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Home My WebLink AboutX2018-1765 - Permitsrho City of Newport Beach - Building Division Illllllllllllllllllulllllllllllllllllllllll IICOMB Permit: X2018-1765 r3 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 1 7 6 5 Project No Permit Counter Phone (949)644-3288 ' s - Inspection Requests Phone (949)644-3255 `xayy,y Combination Type - SFP PLUM Issued Date: 0610812018 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: 20151 BAY VIEW AVE NB Description: SFR PEX-REPIPE (6) FIXTURES Legal Desc.: N TR 1507 LOT 8 LL's`" Owner: FITCH EDWARD M III/FITCH MELANIE SALATA Contractor: Address: 20151 BAYVIEW AVE Address: $0.00 NEWPORT BEACH CA 92660 $0.00 Phone: $0.00 Phone: Applicant: MR REPIPE Con State Lie: Address: 138 112 W 86TH PLACE Lie Expire: $0.00 LOS ANGELES, CA 90003 Bus Lie: Phone: 323-627.6625 Lie Exp Date: Code Edit: 2016 Type of Construction: VB Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Building Permit Fee: $172.00 Plan Check Fee: $0.00 Fair Share : 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: $188.48 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: MR REPIPE 138 112 W 86TH PLACE LOS ANGELES, CA 90003 323-627-6625 970896 03/31/2020 BT30061615 1 213112 01 8 Worker's Compensation Insurance Carrier: SECURITY NATIONAL INS Policy No: SWC1186601 Expire: 0311312019 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: / Left: / Right: / ±22 1H $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $15.48 Plan Check Fee y ( ¢4 4 �b S S �� ® y 2 l -i-c z -c -o9• c s C G� o` eaa u�. cu o o- opo mom 0 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: Planning Department - Fire Department Plan check Fee Fire Inspection: Fair Share : Fire Plan Rev SJH Trans: Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication: $0.00 PM Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 State Lie: State Lie: C'> s $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $188.48 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: " ' O 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: C'> s $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $188.48 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: " ' O 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 applicableitem(:) 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. is 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 U 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). 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 ppiy 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 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 legally 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.govlcalaw.html. 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 SectionO ) i isi n 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License No Date of D 1 i9 Contractor Signature.Cl IIORKERS' COMPENSATION DECLARATION DARNING: F#ILURE TekSECURE 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the fallowing declarations: 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 Code, for the eyformance of the work for which this permit is issued. Policy No. Z1I have and will rprnNn 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' compensatior nsurance carrier apolicy number are: :arrier POHC qer Expiration Date Vame of Agent i V YY Phone # :1I 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 agree hat, if I should become �suu 'act to the workers' compensation ' :easel*=^ 700 of the Labor Code, I shall forthwith comply with those provisions. ,— signatureofApplicant /� Date �1 6 % f h- )ECLARATION REGAfZDlNG CONSTRUCTION LENDING AGENCY 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). -ender'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 ordinances and state laws relating to building construction. _ I authorize representatives of this city or count t nter the above -identified property for inspection purposes. t C,_ , 01 lq Low 6 1 Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name D c ACTION DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO • 0 a . : s . : : s s c • • • • •: +• + • • • • • ; ••' • • •+• PERMIT CANCELLED EPA • PERMIT EXTENDED 13AQMD PERMITFINAL CERTIFICATE OF '�r5<"�aa ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PR POSED E UTION OCCUPANCYISSUED SIGNATURE: • •_+'• + + • +