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Home My WebLink AboutX2017-3689 - Permitsr �1Nu� 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 `d+rrr�u� Combination Type - SFP PLUM X 2 0 1 7 3 6 8 MII COMB Permit: X2017-3689 Project No: 1941-2017 Issued Date: 11/1612017 Inspection Area : 1 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 Sum Job Address: 1236 W OCEAN FRONT NB Description: SFR - PEX REPIPE W/DRYWALL PATCH/U/G GAS FROM METER TO GAR TO HOUSE Legal Desc.: N TR 234 BLK 12 LOT 10 _ Owner: CAMPANIA ED Address: 1236 W OCEAN FRONT NEWPORT BEACH CA 92661 Phone: Applicant: EDELSTEIN Address: 10036 SAN MIGUEL FOUNTAIN VALLEY CA 92708 Phone: Code Edit: 2016 Type of Construction: V-B Occupancy Group: R3/1.1 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Building Permit Fee: $142.00 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: $155.78 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: MICHAEL EDELSTEIN Address: 10036 SAN MIGUEL CT FOUNTAIN VALLEY, CA 92708 Phone: 949-903-6521 Con State Lie: 974420 Lie Expire: 1113012018 Bus Lic: BT3005409 Lie Exp Date: 02128/2018 Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9164553 Expire: 0310812018 Building Setbacks Rear: I Front: I Left: / Right: / 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 %: $12.78 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 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 State Lie: State Lie: 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: _. tl m otlomm• o mtlOMO[ gmmmim O n 0 m . m • o mmY m m .. mm a mmPm m 0 Omlm( flf•a m O $9.00 mmmmu $0p0 mmm.mo 0 0 c ommmmm o 0.00 oeommn tlmmm,.` O.OS $016 $0.00 $0.00 $0.00 Plan Check Fee $155.78 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: s APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stat@ License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicableitem(s) Section 7031.5, Business and Professions Code: Any city or county that requires a perqiit 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 ofthe 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 got more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 nproved for the purpose of sale). 1 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legal) 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.htmi. signature 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 with Section 70 0 ,of i is' 3 of the Business and Prof ons Co a lic aqJn full force nd effect. License Class License No Dat / Contractor Signature �r/IiP VORKERS' COMPENSATION DECLARATION DARNING: 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 DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and wig maigtain 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 e orma�/,c/e �ofth0 NMA(•Jor which this permit is issued. Policy No. Moue.' "and w11 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' compensatio uranc6carriel'AnU•pb))cy number are: aPrier •. Policy Number Expiration Date ame of Agent . Phone# 01 Cq tj that, in the performance 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 agree at, ifIshould be some subjectjo,thhe workers' co nsation provissj ns- f Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Dat, 4 REGARDING CONSTV%UCTION LENDING AGENCY uglefppoalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 • Lender's Address • tam 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to ter the ab -identified p y for inspection purposes. signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Ag ACTION DATE BY DJELARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND A, RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED Epp PERMIT EXTENDED / / CMD CERTIFICATE OF t t 1 / SPROPOSED C IGNATURE[ OCCUPANCYISSUED Civil Code).