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HomeMy WebLinkAboutX2016-1222 - PermitsCity of Newport Beach - Building Division II III IIIIIIIIIIII IIIIIIIIIIIIIIIIII I II COMB Permit: X2016-1222 ❑�' 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 6 1 2 2 2 Project No 5, Permit Counter Phone (949)644-3288 sa Inspection Requests Phone (949)644-3255 �*s Combination Type - MFP PLUM Issued Date : 04/1112016 Inspection Area : 6 PERMITS EXPIRE EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. A; INSTALL OR VERIFY SMOKE/CARBON:MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED x P g Job Address: 26 SAN SOVINO NB ,h8 " Description: MFR - REPIPE W/PEX, (17) FIXTURES, (2) HOSEBIBBS, MINOR DRYWALL PATCH Legal Desc.: Owner. CHUNG MICHAEL Contractor: REPIPE 1 Architect:, Address: 26 SAN SOVINO Address: 19326 VENTURA BLVD #201 Address: NEWPORT COAST CA 92657 TARZANA CA 91356 Phone: Phone: 818-342-2927 Phone: State Lic: o o°Oo a o Applicant: REPIPE 1 Con State Lic: 927892 Engineer: o°o Address: 19326 VENTURA BLVD#201 Lic Expire: 01131/2017 Address: TARZANA CA 91356 Bus Lic: BT30044924 o m Phone: 818-342-2927 Lic Exp Date: 10131/2016 Phone: State Lic: aooa Code Edit : 2013 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: NATIONAL UNION FIRE Address: Occupancy Group: R21U Policy No: WC14267940 Added /New sq.ft. Bldg: 0 Expire: 09/15/2016 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units : 7 Front: / Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $6,400.00 Building Permit Fee: $166.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee: $0.00 Fire Inspection: $0.00 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 $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ 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 %: $14.94 $0.00 TOTAL FEE : $181.94 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $181.94 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 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 ncgg"e than 4e y'fted dollars ($500). ®d.as:owner oitRa 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, gusines5 and Pjq %4,4 ils 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 i=nnM:Lhents 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). E 1-;s,wner pith 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 appi to an ownerof proper y who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). © -1 amexempj from jicensure under the Contractors' State License Law for the following reason: By my signature Wow Y 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 of legall) Q111,if frPcture that l 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 Busin as a d Professions Code,j s available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date CI Y44ED CONYUACTOR'S DECLARATION I hereby affirm Ad'er-penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) of D' ision 3 f the Business and Professio de, an icense i in II force and effect. Liced9E'Class License No Date ) Contractor Signature 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 (E100,000), HAD TI TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNENS FEES. hereby affirm under penalty of perjury one of the following 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 tt e mance of the work for which this permit is issued. Policy No. h ve and will maintain workers' compensation insuran\Nber required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatio Is nce carrier and policy number are: . rrier PolicExpiration Date lame of Agent Phone # 71 certify that, in the performance of the work for which this per it issued, I shall not employ any person in any manner so as to become subject to the workers compensation laws of California, and agrE iat, if I should become S e workers' compensation p visi ns of Section 3700 of the Labor Code, I shall forthwithcomply with those provisions. 'signature of Applicant Date_ �i tl l IECLARATION REGARDING CONttRUCTION LENDING AG hereby affirm under penalty of perjury that there is a constructions hiding agency for the perfor ance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's A ass 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 ordinances and state laws relating to buil ng nstruction. I authorize representatives of this city or county to hterdJaaae ve-identified property for insp io purposes. signature of Property Owner or Authorized Agent ���— Prin\ operty Owner's or Authorized Agent's Name,'--- ame �J Date ACT"I DATF BY 0ECLARATIFO. GOMPUJWCENTH 0EOF X)1ifn-HLFtf5. T FEDERQLRE TKI,YSPART6TOF 4GWNtY PFRAAfTFXPfRFn Al2WRULE44133 ISfN1M17TrnASW.4;T4rAl ifri. TM PENOITCAr/(:: LED ❑ EPA PERIAIT EXTFN= ❑ AQdRD SBESTOSA40 ACARCHISNOT LfCABLETO Ml PDTrMAL ,pH� OSEDDEASOLEXI L CERTtF!CATECF 8s � (� 7 S1(;NAI [Rik:.//