The URL can be used to link to this page

Home My WebLink AboutS2020-0210 - PermitsCity of Newport Beach - Building Division 1111111111111p1111111p111111p1111p11111p111 d 100 Civic Center Drive, Newport Beach, CA 92660 2 0 2 0 0 2 1 0 Permit Counter Phone (949)644-3288 Job Address: 12 NAPOLI Floor: Suite: Bldg: 1 Description of Wodt:REPLASTER POOL, REPLACE COPING & EQIPMENT, ADD NEW WATERFALL AT POOL EDGE Inspector Area: 6 Legal Description: N TR 9861 LOT 14 Owner: LAVAEE MOUSSA Address: 12 NAPOLI NEWPORT COAST, CA 92660 Phone: Applicant: BAHRAMI MATTHEW Address: 2312 PARK AVE #122 TUSTIN CA 92782 Phone: 949-378-2569 Building Rear: Setbacks: Front: Left: Right: Construction Construction Valuation: $30,000.00 Building Permit Fee: $559.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $2.00 Plan Dept Plan Check: $185.00 Building Dep Plan Check: $486.33 Building PC Investigation : $0.00 Plan check Ed. Fee: $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE: PROCESSED BY: ZONING APPROVAL: v Contractor: NICO DESIGNS Address: PO BOX 51714 IRVINE CA 92619 Phone: 949-378-2569 Con State Lic:. 808380 Lie Expire: 05/31/2022 Bus Lie: BT30068318 Lie Exp Date: 0713112021 Worker's Compensation Insurance Carrier: STATE COMP. INS Policy No: 1965493 Expiration: 0812412021 Record Management: Drainage Permit Fee : Drainage Plan Check: Grading Consultant Fee Additional Fee Plan Check No: 2341-2020 Code Edit: 2019 FEES POOLPermit : S2020-0210 Project No : 2341-2020 Inspection Requests Phone (949)644-3255 Architect: , Address: • • ° Phone: State Lie: • a °•°.°; Engineer: LACHER TODD •m Address: 1201 N TUSTIN AVE • , °. • ° ANAHEIM CA 92807 ;°°°°• , •Q Phone: 714-630-6100 State Lic:C-067656 •° • ° • ° ° ® ° Special Conditions: SUB CONTRACTOR AGREEMENT AVACHED • °°,° o ° • o ° Issued Date: 03/15/2021 • ° ° ° • ° ° • • ...°• $8.00 Water Quality --- Building Dept Inspection Fee: $0.00 $0.00 Water Quality Dept Insp Fee: $0.00 $0.00 Building Dept WQ Plan Check: $0.00 $0.00 Others $0.00 $43.00 $0.00 Plan Check Fee : $486.33 Fee Due at Permit Issuance : $797.00 PLAN CHECKED BY:: APPROVAL TO ISSUE: c PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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) 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 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 " :Business and �fessions 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 more than five hundred dollars ($500). 1201 N TUSTIN AVE I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, ;iness 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 Irovements 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 Proved 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' Slate 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 am exempt from licensure under the Contractors' State License Law for the following reason: my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegal17 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 �fessions OodO'is available upon request when this application is submitted or at the following Web site:http:/Aw-leginfo.0 .gov/calaw.html. nature of" imperty Owner or Authorized Agent Date ,reby affirai.&War penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 ) of Division 3 of the Business and Profe i 9e-a d J'r se is in u11 force leffect. LicVse Class License No Date Contractor Signature J6tKERS' GOMBENSATION DECLARATION 77 ZNING: FAILLM OF8 SCCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE ; Oil: COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE; INTEREST, AND ATTORNEYS FEES. r reby affirrin undo penalty of perjury one of the following declarations: L6ave and wUl 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 (ggronce of the wpik for which this permit is issued. Policy No. have and 4maintain 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' compensatioi lease carrier fund policy number are: 'dew* "".: Policy Number Expiration Date Tie of Agent Phone # JI certify 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 agre hat, if I should becomes bject to the workers' compen tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant < Dat )ECLARATION RE ArDNG%eaTRUCTION LENDING AGENCY hereby 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, Civil Code). .ender's Name Lenders Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state I ating to building construction. I authorize representatives of this city or co ty o e-ide roperty for inspection purposes. n signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name M Dat 6 ACTION DATE BY V 7DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I All required alarms,latches PERMIT EXPIRED 1 SUBMITTED ASBESTOS NOTIFICATION TO as part of a pool / spa barrier, shall be in place priorto approval to fill pool/spa & shall remain in place & be maintained for the life Of the p0 F spa x PERMIT CANCELLED UEPA PERMIT EXTENDED QMD POOL ALARMS INSTALLED BES OS TIFICATION IS NOT APPLIC LE TO ROP E OLITION, SIGNATURE: PERMITFINAL / �,Zf2.-