The URL can be used to link to this page

Home My WebLink AboutX2019-1881 - PermitslY1 City of Newport Beach - Building Division IIIIIIIIIIIIIIIII�IIIIIIIIIIIIII�IIIIIII II COMB Permit: X2019-1881 c� 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 8 8 1 Project No tA+ 'x Permit Counter Phone (949)644-3288 t. Inspection Requests Phone (949)644-3255 ``"`4Is+1u+'§ Combination Type - SFP ELEC PLUM Issued Date : 0611312019 Inspection Area : 4 PROCESSED BY: ZONING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: - APPROVAL TO ISSUE: 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: 3901 SANDUNE LN NB Description: SFR - REPIPE AND ADD WASHERIDRYER, SINK AND TANKLESS WATER HEATER IN DETACHED GARAGE Legal Desc.: N TR 6425 LOT 73 € r Owner: KIELY BERNADETTE Address: 3901 SANDUNE LN Contractor: Address: EQUITY PLUMBING 130 LIBERTY STREET Architect: Address: �' CORONA DEL MAR, CA 92625 Phone:. 503-961-3852 Phone: TUSTIN CA 92782 714-615-0767 Phone: State Lie: Y Applicant: EQUITY PLUMBING Con State. Lic: 805950 Engineer. Address: 130 LIBERTY STREET Lie Expire; 09/30/2019 Address:` meme TUSTIN CA 92782 Bus Lie: BT30060553 ... ooee� Phone: 714-615.0767 Lie Exp Date: 0913012019 Phone: State Lie: amem Code Edit: 2016 Worker's Compensation Insurance Designer Type of Construction: VB Carrier: INS. CO OF THE WEST Address: Occupancy Group: R31U Policy No: WSD504647700 Added /New sq.ft. Bldg: 0 Expire: 0211412020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: / Special Conditions: No of Units: 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / :°°CEO m°a°-.° Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone: N Construction Valuation: $7,000.00 Building Permit Fee: $184.00 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 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PNV Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $12.88 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $16.56 $0.00 /j TOTAL FEE: $214.44 / / Plan Check Fee : $0.00 Fee Due at Permit Issuance : $214.44 PROCESSED BY: ZONING APPROVAL: 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) (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 U all of or U 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). ❑ 1 am exempt from licensure 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 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm u0der'ptnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 Ivrsron 3 of the Business and Prof 0Dr�Code, and/ryy license is in full force and effegt. License 4kass License No Dat (7—i.3 �%9 Contractor Signatur ?� WORI?h'RS' CONFE14SATION DECLARATION WARNING: 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 ($100,000), IN ADDITION TO THE (�DST 9g eOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I l(prebv affirm under p%nalty of perjury one of the following declarations: ...... ®I ve 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 the I? nrr lance of: he w®�k for which this permit is issued. Policy No. ave and will rdalntain 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' compensatior wrire carrier and policy number are: rier: : _ „ Policy Number Expiration Date ris+ef Agent Phone # cgrtify that -the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree , if I should become subje t workers' pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Gy iature of Applicant � Date�� Ireby 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. 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 to a the above=-Mirtifed property for inspection purposes. ../ nature Df Prooartv Owner or Authorized ADent ✓LL9W fii/T.�`—Z6— Print Prooertv Owners or Authorized ADenPs Name t re t%Kee ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE T 11403 _ PERMITEXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED QMD PERMITFINALSBES OS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF s� ZCt 1'I PROPOSE /UTION OCCUPANCYISSUED ( SIGNA7UR . • r e2i—o" RIM cjq I 5� s LP 0b�eeo oco ccr� oc ,R e_ ee A L i N iJ TI U erg r _„ D L' mOmP.r<�-�'��C ZA�mL2mOni 1 5� s LP 0b�eeo oco ccr� oc e_ ee N erg VVV tl fy