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HomeMy WebLinkAboutX2018-1461 - PermitsE� City of Newport Beach - Building Division p 100 Civic Center Drive, Newport Beach, CA 92660 `k Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 6 Combination Type - MFP PLUM *X2018-1461* COMB Permit: X2018-1461 Project No: Issued Date: 05/14/2018 Inspection Area : 5 PERMITS EXPIRE 190 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 491 MORNING CANYON RD NB Description: MFR RE -PIPE (5) FIXTURES Legal Desc.: TR 12079 LOT 1 UNIT 3 OF PROJECT LOCATED ON AP 459-151-26 TOGETHER Owner. CHEN VICTORIA Address: 13751 BELLE RIVER SANTA ANA CA 92705 Phone: Applicant NUNEZ AMPELIO Address: • 2500 E IMPERIAL HWY #213 BREA CA 92821 Phone: 714-618-2633 Code Edit: 2016 Type of Construction: VB Occupancy Group: R2/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Construction Valuation: $3,500.00 Building Permit Fee: $127.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee: $1.00 TOTAL FEE: $139.43 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: NUNEZ AMPELIO Address: 2500 E IMPERIAL HWY #213 BREA CA 92821 Phone: 714-618-2633 Con State Lic: 852741 Lic Expire:. 01/31/2019 Bus Lic: BT30062723 Lic Exp Date: Worker's Compensation Insurance Carrier. TRUCK INSURANCE Policy No: A09473256 Expire: 08/01/2018 Building Setbacks Rear. / Front: / Left: / Right: / Use Zone: Excise Tax: $0.00 Additional Fee: $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant : $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 Electrical %: $0.00 Mechanical %: $0.00 Plumbing %: $11.43 0 Architect: Address: Phone: Engineer. Address: Phone: Designer: Address: Phone: Special Conditions: Fire Hazard Zone: N Planning Department - Plan check Fee: Fair Share : SJH Trans: In -lieu Housing Fee: Public Works Department - Park Dedication : $0,00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 State Lic: State Lic: Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $139.43 O ©D O O 0 0 O Et O A 0 0 0 0 0u0 0 0 0 •, u 0 0 0 0 0 0 000 O 0 0 0 0 0 000 000 0 0 0 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 0 000 00 U O O O V O O O O O O O O O C O O O C - C C 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) 1 have placed next to the applicable item(s) (Section by affirm ,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 thate 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 propehty, ,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 7044, Business and Professions Geode: 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 improved for the purpose of sale). ❑ 1, as owner of the propey,,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). ❑ I am exempt from Ihcensure r under the Contractors' State License Law for the following reason: By my signature below 1'ackn6wledge 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 hake bi It 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. Date Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION full force I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000 i 'on 3 o e Business and Prr�fe�s10 and effect. License Class License No DatedCQctor Signatu�� WORKERS' COMPENSATION DECLARATION WARNING: 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 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 th el'tave rmance of the work fors which this permit is issued. Policy No. i and will m tam orkers' 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 nsurance carrier and p cyf n tuber are: 1 iE rL _...,�-.� r Exoiration Date ame of Agent e ��.� X-% �c11 C � Phone # ]I certify that, in the pe ormance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, an agre lat, if I should becomelsubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of ApplicanKRD Dat iECLARATION REGCONSTRUCTION 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 Lender's Address ly my signature below,'IIl certify to each of the following: 1 am the propertyJoiwner or authorized to act on the property owner's behalf. I have read this application, and the information 1 have provided is correct. A Y\I- I agree to comply with all pplicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or co my to en he above -identified property for inspection purposes. it D >ignature of Property Owneror Authorized Age n Print Property Owner's or Authorized Agent's Name ate C ACTION DATE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 SUBMITTED ASBESTOS NOTIFICATION TO o EPA ^ ❑AQMD I'I I raASBESTOS NOTIFICATION IS NOT APPLICABLE TO SIGNATURE: -,,