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Home My WebLink AboutX2019-0512 - Permitsr�+no4r City of Newport Beach - Build .� �. 100 Civic Center Drive, Newport Beach, CA 921 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - MFP PLUM Construction Hours: Monday - Friday 7 Job Address: 499 MORNING CANYON RD NB Description: MFR - PEX RE -PIPE Legal Desc.: TR 12079 LOT 1 UNIT 7 OF PROJECT LOCATED ON Owner: TINYO ALEXANDIA Address: 499 MORNING CANYON RD CORONA DEL MAR, CA 92625 Phone: Applicant: NUNEZAMPELIO Address: 2500 E IMPERIAL HWY #213 BREA CA 92821 Phone: 714-618-2633 Code Edit : - 2016 Type of Construction: V-B O;:cuoanny Group' R2 ACdeJAJew sq.ft. Bldg: 0 Added !clew sq. ft. Garage: 0 No of.Stnries: - 3 No of Units : 1 Bldg I leiglit: 0 Bldg Sprinklers: Fleod Zone: Construction VaWatinn: $3,500.00 Euilding Permit Fee' $136.00 Plan Check Fee: $0 50 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: $149.24 PROCESSED BY: ZONING APPROVAL: Lic I Busi Lic d Worker's Car Foil Expj Building 3 Use Zone: Division Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: COMB Permit: X2019-0512 Ilrl� A L U' Ir rl� .. . Date: 1faPPkCr •,1.,k&o 19 In s �t Areaor �. �& Im x L1P9U8fo d 100% ref Iinr: Rd p.rn Saturday from S 0; a m ro :00 p.m. No worn n Su da s or Holidays . Io wI lm: �- `2500-E IMPERIAL H2 11A : I! .---=BREA CA 92821 ®��i 714-618-2633 Phone: State Lic: c: 852741 Engineer: ' - 1�Hel rr Address: r--B Ir! • _ 4 ^t0413U/2UT9 -' ' p'- ®' ' Phone: %isnmod an cation lns,(ark.E'rk started) Designer: (no work started), TRUCK INSURANCE Address: - A09473256 e. namionic Phone Rear: I Special Conditions: lnsillrAi#ital�,:;,, Front: I Right: / larking Spaces: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.24 Plan Check Fee Fire Hazard Zone : N Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PIW Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $149.24 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER 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, priorto 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). ❑ 1, 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 im 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 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 legalh 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 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.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 f 'v' ' ohe Business an Iir'Pncc Is in fl�l_ I force and effect. License Class License No Dat `xGontractor Signaturec 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 (E10],0001, 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: " 0 I 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 Cod?.,fol th p6 ff�"Brice of the work for which this permit is issued. Policy No. Ch4ave and will 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. Mq wurkers' compier"tjgi insur ce carrier and policy number are: ar er Policy Number Expiration Date �Y Name of Agent Phone # ❑I certify 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 became subject to the workers' compensation Iav% of qplifornia, a71d ogre that, if I should become subject to the wzdwzsl c�r�Densation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I nature of Applican CLARATION REGX'R ]ING CONSTRUCTION LENDINC�a R6ENCY ereby 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 3 9 , Civil Code). Ider's Name Lender's Address 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 ordinances and state laws relating to building construction. /// ///��} I authorize representatives of this city or county to enter the above -identified property for inspection purposes. / nature of Prooertv Owner or Authorized Agent ) Print Property Owner's or Authorized Aqent's Name lV cxn_lP l7 D: ACTION DATE BYV DECLARATI EGULATIC 3 PERMIT EXPIRED T71 SUBMI PERMITC4NCELLED Epq PERMIT EXTENDED 0AQM PERMITFINAL �f I Iy` �2 ASBESTi CERTIFICATE OF l` % PROPOSED OCCUPANCYISSUED SIGNATURE OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY PART 61 OFTITLE 40 AND) RULE TO NOTIFICATION IS NOT APPLICABLE TO