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Home My WebLink AboutX2020-2664 - Permits (3)City of Newport Beach - Building Division 'X2020-2664` COMB Permit: X2020-2664 �4r 100 Civic Center Drive, Newport Beach, CA 92660 Project No: Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date: 11/17/2020 Combination Type - MFP Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 11/18/2023 OR PERMIT WILL BE INVALID 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: 400 CARLOTTA NB Description: MFR WATER REPIPE Legal Desc.: TR 5463 (L.L.84-214025) PAR 7 AND PAR 7G w Owner: SANTRY JOHN M Contractor: REPIPE 1 Architect: Address: 400 CARLOTTA Address: 19326 VENTURA BLVD #201 Address: /� NEWPORT BEACH CA 92660 TARZANA CA 91366 Phone: 949I636-2272 Phone: 818-342-2927 Phone: State Lie: ��`' Applicant: REPIPE 1 Con State Lie: 927892 Engineer: Address: 19326 VENTURA BLVD #201 Lie Expire: 0113112021 Address: TARZANA CA 91356 Bus Lie: BT30070567 Phone: 818-342-2927 Lie Exp Date: 10131/2021 Phone: State Lie: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: BENCHMARK INSURANCE Address: Occupancy Group: R2/U Policy No: CST5013781 Added /New sq.ft. Bldg: 0 Expire: 09/1512021 Phone: „ Added /New sq. ft. Garage: 0 ' No of Stories: 2 Building Setbacks Rear: I Special Conditions: NO WORK ON THE COMMON No of Units : 3 Front: I WALL . . Bldg Height: 0 Left: I Bldg Sprinklers: N Right: I Flood Zone: X Use Zone: Parkinq Spaces. 0 Fire Hazard Zone : N r Construction Valuation: $8,700.00 Building Permit Fee: $229.00 Excise Tax: $0.00 Planning Department- Fire Department ; Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee: $0.00 Fire Inspection: io.01? 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: $0.00 Building Dept Adm -$Y.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $om WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist : $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $230.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $230.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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 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 Iicensure 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). 111, 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 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). ❑ 1, 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 Iicensure 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 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 f Division 3 of the Business and Profe, and my IicqaRe isin full force and effect. License Class License No Date 11 Contractor Si nature WORKERS' COMPENSATION DECLARATION NARNING: 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 1$100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under nNnalty of perjury one of the following declarations: 7J I ha'<e 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 tht ;,e?6rrnlmce of the wrrc for which this permit is issued. Policy No. ✓e 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. My workers ce carrier and policy number are: Policy Number Agent ^ _ _ Date 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 become subject to the workers' compensation laws of California, and G , should become subjeotterthe workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date Z1('17.Zc:> CLARATION REG/�,CDJDIG CONSTRUCTION LENDING AGENCY veoyaffirm unrirr penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 loer'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 t9&TiterJhe abov - entified property for inspection purposes. f nature of Property Owner or Authorized Agent A� Print Prooertv Owner's or Authorized Anent's Name A Yl If i < ACTION PERMIT EXPIRED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED BY - DEC}ARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO .S, 64 yROPOSED E qe" SIGNATURE: NOTIFICATION IS NOT APPLICABLE TO M FOR OFFICE USE ONLY Civil Code).