HomeMy WebLinkAboutX2019-2089 - Permits�xvn City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-2089
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1. 9 2 0 8 9 Project No:
rX+'. Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
ear„>m Combination Type - MFP ELEC PLUM Issued Date : 0710312019
Inspection Area : 2
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: 527 WESTMINSTER AVE N0
Description: MFR PEX REPIPE & REPLACE OUTLETS, INCLDS DRYWALL REPAIR
Legal Desc.: N TR27 BLK 2 LOT 19 w , ^
Owner ESPINOSA Contractor: CONTREX INC Architect: INSPECTOR'
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Address: 527 WESTMINSTER AVE #B Address: 31402 ISLE VISTA Address: VVV V 1
NEWPORT BEACH CA 92663 LAGUNA NIGUEL CA 92677
Phone
Applicant:
CONTREX INC
Address:
31402 ISLE VISTA
Record Management :
LAGUNA NIGUEL CA 92677
Phone:
714-420-1806
Code Edit: 2016
Type of Construction: VB
Occupancy Group: R3
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 2
Bldg Height: 0
Bldg Sprinklers: N
Building Permit Fee: $264.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0,00
Record Management :
$2.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE:
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Phone: 714.420-1806 Phone:
Con State Lic:
533798.
Lie Expire:
' 0613012020
Bus Lie:
BT30067650
Lie Exp Date:
06/30/2020
Worker's Compensation Insurance
Carrier:
NO EMPLOYEES
Policy No:
Grading Bonds Fee:
Expire:
Fair Share:
Building Setbacks
Rear: I
Fire Plan Rev
Front: I
$0.00
Left:/
Right: /
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
State Lie:
State Lie:
Excise Tax:
$0.00
Planning Department-
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Fire Department
Additional Fee:
$0.00
Plan check Fee :
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$0.00
Fire Inspection:
Grading Bonds Fee:
$0.00
Fair Share:
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$0.00
Fire Plan Rev
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
mm o
$0.00
Building Dept Adm
Grading PC Fee:
$0.00
Public Works Department -
0
General Service
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
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Refund Deposit
o 0
0
PM Plan Check:
$0.00
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Grading Bond:
Electrical %:
$18.48
San Dist:
$0.00
$0.00
Mechanical %:
$0.00.
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$23.76
$0.00
Plan Check Fee: $0.00
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Fee Due at Permit Issuance : $309.24
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for thereason(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 (_) 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).
❑ 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 legall)
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 Joftheaicable 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.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with a ion 700 o ' 'Sio 3 of the BusProfessions my license is in full force
and effect. License Class License No a Contrature
TION DECLARATION
ING: FAILURE•TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINALAENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
OF COMPENSAiIOR,VAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
ray affirm urd%rryRhalty of perjury one of the following declarations:
have and wsl 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 th,
WAce of the Work for which this permit is issued. Policy No.
.•.•
Ia�nd will 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'
apse• carrier and policy number are:
as. : . • • Policy Number Expiration Date
RMfp that, in the performance of the
if I should b0Co d subject t o
...
Iued, I shall not employ any person in any manner so as to become subject
of Section 3700 of the Labor Code, I shall forthwith comply with those provi
hereby affirm—under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is
_ender'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 Wpro'drrect.
I agree to comply with all applicable city an coustate laws relating to building construction.
I authorize representative '� city county tentified property for inspection purposes.
signature of Pro ert Ow r oe r Au zed Agent Print Property Owner's or thorized Agent
ACTION DATE - BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFI E USE ONL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
PERMIT CANCELLED
I SUBMITTED ASBESTOS NOTIFICATION TO
CERTIFICATE OF ITFINAL I I IV y, �PO URE: ENOTIF ��PLICABLE TO
OCCUPANCYISSUED + '� �� "55
compensation laws of California, and
Civil Code).