HomeMy WebLinkAboutS2020-0212 - PermitsCity of Newport Beach - Building Division J111111III 11111p111111111111111111111111111111111IIIil
100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 0 0 2 1 2
Permit Counter Phone(949)644-3288
POOLPermit : S2020-0212
Project No : 2382-2020
Inspection Requests Phone (949)644-3255
Job Address: 24 MORRO BAY DR Floor: Suite: Bldg: 1
Description of Work:REMODEL POOL AND SPA (62 SF) REPLACE PLASTER AND COPING, REDECKING THE FRONT AND SIDE YARD, DRAINAGE
Inspector Area: 6
Legal Description: N TR 7386 LOT 63
Owner:
YAZDI TAFAZOLI
Address:
24 MORRO BAY DR
CORONA DEL MAR, CA 92625
Phone:
Applicant: EDWARDS MICHAEL
Address:
3515 SUMMERMEADOW CIR
CORONA CA 92881
Phone:
951-314-8656
Building Rear:
Setbacks: Front:
Left:
Right:
Construction Tvoe :
Construction Valuation: $18,000.00
Building Permit Fee :
$382.00
Permit Issuing Fee:
$0.00
Investigation Fee:
$382.00
Building Green Fee:
$1.00
Plan Dept Plan Check:
$0.00
Building Dep Plan Check:
$332.34
Building PC Investigation :
$0.00
Plan check Ext. Fee :
$0.00
WQ Compliance Insp Fee:
$0.00
TOTALFEE:
PROCESSED BY:
ZONING
Plan Check No: 2382-2020
Code Edit: 2019
Contractor:
THE ROCK MAN "ROCK POOL BUILDER"
Address:
2625 TAYLOR AVE
Address:
CORONA CA 92882
Phone:
951-256-6156
Phone:
Con State Lic:
789720
Engineer:
Lic Expire:
01/3112023
Address:
Bus Lic:
BT30074258
Lic Exp Date:
02128/2022
Phone:
Worker's Compensation Insurance
Carrier: NO EMPLOYEES
Policy No:
Expiration:
FEES
Record Management: $14.00
Drainage Permit Fee :
$232.00
Drainage Plan Check:
$195.00
Grading Consultant Fee:
$0.00
Additional Fee :
$0.00
Architect:
State Lic
BIEDENBACH CHRISTOPHER
1201 N TUSTIN
ANAHEIM CA 92807
714-630-6100 State Lic:C-074003
Special Conditions:
Issued Date: 02/12/2021
Water Quality
Building Dept Inspection Fee:
Water Quality Dept Insp Fee:
Building Dept WQ Plan Check:
Others :
Plan Check Fee : $527.34
_ - PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES i80 DA:tS-AFTER 13SJANCc OR LAST VALID INSPECTION
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $1,011.00
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(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 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). 1201 N TUSTIN
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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
im 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.html.
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 Section ` 0 Y,,qqf ivi io 3 of the Business and PsPsQQ7es��I'Io �dand m icens fukfome
and effect. License Class License No Date L 2 Contractor SignaturnY`i«
WORKERS' 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 I$100,000I, 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 the
uerformance of the work for which 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:
to of Agent
certify that, in the p
if I should become
of
Policy Number
Date
Iceyyf 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 agree
ld'the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
;reby 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).
Jder'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 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 laws relating to building construction.
I authorize representatives of this city or cod* to r theabove-identified property for inspection purposes.
ii nature of Property Owner or Authorized Agent Print Property Owners or Authorized A
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED El I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITC4NCELLED EIEPA
PERMIT EMENDED LJAQMD
POOLALARMS L3 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
INSTALLED PROPOSED DEMOLITION.
SIGNATURE: _ -
PERMIT FINAL 7• 22