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Home My WebLink AboutX2019-2288 - Permitsiiiiiiiiii II COMB Permit: X2019-2288 Project No : Issued Date: 0712212019 Inspection Area : 4 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: 40 RUE FONTAINEBLEAU NB Description: SFR PEX REPIPE Legal Desc.. City of Newport Beach - Building Division .Address: _ 100 Civic Center Drive, Newport Beach, CA 92660 P E® �� Phone: Permit Counter Phone (949)644-3288 SHACHAR KATHERINE BOHAN Contractor: Inspection Requests Phone (949)644-3255 $0.00 • o °. Combination Type - SFP PLUM iiiiiiiiii II COMB Permit: X2019-2288 Project No : Issued Date: 0712212019 Inspection Area : 4 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: 40 RUE FONTAINEBLEAU NB Description: SFR PEX REPIPE Legal Desc.. N TR 7788 LOT 50 .Address: _ INS P E® �� Phone: Owner SHACHAR KATHERINE BOHAN Contractor: AMERISERVE REPIPING CO INC Architect: $0.00 • o °. $0.00 Address: 40 RUE FONTAINEBLEAU Address: 7716 BALBOA BLVD #7 Address: Building Green Fee ; NEWPORT BEACH, CA 92660 $0.00 VAN NUYS CA 91406 m o Phone: $0.00 Phone: 818-787-9777 Phone: State Lie: Applicant: . AMERISERVE REPIPING CO INC .Address: 7716 BALBOA BLVD #7. Overtime Plan Ck: VAN NUYS CA 91406 Phone: 818-787-9777 Code Edit: 2016 Type of Construction: V -B Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Valuation: $4 Building Permit Fee: _ -$152.00 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: $166.68 PROCESSED BY: ZONING APPROVAL: Con State Lie: 855252 Lie Expire: -.03/3112021 Bus Lie: BT30063781 Lie Exp Date: 0 712 312 01 9 Worker's Compensation Insurance Carrier: MIDWEST Policy No: BNUWC0141695 Expire: 09/14/2019 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $13.68 0 Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: Planning Department- Fire Department Plan check Fee: • o Fair Share o o n SJH Trans •m o In -lieu Housing Fee: e o Public Works Department - ParkDedication: $0.00 PM Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $0.00 00 Fire Department • o • o o n •m o •m o mo. e e o o mo. o 0 0 State Lie: Building Dept Adm $0.00 o o e e0000 m oo m $0.00 m0000 0 $0.00 000mmoo mmommm o 0 0 000moo 0 00 0 o e o ommo° omnia $0.00 $0.00 Fee Due at Permit Issuance : $166.68 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00. Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $166.68 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) action 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 Ifessions 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). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, ainess 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 movements 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 (roved 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 )ly 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. licensure under the Contractors' State License Law for the following reason: my signatuic►BAIAy 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 legall, a structure Ourt-l•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 �fegyions Code, isavailable upon request when this application is submitted or at the following Web site:http://www.leg;1 nfo.ca.gov/calaw.htmi. natdre of Mpbrty Owner or Authorized Agent Date :E%SED CONTRACTOR'S DECLARATION uraby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 vl n 3 of the Business and Profs ions de, and my license is in full force I e4fect. License Crass License No Date - ` . Contractor Signature tKERS' COMPI�NSATION DECLARATION / /R_ MG: FAILURE TO-SEOURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN"ED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OP•COMPENSA'DON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. . 9); affirm under penalty of perjury one of the following declarations: haue and.44 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 thi giance of the work for which this permit is issued. Policy No. and will Mirftain 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' _garrier and policy number are: ie of Agent _ certify that, in the p . if I should become of Applicant Policy Number Expiration Date Phone # Ice 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'com ensation laws of California, and agre to t00 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. !( Date Z Z •/g CLARATION REGARPIONSTRUCTION LENDING AGENCY / ;reby affirm under pe alt of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 evil Code). Ider's Name Lender's Address 3y 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 rdinances and state laws relating to building construction.. I authorize representatives of this city or county to nitere-identified property for inspection purposes. the v Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Ag ACTION DATE BY D RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RE ULATIONS PART 610E TITLE 40 AND AOMD RULE PERMITEXPIRED (_((SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EpA. CERPERTIFICATE OF ' $�I Iq Y! PRO ITFINAL SBEED S MOLITC IS NOT APPLICABLE TO OCCUPANCY ISSUED SIGNATI l