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Home My WebLink AboutS2017-0081 - PermitsCity of Newport Beach - Building Division IIIIIIII111111 III II ' 100 Civic Center Drive, Newport Beach, CA 92660 5 2 0 1 7 0 0 8 1 Permit Counter Phone (949)644-3288 Job Address: 1215 DOLPHIN TER Floor: Suite: Bldg: 1 Description of Work:NEW POOLISPA 603 SF WITH CAISSONS Inspector Area: 2 Legal Description: N TR 2334 LOT 1 Owner: DIYAR IRVINE LLC Address: 2901 W. COAST HWY STE 200 NEWPORT BEACH, CA 92663 Phone: Applicant: KAITLINIKAZ INVESTMENTS MANAGEMENT Address: 2901 W. COAST HWY STE 200 NEWPORT BEACH, CA 92663 Phone: 949-270-2772 Building Rear: Setbacks: Front: Left: Right: Plan Check No: 0995-2017 Code Edit: 2016 Contractor: KAZ INVESTMENTS MANAGEMENT INC Address: 2901 W COAST HIGHWAY SUITE 200 Address: NEWPORT BEACH, CA 92663 Phone: (714)787-8097 Phone: Con State Lic: 1023867 Engineer: Lic Expire: 02/28/2019 Address: Bus Lic: BT30058144 Lic Exp Date: 02/28/2018 Phone: Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9204313 Expiration: 02/04/2018 Architect: P001 -Permit: S2017-0081 Project No: 0995-2017 Inspection Requests Phone (949)644-3255 9fl 'i w�L."..; State Lic: BIEDENBACH CHRISTOPHER 1201 N TUSTIN ANAHEIM CA 92807 714.630-6100 State Lic:C-074003 Special Conditions: Issued Date: 11/0912017 Construction Type FEES Construction Valuation: $56,600.00 ° o 0 Building Permit Fee: $380.00 Record Management: $14.00 Water Quality- 0000 0 °p Permit Issuing Fee: $0.00 Building Dept Inspection Fee: $0.0c ... Investigation Fee: $0.00 Drainage Permit Fee : $0.00 Water Quality Dept Insp Fee: $0.V0 Building Green Fee: $3.00 Drainage Plan Check: $0.00 Building Dept WQ Plan Check: $0.00° Plan Dept Plan Check: $150.00 Grading Consultant Fee : $991.20 Others Building Dep Plan Check: $338.00 $0„00 Building PC Investigation : $0.00 Additional Fee : $0.00 Plan check Ext. Fee : $57.00 000c<n WQ Compliance Insp Fee: $0.00 TOTAL FEE: $1,933.20 Plan Check Fee: $338.00 Fee Due at Permit Issuance : $1,595.20 PROCESSED BY: ZONING APPROVAL: —•moi--a-�� PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION OWNER -BUILDER 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 applican 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 `- 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'-. not more than five hundred dollars ($500). 1201 N TUSTIN ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 ire 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' 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 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.htmi. 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 Sect�700) f on 3 of the Busi s and Prof and effect. License Class License No D to Contracto ignation Code,and m I i pse is, in full fure NORKERS' COMPENSATION DECLARATION NARNING: 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 COST OF COMPENSATION, DAMAGES 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: 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 thl ?R,r6fmance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: ...... Policy Number Expiration Date neof Agent Phone # certify that,'iR If e:perfuormance 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' compe . ,if I should b9��cco//rrh�e s/)&7{�j.e,crt,fto the workers' comp Ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / 1114 13ture of AntML�pnt �l/UY(/�� ////'�i%f/1/Y� n, Date ;e4RATI06A NG CONSTRUCTION LEhPING AGENCY V reby affirm WVer 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). ;Jar's Name - - 0 _' Lender's Address nty qwner or authorized act on the roperty owers �:Lgrii 1 h�Lehread.th'Is-application and the infoormation I have provided Is correct. If. .I.4wee to co mpy with all applicable city and couy ordinances and state laws relating to building construction. .1.%Ahorize $ep$esentatives of this city or coun o enter the above -ii tified prope for inspection purposes. iignature of Pro ertOwner or Author d Agent Print Property Owner's or Authorized Ag ACTION DATE BY DECLARATION OF tOMPUI CE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 610E ITLE 40 AND AQMD RULE PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENED POOLALARMS I6elk INSTALLED FINAL SUBMITTED ASBESTOS NOTIFICATION TO V9 IASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: laws of California, and