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HomeMy WebLinkAboutX2021-3156 - Permitsw>r'm City of Newport Beach - Building Division .�.-� 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG *X2021-3156* COMB Permit: X2021-3156 Project No : 0740-2021 Issued Date : 1111912021 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1111912024 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: 2720 PEBBLE DR NB Description: DEMO (E) POOL SHELL (METHOD B) FOR NEW POOL REFERENCE S2021-0089 Legal Desc.: N TR 3660 LOT 44- Owner: SHOKRIAN MAHIN Address: 2720 PEBBLE DR CORONA DEL MAR, CA 92625 Phone: 949-278-1187 Applicant: ESHRAGHI SAEID Address: 2646 DUPONT DR STE 60 # 348 IRVINE CA 92612 Phone: 949-664-2377 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 : 0 Bldg Height: 0 Bldg Sprinklers: Building Permit Fee: $399.00 Plan Check Fee: $347.13 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $801.13 PROCESSED BY: ZONING APPROVAL: PDA Contractor: INTEX DESIGN & CONSTRUCTION OC INC Architect: Address: 2646 DUPONT DR STE 60 # 348 IRVINE CA 92612 Phone: 949-664-2377 Con State Lic: 1073000 Lic Expire: 01/31/2023 Bus Lic: BT30076404 Lic Exp Date: 08/31/2022 Worker's Compensation Insurance Carrier: NATIONAL LIABILITY & FIRE INS Policy No: A9WC273029 Expire: 08/11/2022 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: / Left: / Right: / larking Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee 07 Address: Phone: State Lic Engineer: BIEDENBACH CHRISTOPHER Address: 1201 N TUSTIN ANAHEIM CA 92807 Phone: 714-630-6100 State Lic:C-074003 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 PAN Plan Check : $0.00 San Dist : $0.00 NMUSD Fee: $0.00 Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: 0 0 ommmme m 0 0 memomm o m mmmoom 0 m o0 ®mammm eo 0 mmm m o mmom om $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $801.13 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 0 memm m m Dames oommo ooemmm 0 o a 0 0 OVVVJm o m eoom 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 U 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-Builderwill 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 7044, Business and Professions Code: The Contractors' State License Law does not apply to an ownerpf 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 exemptlrom ITceensure under the Contractors' State License Law for the following reason: B:4W.sjdnature below lacknowledge 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 legalh Sall a structure It" +ham 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. Se{gnatyrteeof Properly Owner or Authorized Agent Date LICENSED COA-LMTOR'S DECLARATION I Qer% affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code d my license is in fi force and effect. Licens& lass License No Date 7k \l / (9 (Zt Contractor Signature WORKERS' COVPPNSATION DECLARATION TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,000), IN ADDITION TO THE ApON, p4MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Hereby Affirm uilWe edalty of perjury one of the following declarations: u• I �aea�e and will �aiatain 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 erflormance of the worn forwhich 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' rance carrier and policy number are: ier olicy Number le of Agent certify that, in the performance of the work y hich this permit is issued, if I should become subject to the work a'r ompensation provisions of S Iature of Applicant r Date I not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre 3700 of the Labor Code, I shall forthwith comply with those provisions. Date CLARATION REGARDISjfil<JCTION LENDING AGENCY / :reby affirm under penalty of pe ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil 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 owners be I have read this application and the information I have provided is corf I agree to comply with all applicable city and county ordinances an ate laws relating to bu' ' construction. I authorize representatives of this city or county � to enter the ab Identified property for pection purposes. ) —I nature of Prooertv Owner or Authorized ADent h'— Print Property Owner's or Authorized Agent's Name -T J('�et Qr 4 —Ls ACTION DATE BY 1 D LLARATION OF COMPLIANCE WITH POE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED LJ I S U B M ITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMIT EMENDED LJAQMD PERMIT FINAL ASBESTOS NOTIFICATION IS OT APPLICABLE CERTIFICATE OF I2- PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: I a