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED BY 'DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO J Q ASBESTOS NOTIFICATION I5 N PLICABLE TO PROPOSED DEMOLITION _ Date i 2, permit is issued (Section 3097, Civil Code). ONLY Name ' Date 6J�