HomeMy WebLinkAboutX2019-1108 - PermitsCity Newport Beach _ Building Division IIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIuIIII
100 Civicis Center Drive, Newport Beach, CA 92660 COMB Permit: X2019-1108
Permit Counter Phone (949)644-3288 Project NO
Inspection Requests Phone (949)644-3255
e rnxb Combination Type - MIFF PLUM Issued Date: 04/08/2019
Inspection Area : 6
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. t ' 8:00 p.m. No work on Sundays or Holidays
Job Address: 25 ANJOU NB
Description: MFR PEX REPIPE WIDRYWALL REPAIR
Legal Desc.:
Owner: GLEN LIU
Address: 2555 MAIN ST #2091
IRVINE CA 92614
Phone:
Applicant: INTEGRITY REPIPE
Address: 927 CALLE NEGOCIO #D
SAN CLEMENTE CA 92673
Phone: 877.473-7473
Code Edit : 2016
Type of Construction: VB
Occupancy Group: R2/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units: 6
Bldg Height: 0
Bldg Sprinklers:
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:
GRADING APPROVAL:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
Contractor:
INTEGRITY REPIPE
Architect:
§'
? {'
CTO"'7i
Address:
927 CALLS NEGOCIO #D
Address:
�
SAN CLEMENTE CA 92673
Phone:
.877.473-7473
Phone:
State Lie:
Con State Lie:
993925
Engineer:
�
Lie Expire:.
06/30/2020
Address:
Bus Lie:
ST30066794
m
Lie Exp Date:
04130/2020
Phone:
State Lie:
° r
Worker's Compensation Insurance
°
Carrier:
TWIN CITY FIRE
Designer:
Address:
° ®O00
Policy No:
76WEGGGS692
Expire:
08/25/2019
Phone:
Building Setbacks
Rear: I
Special Conditions:
° °%
Front: /
°
Left: /
-
°°°�° ° °`••:
Right: I
Use Zone: Parkin S aces:0
Fire Hazard Zone : N
°• •
Excise Tax:
Additional Fee :
$0.00 Planning Department -
$0.00
Fire Department
-
Grading Bonds Fee:
Plan check Fee :
$0.00
$0.00
Fire Inspection:
$0.00
Grading PC Consultant:
$0.00 SJH Trans
$0.00
Fire Plan Rev
$0.00
Grading Permit Fee:
:
$0.00 In -lieu Housing Fee:
$0.00
$0.00
Demolition Fee
Grading PC Fee:
$0.00 Public Works Department
-
Building Dept Adm
$0.00
WQ Insp. Fee:
$0.00 Park Dedication:
$0.00
General Service
$0.00
Electrical %:
P/W Plan Check:
$0.00
Refund Deposit
Grading Bond:
$0.00
$0.00
Mechanical %:
$0.00 San Dist :
$0.00 NMUSD Fee:
$0.00
$0.00
Plumbing %:
$13.68
$0.00
$0.00
Plan Check Fee: $0.00
Fee Due at Permit Issuance $166.68
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby afnrm under penally oofess ons Code: Any c orf county that requ'� s a permit to co stect rated improareasonve,ldemolish, orrepairtany structure, prior to its pissuance, lsollrequi es the appicablicant for
action 7031.5, Business and Pr
;permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 0 (commencing with Section 7000) of Division 3 of the Business an
ofessions 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
t more than five hundred dollars ($500).
r (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
who, through I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of o
Iprovements aref not ntanded orr offe ed for sale. Sfahowlever, the budild ng o� imprlovement snsoldfwithm o employees'
ds
improves the
e o
y ar of complet n, the Owner -Builder fw I have f e theburden of proving provided that it was not builttor
I roved for the purpose of sale). ad Contractors to construct the project
'ply to an owner 1, as owner of the
property,
who exclusively contracting
ting with
licens
who contracts for the projects with a licensed cContract r pursuant to he Contractors' State License Law). State License Law does no
uilds or
ll
I am exempt from licensure under the Contractors' State License Law for the following reason:
hl
yll a signature
that I halve built le an that, except for my
-builder f i has not belen constructed nsidence in l it Intirety by lice sed must have resided for
I understalnd that a copy of theapplicable law, improvements
7044covered by tof the Business nandnot legal
rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Date
igniture of Property Owner or Authorized Agent
fCE.6SED CONTRACTOR'S DECLARATION
Weby affirm under penalty of p ufY that I am licensed under provision of to 9 ommencing with Dion 7000 )-of staff -3 -of the
a anaturefessions Code, and my license is in full force
Rd' gffect. License Class ar ��L License No A ` Doff
JO1f iRS' COMPENSATION DECLARATION
'ARANG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS OLLARS (6160,6661. IN ADDITION TO
THE
OS= el• COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3766 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hdraby9ffirm under penalty of perjury one of the following declarations:
%ve 9nd 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 th
�f
rforRlafice of the work for which this permit is issued. Policy No.
ave andwill maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which thispermitis issued. My workers' compensatior
isudaq�`oo2r rand policy nurl�b rare: 7 (/yl�p LnGel
2 Expiration Date4 1' -1
;arrier -{d� Wl 1 af� Policy Number __. Phone #
)ame otAgP•nt
�Icertify that, in tzhe performance 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 agree
hat, if I s €Come subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
iigna re pp icant
)ECL TION REGARDING CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the peer Address of the work for which this permit is issued (Section 30 ,Civil Code).
er's
_ender's Name
3y my signature below, I certifyto 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. ,oses� f��� �• r
I authorize representatives of this city or co Wto enter tt�above-identified property for inopectoi,. ons owners or Authorized ant's N�my - Date I
or Auth e e
R OFFICE USE
DAT BY D RATION OF COMPLIANCE WITH CODE OF FEDERAL FO
rIII ATIONS PART 61 OF TITLE 40 AND AQMD RULE
EXPIRED
CANCELLED
CERTIFICATE OF T ��
OCCUPANCYISSUED
)S NOTIFICATION IS N APPLICABLE TO
DEMOLITION