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Home My WebLink AboutX2018-0935 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3268 Inspection Requests Phone (949)644-3255 EdCxx�ax'' Combination Type - MFP PLUM IIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-0935 Project No : Issued Date: 04/0212018 Inspection Area : 8 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: 64 OCEAN VISTA NB Description: MFR PEX REPIPE "INCLDS DRYWALL RPR" Legal Desc.: TR 9676 LOT 14 UNIT 102 OF PROJECT LOCATED ON AP 442-361.31 TOGETHER I , � r7 Q , MCTu k r Owner: LAWRENCE MOLE PARKER Address: 64 OCEAN VISTA Bus Lic: NEWPORT BEACH, CA 92660 Phone: 714-618.2633 Applicant: NUNEZAMPELIO Address: 2500E IMPERIAL HWY #213 Hazardous Mat BREA CA 92821 Phone: 714.618-2633 Code Edit : Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Contractor: NUNEZAMPELIO Address: 2500E IMPERIAL HWY #213 Bus Lic: BREA CA 92821 Phone: 714-618.2633 Con State Lic: 852741 Lic Expire: 01/31/2019 Bus Lic: BT30062723 Lic Exp Date: r>. gt- I, Q_ - 2016 Worker's Compensation Insurance V-B-1HR Carrier: TRUCK INSURANCE R2/U Policy No: A09473256 0 Expire: 08/011201 B 0 $0.00 Disabled Access : Building Setbacks Rear: I Hazardous Mat Front: I Building Green Fee : Left: I Grading Permit Fee: Right: I Building Permit Fee: $187.00 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: $204.83 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Architect Address: Phone: State Lic: Engineer: Address: Phone: State Lic: Designer: Address: Phone: Special Conditions: Fire Hazard Zone : N Excise Tax: $0.00 Planning Department - Fire Inspection: Additional Fee : $0.00 Plan check Fee: Demolition Fee Grading Bonds Fee: $0.00 Fair Share General Service Grading PC Consultant : $0.00 SJH Trans Grading Bond: Grading Permit Fee: $0.00 In -lieu Housing Fee Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 PNV Plan Check : $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $16.83 Plan Check Fee $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: `- _- <04G o v GO 9 C O O c o0 $17.00 a $0.00 aooeeo c m $0.00 e$o.go $0.00 $0.00 $0.00 $0.00 $204.83 v �c ooec o r. 0 L0 [. Q 9 e@ C Om COC 0 0000,. 000eau e L < a0000c 0 eomc�� 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 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: `- _- <04G o v GO 9 C O O c o0 $17.00 a $0.00 aooeeo c m $0.00 e$o.go $0.00 $0.00 $0.00 $0.00 $204.83 v �c ooec o r. 0 L0 [. Q 9 e@ C Om COC 0 0000,. 000eau e L < a0000c 0 eomc�� 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) 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 ie 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 '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 penalty of of 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, lusiness 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 nprovements 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 n 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 pply 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: ly mySignature 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 iegall) ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. lignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wlt 7ga Ete ,Q of D' i i , 3 of the Bu mess and @r full force nd effect. License Class License No to r �,dni ctor Signature �� VORKERS' COMPENSATION DECLARATION J IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST 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•rnaintain 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 errorrgance of the Kack•for which this permit is issued. Policy No. and wIll"Gintain 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' carrier arf&pdicy number are: ie ref Agent •• ' •' Carol& that, in the pi .it Lshould 4acowt Ih 4ofAPO ,nt, Policy Number Date 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 workp' compensation laws of California, and he workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r 2 n =L•RiIATI'eN IIEGARDING CONSTRUCTION LENDING AGENCY rebyeffirm ua enpAsilty 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). iar;s.Name Lender's Address gX Si[ nature pbidW,, I certify to each of the following: I am the propArtJ Gwner 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 cd nd county ordinances and state laws relating to building construction. {�- I authorize representatives of thisl0wor county to ent Je ab�dentified property for inspection purposes. lature of Prooertv Owner or Auth r ed Acent Print Property Owner's or Authorized Agent's me ACTION DAT BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I 1403 PERMITEXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EIEPA PERMIT EXTENDED OAQMD PERMITFINAL ft//% S13ESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATEOF -..T PI P,y,`E'ED DEMOLITION �j,� OCCUPANCVISSUED LKA— SISI Lf RE