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HomeMy WebLinkAboutX2020-0446 - Permits (3)tYaopr City of Newport Beach - Building Division I�IIIIIIIIII�IIIIIIIIIIII�IIIIIIIIII ? � ; 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0 N._ Permit Counter Phone (949)644-3288 ° n Inspection Requests Phone (949)644-3255 z; Combination Type - SFP PLUM 4 4 6 II COMB Permit: X2020-0446 Project No Issued Date : 02119/2020 Inspection Area : 6 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: 24 LE MANS NB Description: SFR PEX RE -PIPE (16) FIXTURES Legal Desc.: Owner: WHITELAW JAMES Contractor: PACIFIC COAST COPPER REPIPE Architect: Address: 24 LEMANS Address: 1556 SO ANAHEIM BLVD #F Address: NEWPORT BEACH CA 92657 ANAHEIM CA 92805 Phone: Phone: 714-758.7725 Phone: State Lie: 10 Applicant: PACIFIC COAST COPPER REPIPE Con State Lie: 738350 Engineer: Address: 1556 SO ANAHEIM BLVD #F Lie Expire: 07/31/2021 Address: 10 ANAHEIM CA 92805 Bus Lie: - BT30016735 Phone: 714-758-7725 Lie Exp Date: 09/30/2020 Phone: State Lie: Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: LIBERTY MUTUAL FIRE Address: Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Policy No: Expire: XWW1958511154 0410112020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: LANDSLIDE AREA No of Units : 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $9,250.00 Building Permit Fee: $232.00 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 PAN 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 %: $20.88 $0.00 TOTAL FEE: $253.88 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee: $0.00 Fee Due at Permit Issuance : $253.88 PUBLIC WORKS APPROVAL: 4 0` a P1,AU CHECK Er : - _ APPROVAOTO 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 not 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, 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 complet on, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, BL siness 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 pt. rsuant 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 legall, 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.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perlI��uryjjhat I am licensed under provisions of Ct�pter��((commencing with Sectien 70 ) of Dlvl on 3 of the Business and Pr aionse d mr lice s 's in II fore.# and effect. License Class C 7j C0 License No i $ 'a5 �� O Date 20 Contractor Sig WORKERS' COMPENSATION DECLARATION NARNING. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA(PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), 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 penalty of perjury one of the following declarations: ❑ 1 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 th D, ormance of the work for which this permit is issued. Policy No. I have and will a in workers' com arise ion 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 ...ranee carier a po.1Z number a �s�,' 3arrier - P'dI'CyrrJ a Expiration Date lame 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 �s to become subject to the workers' compensation laws of California, and agre :hat, if I should become subje the �Lce\rs' com ensatio yy1isions fpf Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant i„_jy� D9_eK ZI)Q IZO nFCI ARATInN RFrART11 Cr1N.RTR11CTION 1 tmnmr ArFNCY �reby affirm under penalty of perjury that there is construction lending agency for the performance of the work for which 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 tate r Ing to building construction I authorize representatives of this city or cNinty ePter the ove-irtenti IP,(Lpro )Lfor inspection purposes. of Propertv Owner or Authorized ACTION PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED I DATE I S =-20 Owner's or Aut DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE U I SUBMITTED ASBESTOS NOTIFICATION TO EPA •• ••• •• QMD • �a • ••� UIASBESJOSNOTIFIGAT9 ' W03AISPLICA139E TO + F014 PROPOS D LITIOM1t SIGNA RE: • �. c V o D o s o 0 0 o c o 0 o c on o • • m mo e m •• ••• e a ee a• ae• permit is issued (Section 3097, Civil Code). ONLY Name rS7,Jh r 1 K