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Home My WebLink AboutX2019-1481 - PermitsCity of Newport Beach - Building Division X2019�1481 COMB Permit : X2019-1481 . 14l3,Civic Center Drive: Newport Beach, CA 92660 Project NO . t Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date: 05/08/2019 e - MFP PLUM Combination Type Inspection Area. 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VAUD INSPECTION. Construction Tours: Monday - Friday 7.00 a.m. to 6: 0 p.m. and Saturday from .FYtI .m. to 5.t}t� .n1. l�lo of "o Sundays or Holidays Job Address: 487 MORNING CANYON RD NB Description- MFR COPPER REPIPE Legal Desc.: TR 12079 LOT 1 UNIT 1 OF PROJECT LOCATED ON AP 459-151-26 TOGETHER _ Owner. LANGFORD ANTHONY JACQUES Contractor. NUNEZ AMPELIO HWY Architect: Address: ;� 4��• i Address: 24362 BAXTER DR Address: 2500 E IMPERIAL #213 MALIBU, CA 90265 Phone: BREA CA 92821 714-618-2633 Phone: - State Lie: Phone: Applicant: NUNEZ AMPELIO , Con State Lie: 852741 Engineer: ° Address: 2500 E IMPERIAL HWY #213 Lie Expire: 01/31/2021 Address: 4 ° BREA CA 92821 Phone: 714-618-2633 Bus Lie: Lie Exp Date: BT30062723 04/30/2019 Phone: o O State Lie: 00 0 Code Edit: 2016 Worker's Compensation Insurance Designer. OC?O 3 O O Type of Construction: V-B _ Carrier: TRUCK INSURANCE Address: Occupancy Group: R2 Policy No: A09473256 Added /New sq_fL Bldg: 0 Expire: 08/01/2019 Phone: Added /New sq. ft. Garage: 0 No of Stones: 2 Building Setbacks Rear. / Special Conditions: No of Units: 14 Front: / ° Bldg Height: 0 Left: / A o® v O Bldg Sprinklers: Flood Zone: / Right: Rig Use Zone: Parkin Spaces: 0 Fire Hazard Zone: N Construction Valuation: $3,500.00 Building Permit Fee: $136.00 Excise Tax: $0.00 Planning Department - $0.00 Fire Department Fire Inspection: $0.00 Plan Check Fee: $0.00 Ck: $0.00 Additional Fee, Grading Bonds Fee:_ ' $0.00 Plan check Fee: $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 Overtime Plan Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans: $0.00 Demolition Fee $0.00 Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Deptce General Service $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department $0.00 Park Dedication : - $0.00 Refund Deposit $0.00 CA Seismic Safety: $0.00 WO Insp. Fee: PAN Plan Check: $0.00 Grading Bond: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist : $0.00 $0.00 Building Green Fee: $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $12.24 TOTAL F E : $149.24 Plan Check Fee: $0.00 Fee Due suance : $149.24 PUBLIC WORKS AP OVAL: PROCESSED BY. ZONING APPROVAL: GRADING APPROVAL: f �' PLAN CHECK BY: APPROVAL TO ISSUE: 1 OWNER -BUILDER DECLARATION i hereby affirm under penaltyof 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 items ction 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 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 fessions 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 more than five hundred;dollars ($500). U I, as owner of the pi Business and Professio improvements are not it improved for the purpos ❑ 1, as owner of the pr apply to an owner of prc ❑ 1 am exempt from lit By my signature below I sell a structure that I ha Professions Code, is av Signature of Pi- y 0 LICENSED C0,14TRA hAr%14- affirms-:Iae'ercpe and effr ct. 1-63ri9e pie MG( F6K,P_RS' COINIPEi COST eF COMPEIv.ATION�, 0) hertty affirm under Pei �ae and vat xsir nce of the, workm f �hav and wiE ain..:, his r0a'r ce carrier acnd poia c ie of Agent c c c certify that, in the perfot if I should become s156 Iature of ADDIICan hereby affirm under p`er -enders Name 3y my signature below, 1 I am the property ow I have read this appl 1 agree to comply will I authorize represent Signature of Property Ov ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, s7 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 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 y, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ,who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ire under the Contractors' State License Law for the following reason: iovvledge 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] ilt'as' an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and ei upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. or Authorized Agent Date i'S', DECLARATION Of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 Div" ion 3 of the Business and Profe m r�se'is €n full force License No Date C- L _f cContractor Signatur TI'ON DECLARATION BRIERS' 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 =S AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. of perjury one of the following declarations: 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 thl rhich this permit is issued. Policy No. 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' are: Policy Number Expiration Date Phone # ie�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 a ns to ' s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ] l i{ O'NSTRUCTION LENDING AGENCY iequry 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 Address certify to each of the following: ier, or authorized to act on the property owners behalf. :;ationiand the information I have provided is correct. I ll applicable city and county ordinances and state laws relating to building construction. atives of this city or co men er e e for inspection purposes. ner or Authorized Agent ��inaerty Owners or Authorized Ag DATE: BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 1 SUBMITTED ASBESTOS NOTIFICATION TO EPA QMD �' c7 V ESTOS NOTIFICATION IS NOTAPPLiCABLE TO ED DEMOLITION SIGNATURE: 9