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HomeMy WebLinkAboutX2018-1730 - Permitswr City of Newport Beach - Building Division `. 100 Civic Center Drive, Newport Beach, CA 92660 ' Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 rw *s Combination Type - SFP PLUM ����������IIII COMB roject DPermit: X2018-1730 Issued Date: 06/06/2018 Inspection Area : 2 PERMITS EXPIRE 180 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: 2320 CLAY ST NB Description: SFR REMOVE/REPLACE CLAY WIABS (KITCHEN & BATH) Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BLK 38 LOT 1 Owner: HEINFELD FAMILY TRUST Address: 901 CHESTNUT PL NEWPORT BEACH, CA 92660 Phone: Applicant: NILLEGAS ALEXX Address: 1328 S ALLEC ST Occupancy Group: ANAHEIM CA 92805 Phone: 888-929-4376 Code Edit : 2016 Type of Construction: VB Occupancy Group: R3IU Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Building Permit Fee: $202.00 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: $221.18 PROCESSED BY: ZONING APPROVAL: Contractor: ROOTER HERO PLUMBING INC Architect: Address: 1328 S ALLEC ST Address: ANAHEIM CA 92805 Phone: 888-929-4376 Phone: State Lie: Con State Lie: 973014 Engineer: Lie Expire: 05/3112020 Address: Bus Lie: BT30053516 Lie Exp Date: 0113112019 Phone: State Lie: Worker's Compensation Insurance Designer: Carrier: NEW YORK MARINE & GENERAL Address: Policy No: EPP00436 Expire: 04101/2019 Phone: Building Setbacks Rear: / Special Conditions: Front: / Left: I Right: I Use Zone: Parking Spaces: 0 Fire Hazard Zone N Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee: $0.00 Fire Inspection: Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm Grading PC Fee: $0.00 Public Works Department - General Service WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit P/W Plan Check: $0.00 Grading Bond: Electrical %: $0.00 San Dist : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $18.18 Plan Check Fee 0 �'W s o' rV 4 dS• $0.00 Fee Due at Permit Issuance : P; LIC WORKS APPROVAL: .a 0 0 PLAN CHECK BY: GRADING APPROVAL: AF.PROVAL TO ISSUE: Vc s c a $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $221.18 I herebyaffirmunder 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 dollars ($500). ❑ 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 improved 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 legall) 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 B 6M14 ss and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Da LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700) D' isio 3 the Business and Pro as ' ns Co&1� in full force and effect.-'�jcenseClass License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AN 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 ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 oerfarmance of the work for which this permit is issued. Policy No. have and will rance carrier a 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' number ar ' r / n . 1 /l Expiration Date is of Agent 1_� � ` certify that, in the performance of the work , if I should become subject to the workers' sued, I shall not employ any person in any manner so as to become subject to the workers' compensation law of California, and agree of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �pi_� Date ' , 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). .antler's Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. .._ _.._... I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinance3 nd stat la relating to building construction. I authorize representatives of this city or county to enter the ab Pied roperty for inspection purposes. �� ' signature of PropertyOwner or Authorized Agent Print Property Owner's or Authorized Agent's Nam at ACTION DATE BY DECLARATION OF COM IANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICAThd6TO. • •'• {•{ • • • • . • • • •• • PERMIT CANCELLED EIEPA • • • PERMIT EXTENDED QMD PERMITFINAL LSQSBESTOS NOTIFICATION 15 NOT P [CABLE TO CERTIFICATEOF OCCUPANCY ISSUED `� _PROPOSED DEMOLITION • • • • s SIGNATOR • + e • e • • ••• e e •e • • • •• e { • • • •