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HomeMy WebLinkAboutx2022-0354 - Permits„ City of Newport Beach - Building Division *X2022-0354* COMB Permit: X2022-0354 100 Civic Center Drive, Newport Beach, CA 926Q0 Project No Permit Counter Phone (949)644-3288 u Inspection Requests Phone (949)644-3255 rayyjggt'� Combination Type - SFP PLUM 'r'°'Issued Date: 02/0712022 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0210712025 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: 203 VIA MENTONE NB Description: SFR PEX REPIPE AND SEWER ALTERATION ONLY Legal Desc.: TR 907 LOT 602 NELY 20 FT THEREOF(AND SWLY 20 FT LOT 603 Owner: KIM DAVID S Address: 203 VIA MENTON NEWPORT BEACH, CA 92660 Phone: Applicant: KNIGHTS PLUMBING INC Address: 1547 W STRUCK #G ORANGE CA 92867 Phone: 714-476-5290 Code Edit: 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Building Permit Fee: $416.00 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: $464.44 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: KNIGHTS PLUMBING INC Address: 1547 W STRUCK #G ORANGE CA 92867 Phone: 714-476-5290 Con State Lic: 983763 Lic Expire: 08131/2022 Bus Lic: BT300 Lic Exp Date: Workers Compensation Insurance Carrier: SECURITY NATIONAL Policy No: SWC1343000 Expire: 06/01/2022 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: / Front: / Left: I Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $37.44 Architect: Address: Phone: State Lic: Engineer: Address: Phone: State Lic: Designer: Address: Phone: Special Conditions: 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 Plan Check Fee : $0.00 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: °•m• mm•• $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $454.44 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: • mmm•m• • • Dame• m emomm meoc�• m m • s • mmm••• • • mmm. OWNER -BUILDER DECLARATION c 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) action 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 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 Ifessions 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 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, ;iness 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 Irovements 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 )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 fly 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: 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 a structuret-19t'19;ave 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 Ifessions Code-ds-available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html. dlaflire of Property Owner or Authorized Agent Date TENSED CQbITRACTOR'S DECLARATION ;rely affirm un jer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) 'f Division 3 of the Business and Profe ions e, and license is in full force i effect. Licen�. p lass License No Date 2—'- 7 - 22- Contractor Signature ?R%ERS' I!QKP,ENSATION DECLARATION 2RIRG: FAILURE TO.SErjJRE 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 PT.QF COMPEWA'GON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. yQ0affirm under penalty of perjury one of the following declarations: 4.1" a and vYill rr"ntain 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 form®nce of -the wore for which this permit is issued. Policy No. :W and wiu main 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' compensatiol trance carrierjaptl pplicy number are: Policy Number Expiration Date of Agent 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 become subject to the workers' compensation laws of California, and agree iat, if I should become su ect to th ers' com ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 'signature of Applicant C� IECLARATION FZEGAUDIN'G_1_I5NSTRtJeTION LENDING AGENCY hereby affirm under penaltyof perjury6at there is a construction lending agency forthe performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name 11 Lender's Address ly 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 ordina and state laws relating to building construction. 7 I authorize representatives of this city or countKtq'en the ove-tied property for inspection purposes. Signature of Property Owner or Authorized Agent < 1 Print Property Owner's or Authorized Agent's Nam r Daf ACTION DATE BY D ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY EGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTI FICATION TO PERMIT CANCELLED Ep; PERMITEXTENDED AQMD PERMITFINAL ^^OS''P�OTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF ^�I �� PROPOSE L�rOUTIONi� OCCUPANCY ISSUED U SIGNATUR