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Home My WebLink AboutS2018-0182 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIII�IIIIIIIIIIII�IIIIIIIIIIIIIII II [1 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 8 0 1 8 2 S Permit Counter Phone (949)644-3288 e � a#,mss Job Address: 25 DORIAN Floor: Suite: Bldg: 1 Description of Work:SFR SPA 60 SF W/ DRAINAGE Inspector Area: 6 Legal Description: N TR 14895 LOT 15 Owner: JAZAYERI MICHAEL Address: 25 DORIAN NEWPORT COAST, CA Phone: Applicant: BIEDENBACH CHRISTOPHER Address: 1201 N TUSTIN ANAHEIM CA 92807 Phone: 714-630-6100 Building Rear: Setbacks: Front: Left: Right: Plan Check No: 2403-2018 Code Edit: 2016 Contractor: DREAMSCAPES BY M G R INC Address: 1901 NEWPORT BLVD #350 ..--- COSTA MESA CA 92627 Phone: 949-480-3420 Con State Lie: 694588 Lie Expire: 1 0131 /2 01 9 Bus Lie: BT30052223 Lie Exp Date: 0813112019 Worker's Compensation Insurance Carrier: WESCOINSURANCE Policy No: WWC3348393 Expiration: 04/06/2019 Architect: Address: P001 -Permit: S2018-0182 Project No : 2403-2018 Inspection Requests Phone (949)644-3255 Phone: State Lie Engineer: BIEDENBACH CHRISTOPHER Address: 1201 N TUSTIN ANAHEIM CA 92807 Phone: 714-630-6100 State Lic:C-074003 Special Conditions Issued Date: 1 0/1112 01 8 e o 000000 e o 0 0000 oee000 o ° o Demo 0 0 0 0 0 0 00 ° 00000 0 0 0 c 0o c ° ° 00000 cooeoo 0 ° om000 ° 0000°0 ° ° c e UVIISLIOLW11 type. ..--- FEES Construction Valuation: $15,000.00 °pOcmc Building Permit Fee : $405.00 Record Management: $10.00 Water Quality - Permit Issuing Fee: $0.00 Building Dept Inspection Fee: $0.00 Investigation Fee: $0.00 Drainage Permit Fee : $312.00 Water Quality Dept Insp Fee: $0.00 Building Green Fee: $1.00 Drainage Plan Check: $312.00 Building Dept WQ Plan Check: $0.00 Plan Dept Plan Check: $0.00 Grading Consultant Fee: $0.00 Others Building Dep Plan Check: $361.00 $0.00 Building PC Investigation :. $0.00 Additional Fee: $0.00 $0.00 Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : $1,445.00 Plan Check Fee : $677.00 Fee Due at Permit Issuance : $768.00 PROCESSED BY: ZONING APPROVAL:_ �A--- PLAN CHECKED BY:: APPROVAL TO ISSUE: r"— PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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) ;action 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 e 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 'ofessions 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 )t more than five hundred dollars ($500). 1201 N TUSTIN ❑ as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business )d 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 )provements 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 roved 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' Stale License Law does not )ply 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 I am exempt from licensure under the Contractors' State License Law for the following reason: I 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 III 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 'ofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. gnature of Property Owner or Authorized Agent Date ICENSED CCINTRQCTOWS DECLARATION I lereby affirm GflRdtpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 78001 pf �liV' ' I�L3. of the Busi'_}�[ss an Profes ' ns Code, and y license is in full force id eUfct. License Crass License No �stte / lf,/ // J�' CgnM r�ignet ORKERS' CpaeENSATION DECLARATION MtNIN6: FAILURE Tpp 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 )ST OF COMPENSA, ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. lereby affirm.u•rldeLQenalty of perjury one of the following declarations: i clave nd •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 5P nce of -lite, work for which this permit is issued. Policy No. • 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' compensatiol 6urarIce carrigr and policy number are: arrier ...... Policy Number Expiration Date to of Agent , certify that-, intite pl if I should become the work for hich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' comp us�tion Ipws ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions: - / // ' a Q ARATION REGA ONSTR N-MNDING AGENCY Ireby affirm under penal y r ury that there is a construction lending agency for the performance of the work for which this permit is issued (: Ider's Name Lender's Address my signature below, I certify to each of the following: 1 am the property owner or authorized to act on the pro wner's behalf. I have read this application and the informati ava prooided is rect. 1 agree to comply with all applicable city county or ances ands to laws relating to building construction. I authorize representatives of this city county toe r the above- ntified property for inspection purposes. ACTION DATE'COMPLIANCE WITH CODE OF FEDERALI FOR OFFICE USE REGULATIONS PART 61 OF TITLE 40 AND AQMULE D R PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA PERMIT EXTENDED 13AQMD POOLALARMS INSTALLED ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: Civil Code). of California, and