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Home My WebLink AboutX2016-3814 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 u Inspection Requests Phone (949)644-3255 �'crun�c* Combination Type - SFP PLUM Job Address: 12 PAVONA INS Description: SFR - PEX REPIPE Legal Desc.: Owner: LABRIE LINDA Address: 12 PAVONA NEWPORT BEACH CA 92657 Phone Applicant: AMERI-CAL REPIPE & PLUMBING Address: 6900 KNOTT AVE, UNIT J BUENA PARK CA 90621 Phone: 662-644-7477 Code Edit : 2013 Type of Construction: VB Occupancy Group: R3/U Added /NewlTl sq.tt. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: *X2016-3814* COMB Permit: X2016-3814 Project No : ISSUANCE OR LAST VALID INSPECTION. Contractor: AMER]-CAL REPIPE & PLUMBING Address: 6900 KNOTT AVE, UNIT J BUENA PARK CA 90621 Phone: 562-644-7477 Con State Lic: 928649 Lic Expire: 01131/2018 Bus Lic: BT30046009 Lic Exp Date: 10/31/2017 Worker's Compensation Insurance Carrier: SECURITY NATIONAL Policy No: SWC1084000 Expire: 09101/2017 Building Setbacks Rear: / Front: / Left: / Right: / 0 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: Fire Hazard Construction Valuation: $9,750.00 Building Permit Fee: $217.00 Excise Tax: $0.00 Planning Department - Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share Investigation Fee: $0.00 Grading PC Consultant . $0.00 SJH Trans Record Management : $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Disabled Access : $0.00 P/W Plan Check: $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 Plumbing %: $19.53 TOTAL FEE: $237.53 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee Issued Date : 11117/2016 Inspection Area : 6 State Lic: State Lic: 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: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $237.53 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 `) 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 horn Iicensure 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 legalh sell a ,tructurp mar ! rave 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. 5ienab.'re of Propety, Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION � I nereo,, affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of Division 3 of the Business and Professions Code, and my license is in full force and aIfect. Lirense Vass License No Date Contractor Signature &URKERS' COMPENSATION DECLARATION ,VAkNING: 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(, IN ADDITION TO THE gIFT C° 90MPENSATION, nAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm Lr,Q& penalty of perjury one of the following declarations: L' na,,e and wT : aintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as providedfor by Section 3700 of the Labor Code, for th RW.r.,ance of -he wc,k for which this permit is issued. Policy No. and will 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 of Agent Date 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 agre t, if I should become subject to the workers' 'com�pensat^ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant / wit// Date CLARATIC REGARDING COIMAI ICTION LENDING AGENCY :reby 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). 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. 1 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 c ty to ntgr thip abov id ntified property for inspection purposes. nature of Property Owner or Authorized _ ent %� X l!'' Print Property Owners or Authorized Agent's Name Date t t'1I�)' ACTION DATE B4- ' DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AN D AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO All required alarms, latches gates and fences which serve as part of a pool/spa barrier, Shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool. PERMIT CANCELLED EPA PERMITEXTENDED QMD PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED ' Pry.. ..a&jwtA' P A�BESTOS NOTIFICATION 15 NOT APPLICABLE TO R OSED gEM,OUTION SIGNATUREIU