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Home My WebLink AboutX2017-1098 - PermitsCity of Newport Beach - Building Division a4 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP PLUM COMB Permit: X2017-1098 X 2 01 7 1 0 9 8�� Project No : Issued Date : 0410412017 Inspection Area : 8 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: 9 HONORS DR NB q , •'s , ' Description: SFR PEX REPIPE 17 FIXTURES/4 HOSE BIBBS W/ DRYWALL REPAIR , 7. : „_ .' Legal Desc.: N TR 15389 LOT 27 x 00, "'+ Owner: AVILA SERGIO Contractor: MR REPIPE Architect: Address: 3809 SEASHORE DR Address: 138 112 W 86TH PLACE Address: NEWPORT BEACH, CA 92663 LOS ANGELES, CA 90003 .. , . Phone: Phone: 323.627-6625 Phone: State Lic: Applicant: SALAZAR ALICE Con State Lic: 970896 Engineer: Address: 138 1/2 W 86TH PLACE Lic Expire: 03/31/2018 Address: LOS ANGELES, CA 90003 Bus Lic: BT30056805 Phone: 323-627.6625 Lic Exp Date: 07/31/2017 Phone: State Lic: Code Edit : 2016 Type of Construction: Occupancy Group: R3IU Added /NewfTl 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: X Worker's Compensation Insurance Designer: Carrier: EXEMPT Address: Policy No: NO EMPLOYEES Expire: Phone: Building Setbacks Rear: / Special Conditions: Front: I Left: I Right: I Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $8,000.00 Building Permit Fee: $187.00 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 WO 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 %: $16.83 $0.00 TOTAL FEE : $204.83 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $204.83 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARA I hereby arfirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) inch Bection 7031.5, Business and Professions Code: Any city or County that requires a permit to construct, alter, improve, del ie o=rmit to flc :: signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License professions Code). c-that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Sec of .nore than five hundred dollars ($500). 1 �, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of ;us'ness anu Professions Code: The Contractors' State License Law does not apply to an owner of property who, through nnrovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of com nnroved for?he purpose of sale). I I as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044 pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contract; I I am exel fi,3.c licensure under the Contractors' State License Law for the following reason: Iv my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one ell a ttl tha, , have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I u 'rofessions C)Je, is available upon request whgn tos application is submitted or at the following Web site: http://www.legil signature of Property Owner or Authorized Agent( (/ .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) 1 nd effect. License Class License No Date COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN DST 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: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director erformance of the work for which this permit is issued. Policy No. ]I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the Isurance carrier and policy number are: :arrier Policy Number qme of Agent d below by the checkmark(s) I have placed next to the applicable items) Ih, or repair any structure, prior to its issuance, also requires the applicant for (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of work, and the structure is not intended or offered for sale (Section 7044, ployees' or personal effort, builds or improves the property, provided that the on, the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). to completion of the improvements covered by this permit, I cannot that a copy of the applicable law, Section 7044 of the Business and Da1dC rcalaw.html. y/ „/ v, Division 3 of the Business and Professions Code, and my license is in full force Contractor Signature CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE Industrial Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner 110 as to become subject to the workers' compensation laws of California, and agre if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwit comply with those provisions. latureofApplicantX 'r Dat veby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for w 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 state laws relating to building construction. I authorize representatives of this city or county toenterthe above -identified property for inspection purposes. nature of Prooertv Owner or Authorized AGenR / GI f/l/---�� Print Property Owner's or ACTION PERMIT EXPIRED PERMIT C,4NCELLED PERMITFINAL CERTIFICATEOF OCCUPANCY ISSUED DATE BY DECLARATION OF II REGULATIONS PPA T061 OF IITLE 40 AND QMD RULE CE WITH CODE OF AL FOR I SUBMITTED ASBESTOS NOTIFICATION TO this permit is issued (Section 3097, Civil Code). USE ONLY V / 4 All required farms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place qrior to approval to fill pool/spa & shall remain in place & be maintained for the NOTIFICATION IS NOT APPLICABLE TO life of the p ol.