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Home My WebLink AboutS2021-0018 - PermitsCity ofi IVew" port Beach -Building Division 111pil111111111111111p11111111111111111111111111il 11 100 Civic Center Drive, Newport Beach, CA 92660 ' Permit Counter Phone (949)644-3288 r• r "err+,uN, ,lob Address: 1862 BRAEMAR WAY Floor: Suite: Bldg: 1 Description of Work:SFR NEW POOL & SPA 576 SF WI DRAINAGE Inspector Area: 3 Legal Description: N TR 3282 LOT 42 Owner: TIPPETT BLAKE/KORI Address: 1862 BRAEMAR WAY NEWPORT BEACH, CA 92660 Phone: 818-687-0449 Applicant: MCLAUGHLIN DAVE Address: 23401 WINDOM ST WEST HILLS, CA 91304 Phone: 818-486-1629 POOLPermit: S2021-0018 Project No : 0117-2021 Inspection Requests Phone (949)644-3255 1t appl Plan Check No: 011_2817-2 10�% refund won€ratfor Aichrtect -Address. KORI TIPPETT Address'e�r��r Phone. 818-687 0449 = .Phone. to WhOm. State Lic: Con State Lic; O/B Engineer ,n. AT SOLAYMAN Lic Expire _ Atltlress 1 10 NTURA BLVD #110 Bus Lic x t7`v T - CA 91356 Lic Exp Date. � _;3x94Y Phone ,,. 1 - -1962 State Lic:C-057840 N Building Rear: 10' W kers Co en+on In Special Conditions: Setbacks: Front: 15' Ca ler ion 10' Pan y N 11SSv y e• Right: 10, Exp lion: r Issued Dat : /2912021 wort', sta Construction Type : _ i- _InO Di Construction Valuation: $100,000.00 s'�U�tedi work Building Permit Fee : $430.00 Record Manag ant: $18.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Drainage Permit e��yy Building Green Fee: $4.00 Drainage Plan C ckVdte' $195.00 Plan Dept Plan Check: $0.00 Grading Consulta t Fee: $0.0 Building Dep Plan Check: $387.00 Building PC Investigation : $0.00 Additional Fee Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : $1,266.00 Plan Check Fee : $582.00 PROCESSED ZONING 'f �r1Sp• It"• 'tg Dept In ee: $0.00 y De $0.00 Ian Check: $0.00 PLAN fDHECKED BY:: APPPOVAL TO ISSUI PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION $0.00 $0.00 Fee Due at Permit Issuance : $6 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that'I am exempt from the Contractors' State License Law for the reasons) indicated below by the cheekmark(s) I have placed next to the applicable items) 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 is 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 'rofessions 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 penalt lot more than five hundred dollars ($5001 - I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7o44, 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 it a ants 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 Wit o n rove for the purpose of sale). I ownerof the. property, em exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does nr y to arowner of property Who builds or Improves thereon, and who contracts for the projects w th a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law forthe fallowing reason: iy my signature below I acknowledge that, except for my personal residencein which t must have resided for at least one year prior to completion of the improvements covered by this permit, 1 cannot I ;ell a structure that I have built as.an owner -builder it ifhas not beemconstmcted in its'entirety by licensed contractors. I understand that a. copy of the applicable law, Section 7044 of the Business and 'rofessions Code, isavailable upon requestwhe a Ii tion aDtjmltt - nr Ilowing Web site:http:!/www.leginto.ca:govlcalaw.html. signature of Property Owner or Authorized Agent •ICENSED CONTRACTOR'S DECLARATI N k Date hereby affirm under penalty of perjury4Shgf I no nneneed „ride. nmvielnne �fxhanfRr R'fenmmonntnn ivi4F SpnN.,.. annm r n'ut t a f m R Igo -rid a.,.re.� gyds,osnd my license is in full fol Ind effect. License Class License No Date Contractor Signature 6 VORKERS' COMPENSATION DEC RATION, �tid EARNING: FAILURE TO SECURE WORKERS' COMI :DST OP COMPENSATION, DAMAGES AS PROVIDI hereby affirm under penalty of perjury dr I have and will maintain a certificate ,erformance of the work for which this pet :1I have and will maintain workers' com. isurance carter and policy number are: I e of Agent Zt tify that, in. the Oat, If I should becon Of tignalure of Applicant )ECLARATION REG DI G CONSTRL hereby affirm under Penalty of perjury IN .ender's Name ly my signature below, I certify to each of I am the property owner or authorized I have read this application and the in I agree to comply with all applicable c I authorize representatives of this city tignature of Property Owner or Authorizer gCTION i .DATE WGe It I IN, AWFUL _lb!�( ey YFa To Calm Na FFNALTIES ANU CR4tP1E HUNDRED THOUSAND 00L ION 3788 OF THE LASOft CODE, INTEREST, AND ATTORNEY'S FEES. Ind,clarations:❑ 80% or ❑ 100% refund nsure for workers Competr8atlon issued by the Director' of Industrial Relations as provided for by Section 3 yNo 'Ufa n" , as Agaired by Section 3700 of the larypr Coda, foe�IhE oeddirmWeii fltef rk far whd•h fhi�• - , Expiration Date - - -r Phone# it,ls Issued, I shall not employ any person In shy manner su,as to become subject to the workers' compens %Ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Da 1CY lending agency for the performance of the work for which this permit is issued (Section 3097 Civil Code).' - - ....Lender's Address r___D 11i _ _ _ _. _ _ I i owners behalf s mafibnIhave prolo&ko )jr', (no work started)v and county ordina ces and state�llaws rebating to building construction, cR'n a ter he.ab ed property for inspection purposes. Sae Print Property Owners Or Authorized Agent's Name Korl I BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 4M.p 7 ^ONSPART61OFTITLE40ANDAQMDRULE ,ti'Jp. initials: Cana PERMIT FINAL BEST 5 NOTIFICATION IS NOTAPPLICAdLE TO CERTIFICATE OF oonvnc all IN ADDO Tr Labor Code, f Rers' compen :afrfomia, and 1-z8-L1