HomeMy WebLinkAboutX2021-1833 - Permits, stf,ta City of Newport Beach - Building Division *X202211-1833* COMB Permit: X2021-1833
100 Civic Center Drive, Newport Beach, CA 92660 I � � - CT Project No: 2388-2020
Permit Counter Phone (949)644-3288 t �t `V
Inspection Requests Phone (949)644-3255 Issued Date: 07/1312021
"a grnu4la Combination Type - SFP PLUM Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 07/13/2024 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: 12 DRAKES BAY DR NB
Description: SFR PEX REPIPE 8 WATER HEATER CIO
Legal Desc.: N TR 7844 LOT 90
Owner:
TAGHDIRI KAMRAN
Address:
12 DRAKES BAY DR
CORONA DEL MAR, CA 92625
Phone:
949-290-9330
Applicant:
TAGHDIRI KAMRAN
Address:
12 DRAKES BAY DR
CORONA DEL MAR, CA 92625
Phone:
949-290-9330
Code Edit : 2019
Type of Construction: V-S
Occupancy Group: R3IU
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units: 1
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Building Permit Fee: $178.00
Plan Check Fee: $0.00
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: $195.02
PROCESSED BY:
ZONING APPROVAL:
Contractor: FIX IT FELIX PLUMBING INC
Address: 168 NORTH MULLER ST UNIT 202
ANAHEIM, CA 92801
Phone: 714-580-1815
Con State Lic:
1059B48
Lic Expire:
10/3112021
Bus Lic:
BT30075899
Lic Exp Date:
07/3112022
Worker's Compensation Insurance
Carrier: EXEMPT
Policy No:
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WO Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: /
Left: I
Right: I
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$16.02
Architect
Address:
Phone: State Lic:
Engineer:
Address:
Phone: State Lic:
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
PNV Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
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 Band:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $195.02
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
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 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 L) all of or L) 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://www.leginfo.ca.gov/calaw.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 Section 0 ) of Division 3 of the Business and Professions d d my license is in full force
and effect. License Class License No Date 3'Z Contractor Signature J�
WORKERS' COMPENSATION DECLARATION
NARNING: FAILUR= TO SECJRE 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 COMPENSr.I.UN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I Leaky affirm unde. Penalty of perjury one of the following declarations:
I 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 the
-enormance of the work for which this permit is issued. Policy No.
I have and K;I: ,na;main 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'
umrce carrier and policy number are:
Policy Number
Jf Agent
Date
"cdrtiyy 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 agree
tt� if I Should becol e s bject the wor rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
naturJ of Applicant Daly_
CLARATION REGARDIRG`CONSTRUCTION LENDING AGENCY
areby 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, CIA 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 provided is correct.
I agree to comply with all applicable city and coun;Y ordinances and state laws relating to building construction. f
'I authorize representatives of this city or countxtpi enter th bov ntified property for inspection purposes. ` /^�1�r��i
natures of Prnnerty Owner nr Aued thnrizADent x Print Property Owner's or Authorized ADent's Name) &
ACTION DATE BY DECL MX0N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ( \
REGULATIONS PART 61 OF TITLE 40 AND AC MD RULE
1403
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
I SUBMITTED ASBESTOS
EPA
PERMITFINAL ASBESTQSNIOTIFICATICINOTAPPLICABLE TO
CERTIFICATEOF I �!'p— POUTION `
OCCUPANCY ISSUED SIGNATURE: x /�/