Loading...
HomeMy WebLinkAboutX2019-1482 - PermitsCity of Newport Beach -.Building Division *X2019-�1482 COMB Permit . X2019-'[482 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone 949 644-3288 Project No : UP Inspection. Requests Phone (949)644-3255 Issued Date: 0510812019 Combination Type_- MFR PLUM Inspection Area: 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LASS' VAUD I ,S,PECT Construction Hours. Monday - Friday 7:00 a.m. to : 0 p.m. and Saturday from 8.00 a.m. to 6.00 p.m. No work on Sundays or Holidays Job Address: 501 MORNING CANYON RD NB ~ Description: MFR COPPER REPIPE Legal Desc.: TR 12079 LOT 1 'UNIT 8 OF PROJECT LOCATED ON AP 459-151-26 TOGETHER `V y a � Architect: ry " Owner. OH MICHAEL & AN Contractor: NUNEZ AMPELIO 6 Address: 73444.IRONWOOD ST Address: 2500 E IMPERIAL HWY #213 Address: PALM DESERT CA 92260 BREA CA 92821; Phone: Phone: 714-618-2633 Phone: State Lie: Applicant: NUNEZ AMPELIO Con State Lie: 852741 Engineer. o 00 .Address: 2500 E IMPERIAL HWY #213 Lie Expire: 01/31/2021 Address: 00 a BREA CA 92821 Bus Lie: BT30062723 Phone: 714-618-2633 Lie Exp Date:' 04/30/2019 Phone: State Lie: Code Edit: 2016 Worker's Compensation Insurance Designer: ° ° O 0 ° 00 ° a Type of Construction: V-B Carrier. TRUCK INSURANCE Address: ° ° ° o ° o oo°oo Occupancy Group: R2 Policy No: A09473256 ° ° ° ° 00000 Added /New, sq.ft_ Bldg: 0 Expire: 08/01/2019 Phone; ° 000000. Added /New sq, ft. Garage: 0 No of Stories: 2 Building Setbacks Rear. I Special Conditions: 0 No of Units : 14 Front: 1 O 00 000000 O O Bldg Height: 0 Left: / ©° o 0000 000 Bldg Sprinklers: Right: Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone: N Construction Valuation: $3,500.00 Building Permit Fee: $136.00 Excise Tax: moo Planning Department- Fire Department Plan Check Fee: $0.00 Additional Fee: $0.00 Plan check Fee: $0.00, ' Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share :' $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans: $0.00 Demolition Fee Record Management $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PM Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $6.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $12.24 $0.00 TOTAL FEE . $149.24 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $149.24 PROCESSED MV0 PUBLIC WORKS APP L: ZONING APPROVAL: GRADING APPROVAL: PLAN CHECK BY APPROVAL.TO ISS i I OWNER -BUILDER DECLARATION 1 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 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 dol�ars ($500). ❑ 1, 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 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 for 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). ❑ I, as owner of the property,i 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 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 builtas an owner -builder if it has not been constructed in its entirety by licensed contractors- t understand that a copy of the applicable law, Section 7044 ofthe Business and Signature of Prege Gv+r �r orAut request when this application is submitted or at the following Web site:http:11www.leginfo-ca.gov/calaw.htm1. g p e� n horized Agent Date Professions CONTRACTOR'S DECLARATION EN cCn e liereb affirm r.nr sr penalty ofiperjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 o Di�i sign of the Business and Pro , nse is r force aqd efcect. LidensEFF-lass 1 License No Date I Contractor Signatur 46!S`ERS' COMPENS lA, 11, DECLARATION C l V*RNII (n: FAILURE TO SE ZJRE 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 OFCOMPENSKTU E DAMAGES AS'PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. :reby affirm ur:der pei ( 1f 1 C C f C r have and will rnair ance of thEPwork c c r 4 ha c and vl" I ^ra ti oC� carrier and po c cc c lame of Agent 11 certify that, in the pe iat, if 1 should become ignature of Applicant k IECLARATION REGA hereby affirm under p ,r ender's Name �y my signature below, I am the property ow I have read this appl 1 agree to comply wi 1 authorize represeni ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED 31ty of perjury one of the following declarations: gin aficertificate 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 oriwhch this permit is issued. Policy No. in 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' compensatio �,yl nurnber are: Policy Number Expiration Date Phone # �ormance 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 Jbject'to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. eJ g 19 NG CONSTRUCTION LENDING t ` ky'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). Lender's Address edify o each of the following: "'+"prized to act on the property owners behalf. the information I have provided is correct: able city and county ordinances and state laws relating to building construction. is city or cou t nter the above -identified property for inspection purposes- rorized Agent Print Property Owner's or Authorized Agent's Name BY t I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 El I SUBMITTED ASBESTOS NOTIFICATION TO 7 SIGNATURE: IS NOT APPLICABLE TO Date