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HomeMy WebLinkAboutX2020-2431 - Permits9w10 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIII III COMB Permit: X2020-2431 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 2 4 3 14 Project No r Permit Counter Phone (949)644-3288 "`u .$ Inspection Requests Phone (949)644-3255 ra„1ReY�y.� Combination Type - SFP PLUM Issued Date : 10122/2020 - Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1012312023 OR PERMIT WILL BE INVALID 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: 44 CHANDON NB Description: SFR PEX REPIPE Legal Desc.: TRACT 14565 LOT 4 OF PROJECT 936-46 LOCATED ON AP 461.251-13 Owner: HAWKINS ANDY Address: 44 CHANDON Contractor: Address: REPIPE 1 Architect: 19326 VENTURA BLVD #201 Address: A m"' NEWPORT COAST, CA 92657 TARZANA CA 91356 i�Dl' Phone: Phone: 818-342-2927 Phone: State Lie: mmme ° ° mme000 Applicant: REPIPE 7 Con State Lie: 927892 Engineer: ° ° m ° Address: 19326 VENTURA BLVD #201 Lie Expire: P 01/31/2021 Address: ° o ° ° TARZANA CA 91356 Bus Lie: 8730070567 om m oe o ° • Phone: 818-342-2927 Lie Exp Date: 10/31/2021 Phone: State Lie: ° • • m ® o ° m m0 b CO C Code Edit: 2019 Worker's Compensation Insurance Designer: fl • • o m ° �> ° Type of Construction: V -B Carrier: BENCHMARK INSURANCE Address: ° ° Occupancy Group: R31U Policy No: CST6013781 Added /New sq.ft. Bldg: 0 Expire: 09115/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: eeeoo ...... ° o No of Units: 1 Front: / moo. Bldg Height: 0 Left: I Bldg Sprinklers: Right: / Flood 7_one: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $7.700.00 Building Permit Fee: $212.00 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 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green as : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $19.08 $0.00 TOTAL FEE : $232.08 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $232.08 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: i 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) 1 have placed next to the applicable item(s) Iction 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). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, siness 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 Irovements 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 Ay 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 signatureebelovy 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 I a structure>'that-141ve 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 Ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. IrMire of PfpbMj Owner or Authorized Agent Date :E11SED CONTRACTOR'S DECLARATION Ineby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio)AL 000) of Division 3 of the Business and Pro Bions .ode, and mY 'cens, s in full force i Pact. Li lens Class License No DaContractor Signatur aRi(ERS' C®MPeNSATION DECLARATION MUG: FAILURETO ��S5BCURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI PENALTIES AND CIWL FINES UP TO ONE HUNDRED T OUSAND DOLLARS (E100,000), IN ADDITION TO THE 1r CIFa OMPEN%4TJdN, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. salty affirm unVr penalty of perjury one of the following declarations: i 11awe and Will rermfrltain 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 IN formAnce of lli%w- r%for which this permit is issued. Policy No. k1ha*vS and wjl�PMafhiain 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 ce carrier and policy number are: Policy Number Expiration Date Name of Agent Phone # :1I certify that, in the perfo ance 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 should becom su ject toyth�'workers' comp prlsat+ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. -ry signature of AppDat )ECLARATION REGA IN ONSTR CTION LENDING AGENCY hereby 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). -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 have provided is correct. I agree to comply with all applicable city and coun ordinances and state laws relating to building construction. I authorize representatives of this city or cout ente eabove-identified roperty for inspection purposes. c ii nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Eli J i"'J Dat "ZZ ACTION DATE BY CLARATI N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMITEXTENDED DNUAQMD ISNOTAPPLICABLE TO CERTIFICATE OF OCCUPANCYISSUED