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HomeMy WebLinkAboutS2022-0144 - PermitsCity of Newport Beach - Building Division 11111111111111111111111111111111111111111111111111I11 100 Civic Center Drive, Newport Beach, CA 92660 IIIII S 2 0 2 2 0 1 4 4 w Permit Counter Phone (949)644-3288 Job Address: 12 DRAKES BAY DR Floor: Suite: Bldg: 1 Description of Work:SFR REMODEL (E) POOL/SPA (CITY STD PLAN) *STOP WORK 122-1722 Inspector Area: 6 Plan Check No: Legal Description: N TR 7844 LOT 90 Code Edit: 2019 Owner TAGHDI RI K & F Contractor: OWNER/BLDR Address: 12 DRAKES BAY DR Address: TAGHDIRI KAMRAN CORONA DEL MAR, CA 92625 Phone Applicant: TAGHDIRI KAMRAN Address: 12 DRAKES BAY DR CORONA DEL MAR, CA 92625 Phone: 949-290-9330 Building Rear: Setbacks: Front: Left: Right: Construction Type: VB Construction Valuation: $10,500.00 Phone Con State Lie: O/B Lie Expire: Bus Lie: Lie Exp Date: Worker's Compensation Insurance Carrier: Policy No: Expiration: FEES Architect: j Address: Phone: Engineer: Address: Phone: Special Conditions Issued Date: POOL -Permit: S2022-0144 Project No : Inspection Requests Phone (949)644-3255 State Lie: State Lie: M Building Permit Fee : $266.00 Record Management: $2.00 Water Quality --- Permit Issuing Fee: .00 Investigation Fee: $26666.00 Drainage Permit Fee : $0.00 Building Dept Inspection Fee: Water Quality Dept Insp Fee: $0.00 Building Green Fee: Plan Dept Plan Check: $1.00 $0.00 Drainage Plan Check: Grading Consultant Fee $0.00 Building Dept WQ Plan Check: $0.00 $0.00 Building Dep Plan Check: $0.00 : $0.00 Others Building PC Investigation : $0.00 Additional Fee : $0.00 $0.00 Plan check Ext. Fee : $0.00 $0.00 WQ Compliance Insp Fee: $0.00 , TOTAL FEE: $535.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $535.00 PROCESSED BY: ZONING APPROb PLAN CHECKED BY:: _ - - -APPROVAL TO ISSUE: PERMIT EXPIRES 13J DAYS AFTEP ISSUANCE OR LAST VALID INSPECTION OWNER -BUILDER DECLARATION d 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 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 an 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 the Business an 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). ortions of the work, and the structure is not intended or offered for sale (Section 7044, Business I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) p 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 im roved for the purpose Of sale). d Contractors to I� I, as owner of the property, am exclusively contracting with license who contracts for then projects wthruct the pa Iicenroject sedcContractor Bussuant to the Conhactors' State LnenserLaw)s' State License Law does no apply to an owner of property who builds or improves thereon, P 1 p ❑ ill I am exempt from licensure under the Contractors' State License Law for the following reason: by resided for at least one ye Bell n ss ignaturetb flohalve built es a e that, eexcelder�ritnhas not belresidence in en constructed ni it I must have or to entirety by licensed contractom I understand that a copy of thehappl cable law, Sectio�nB7d04/4tof/the Business his permit, I nand not lega DaW+S % / Professions Cade, is available upon request wh his ap lic n is su ted or at the following Web site:http:l/www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Age LICENSED CONTRACTOR'S DECLA IONnd I hereby affirm under penalty of perjury that I licensed under provisions of Chapter 9 (commencing with SecDate7000) Of Division 3 of the Business an Professions Code, and my license is in full force and effect. License Class License No WORKERS' COMPENSATION DECLARATION , AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,000I, IN ADDITION TO THE WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL COST OF COMPENSATION, DAMAGES AS PROVIDED FORM SECTION 37a6 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: f kers' compensation issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th I have and will maintain a certificate of consent to self -Insure or WO r , 'ormance of the work for which this permit is issued. Policy No. quired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatio have and will maintain workers' compensation insurance, as rei trance carrier and policy number are: Expiration Date Tier Policy Number Phone # Tie of Agent loy any person certify that, in the performance of the work for which this pe`mitsis ions of issued, I shalltion not em0 ofthe Labor Code,ln any manner so as I shall forthwith complybecome those p ovis onse workers' compensation(laws 7f California, an agrE i if I should become subject to the rkers' on ,nature of Applicant CLARATION REGA ONSTRUCTION LENDING AGENCY Ereby affirm under p Lender's nalty, of perjury that there is a construction lending agency forperformance Address of the work for which this permit is issued (Section 3097, Civil Code). rider's Name my signature below, I certify to each of the fallowing: 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. t� I agree to comply with all applicable city and county ordinances and state laws relating to building construction. ` y7 z I authorize representatives of this city or coun t n r e abov = erty for inspection purposes. lq'^ D e 3natuth of Pro erty Owner or Authorized Agent Print Property Owner's or Authorized Agent Nam CTION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE Alt required alarms,latches EXPIRED CANCELLED POOL ALAf INSTALLED 136�G1��� I SUBMITTED ASBESTOS ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. as part of a pool f spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the life rofthe podlspa $_ft_a7