HomeMy WebLinkAboutX2022-1629 - Permits(.'E.)t,
City of Newport Beach - Building Division IIIIIIIIIII�IIIIIIIIIIIIIIIICOMB Permit: X2022-1629
100 Civic Center Drive, Newport Beach, CA 92660 - X 2 9 2 2 1 6 2 9 Project No
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Issued Date : 0610912022
`'•+ceriry+'+�* 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: 15 RIEZ NB
Description: SFR PEX REPIPE
Legal Desc.:
Owner:
HANJAN FAMILY TR
Address:
15 RIEZ
NEWPORT BEACH, CA 92673
Phone:
Applicant:
INTEGRITY REPIPE
Address:
927 CALLE NEGOCIO #D
SAN CLEMENTE CA 92673
Phone:
877-473-7473
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: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Valuation:
Building Permit Fee: $161.00
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: $176.49
PROCESSED BY:
ZONING APPROVAL:
Contractor:
INTEGRITY REPIPE
Address:
927 CALLE NEGOCIO #D
SAN CLEMENTE CA 92673
Phone:
877-473-7473
Con State Lic:
993925
Lic Expire:
0613012022
Bus Lic:
BT30066794
Lic Exp Date:
04/30/2023
Architect g � S 1 `CTQT .
Address: • -
Phone: State Lic:
Engineer:
Address:
Phone:
Worker's Compensation Insurance Designer:
Carrier: CLEAR SPRING PROP & CASUALTY C Address:
Policy No:
Expire:
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WO Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
CSWK0000050801
0813112022 Phone:
Rear: / Special Conditions:
Front: /
Left: /
Right: /
Fire Hazard Zone : N
$0.00
Planning Department-
$0.00
Plan check Fee
$0.00
Fair Share :
$0.00
SJH Trans :
$0.00
In -lieu Housing Fee
$0.00
Public Works Department-
$0.00
Park Dedication :
$0.00
P/W Plan Check :
$0.00
$0.00
San Dist:
$0.00
$0.00
NMUSD Fee:
$0.00
$14.49
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
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $176.49
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(.)
(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 Iicensure 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).
1, 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 -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, 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).
I am exempt from Iicensure under the Contractors' State License Law for the following reason:
By my signal -re be1C N I acknowledge that, except for my personal residence in which 1 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
0-cfccsions Coda, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of P.ropehy Owner or Authorized Agent Date
JCENSED CCNTRACTOR'S DECLARATION
I hereby affirm tide- penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 00) o Ivi 3 of the Business and Prof ons ode, and my license is in full force
cnd effect. License Class License No Da kf 6T _'L t Contractor Signature
�WCKKERS' COMPENSATION DECLARATION
V.ARA,AG: FAILURF TO FSCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED OUSAND 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.
II hereh,, 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 IN
�rrforrn3nce of the work for which this permit is issued. Policy No.
lave and wiP 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
:ante carrier and policy number are:
Policy Number
of Agent
Date
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 workey
'pensatio laws of California, and agre
I, if I should become subject to the whorl/� compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
(nature of Applicant (� //// Dat
!CLARATION REGAR G ury RUCTION LENDING AGENCY
areby affirm under pen ty pe that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil de).
lder'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 coun ordinance and state laws relating to building construction.
1 authorize representatives of this city or count enter th ove-identified property for inspection purposes.
nature of Property Owner or Authorized Apent Print Property Owner's or Authorized Agent's Name
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE BY DE RATION OF COMPLIANCE WITH CODE OF FEDERAL
R Of
PART 61 OF TITLE 40 AND AQMD RULE
NOTIFICATION TO
EPA
per WBESTOS NOTIFICATION IS TAPPLICABLE TO
PROPOSED ^tLITIONAV
FOR OFFICE USE ONLY
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