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Home My WebLink AboutX2022-1712 - Permits,wwvn¢ City of Newport Beach - Building Division 'X2022-1712' COMB Permit: X2022-1712 4 A 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 0067-2021 r Permit Counter Phone 949 644-3288 V - Inspection Requests Phone (949)644-3255 Issued Date : 06/20/2022 Combination Type - SFP PLUM Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 4 VENETO INS Description: SFR PEX REPIPE (19) FIXTURES Jl _ Legal Desc.: N TR 15078 LOT l l Owner: SCACCO JOHN Contractor: P P S PLUMBING SERVICES INC Architect: Address: 4 VENETO Address: 1215 W IMPERIAL HWY, STE 212 Address: NEWPORT BEACH, CA 92660 BREA CA 92821 Phone: Phone: 714-271-7748 Phone: State Lic: �^ Applicant: P P S PLUMBING SERVICES INC Address: 1215 W IMPERIAL HWY, STE 212 Con State Lic: Lic Expire: 805401 03/31/2024 Engineer: Address: ° !!.. BREA CA 92821 Bus Lic: BT30079052 Phone: 714-271-7748 Lic Exp Date: 06/30/2023 Phone: State Lic ° Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: NORGUARD Address: Occupancy Group: R3/U Policy No: PPWC256511 Added /New sq.ft. Bldg: 0 Expire: 0810912022 Phone: o . Added lNew sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: „.. co No of Units : 1 Front: I " Bldg Height: 0 Left: / - Bldg Sprinklers: Right: I -food Zone: X Construction Valuation: $7,000.00 Building Permit Fee: $196.00 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: $213.55 PROCESSED BY: ZONING APPROVAL: u Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PNV Plan Check : $0.00 Grading Bond: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $17.55 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $213.55 PUBLIC WORKS 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sale 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-Builderwill 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, 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 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 legally '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 oenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions C nd my license is in full force and effect. License Crass License No Date .2O Contractor Signature VORKcRS' COMPENSATION DECLARATION llARNING. FAILUR. TU SECURE 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and Nill „nal,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 the peplq,mance of the work for which this permit is issued. Policy No. and wil( 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' carrier and policy number are: Policy Number Expiration Date of Agent Ui cerJ1y that, in the Performance of th rk f hich 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 ageet that, it I should bea�me subject h er ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant QiJ' l Dates/1L/✓ DECLARATION REGARDINUCCINSTYKJCTION LENDING AGENCY I 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). Lender's Name Lender's Address By 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 ordinan s a state laws relating to building construction. I authorize representatives of this city or county to enter ab -identified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name Da Xi t,�( ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED ~ V1'(SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED , Annnn _ CERMFICATAL '{.i�S r> k `RAOpOSED S MOLIFIC ION IS /APPPP/ABLE TO OCCUPANCYISSUED SIGNATURE: �i .."Y