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Home My WebLink AboutX2022-1455 - PermitsCity of Newport Beach 'Community Development Department- Building Division 04,4 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP Work Class - Other X 2 0 2 2 1 4 5 5COMB Permit : X2O22-1455 Plan Check No : 1332-2022 Issued Date : 02/22/2023 Inspection Area : 6 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 929 TILLER WAY Description : SFR - BIO-RETENTION PLANTER 147 SF Owner: ROBERT HAMILTON Address : 929 TILLER WAY CORONA DEL MAR, CA 92625 Phone Applicant: MARKTEALE Address : 2900 BRISTOL ST BLDG A203 COSTA MESA, CA 92626 Phone : (949) 975-0123 Owner/Builder : Address: Phone Legal Desc : N TR 6228 BLK LOT 92 Contractor: MILO CONSTRUCTION Address : 101 VIA MONTE PICAYO SAN CLEMENTE, CA 92673 Phone : (949) 290-6429 Con State Lie : 871429 Lie Expire : 03/31/2024 Bus Lie: BT30038762 Bus Lie Expire : 03/31/2023 Workers' Compensation Insurance Carrier : Policy No: EXEMPT W. C. Expire: Architect : MARK TEALE Address : 2900 BRISTOL ST BLDG A203 COSTA MESA, CA 92626 Phone: (949)975-0123 State Lie Engineer: PATEL SHARAD Address : 9283 RESEARCH DR IRVINE, CA 92618 Phone: (949)943-8080 Designer Address Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $50,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/Newrrl sq. ft. Bldg : 0 Occupancy Groups : U No of Units: 1 Alteration sq. ft. Bldg: Bldg Height: No of Stories : 0 _ Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: p� .k SPECIAL CONDITIONS: 1 , OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by thecheckmark(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 NO 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 licensors 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 ($501 0 1, as owner of the property, or my employees with wages as their sole compensation, will do i_) 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). 0 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). 0 1 am exempt from kcensure 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 al least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have builtas an ownor-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, isavailable upon request when this application Is submitted or at the following Woo site:hitp:liwvrw.leginfo.ca,govlealaw.html. Signatum 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 (commanding with Section of Division 3 of the Business and Pr"HOUSAND ode, n my li ,nas is in full force and effect. License Class License No Dal G•Z2.1-Contractor Signature NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMr PENALTIES AND CIVIL FINES UP TO ONE HUNOR DOLLARS IS100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0705 OF THE LABOR cope, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: —1 1 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 performance of the work for which this permit is issued. Policy No. -11 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" compensation nsurance carrierandpolicy number are: Policy Number of Agent _ Date . c -. fy that, in the p rformance of the fo wh h 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 t, it I should become ub' ct to the won e c m nsatlon provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. nature of Applicant Date CLARATIGN REGA I STRUCTIGN ENDING AGENCY amby affirm under pe at o rjuny that there a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, ivi Code). idei s Name Lenders Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the properly owner's behalf. I have read this application and the information I have provided is rect. I agree to comply with all applicable city and county ordinances iad late w5 relating to building construction. I authorize representatives of this city or county e t he abov -I entif property for inspection purposes. nature of Property Owner or Authorized Agent TI � __ ___ Print Property Owner's or Authorized Agent's Name IJieK McP.FoRA Date12 __ i ACTION DATE. BY /'fL( MrLARATIONOrCOMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY / 7 1RE 4GULATI PART 61 OF TITLE AO AND AQMD RULE PERMIT EXPIRED PERMIT EXTENDED PERMIT ffNAL CERTIFICATE OF IEStO;• NOTIFICPTION TO ICA PION IS NOT P ICA81 ION _�