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HomeMy WebLinkAboutX2019-1640 - Permitsy, City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA,92660 `E Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 �ev4 Combination Type - MFP PLUM *X2019-1640 COMB Permit: X2019-1640 Project No: Issued Date : 05/22/2019 Inspection Area : 3 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: 1256 RUTLAND RD NB St: 1 Ft: 1 Unit: 1 Description:. MFR-REPIPE Legal Desc.: TR 8638 LOT 1 UNIT 36 OF PROJECT LOCATED ON AP 425.081.07 TOGETHER 1 Owner: MARISSA GONZALEZ Address: 1184 RUTLAND RD #1 NEWPORT BEACH, CA 92660 Phone: Applicant: JAMES LE COURT PLUMBING Address: 27176 BURBANK FOOTHILL RANCH CA 92610 Phone: 949-661-8002 Code Edit: 2016 Type of Construction: VB Occupancy Group: RVU 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: Flood Zone: Building Permit Fee: $136.00 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 FVE : $149.24 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: JAMES LE COURT PLUMBING Address: 27176 BURBANK Fair Share : FOOTHILL RANCH CA 92610 Phone: 949-661-8002 Con State Lie: 868279 Lie Expire: 11/3012019 Bus Lia ST30011771 Lie Exp Date: 09/30/2019 Worker's Compensation Insurance Carrier: FALLS LAKE FIRE Policy No: FLA006314 Expire: 06/2712019 Building Setbacks 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: I Right: / 3arkina Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.24 Plan Check Fee Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: Planning Department - Fire Department Plan check Fee Fire Inspection: Fair Share : Fire Plan Rev SJH Trans: Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication: $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 1 d kf3' J ' State Lie: State Lie: $0.00 Fee Due a PUBLIC WORK APPROVAL: PLAN CHECK BY. APPROVAL TO ISSUE: Permit Issuance : eeoe e eemmo Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 .Refund Deposit $0.00 Grading Bond: $0.00 Fee Due a PUBLIC WORK APPROVAL: PLAN CHECK BY. APPROVAL TO ISSUE: Permit Issuance : eeoe e eemmo s eem e 4 e 40 Q e es e 6mm 0 oemmeo O e o ® o mo b e 0 b p mo 0 o m o0 e ©m ec.cm 0 mmeoo beereC mm ¢o mola. �, mo®e $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $149.24 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 ie 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 'rofessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 1roved for the purpose of sale). ' 1, 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 pply 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: iy 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) ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Iignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm ug8rlr`04alty of perjurythat I am licensed under provisions of C a to (commerlC�g with Section 7000) ivisi 3 of a Business and Pr s Co , and my license' I pd effect. License class Gfi �o License No � Z 7f Date ontractor Signatur J0RMS' CVMPEWSATION DECLARATION IABNIN% FAILURE'r0 SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN PENALTIES AND CIVIL FINES up To ONE HUNDRED TKOUSAND DOLLARS ($100,000), IN ADDITION TO THE OSLOF QOMPENSATIGN, DAMAGES AS PROVIDED FOR IN SECTION 37050F THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Rereiy affirm under paoalty of perjury one of the following declarations: • I'4gvfl and wifllnaifflain 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 nceof the wo*ofor which this permit is issued. Policy No. aup' nd will'rrlaintain 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' compensatiol VSULeaR carrier arlU policy number are: laor, ' -,a Policy Number Expiration Date NWp1E,gf,Agent ' Phone # t Gelify that, in 4hkp�sHorm�n of t e ork 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 ogre that, if I should become a lett to t rkers' compensation provisions of Section 37 f abor Code, I s II forthwith comply with those provisions. _ (/� Signature of Applican 3 ) s � � ZZ DECLARATION REG RDI NSTRUCTION LENDING AGENCY I hereby affirm under p n I of perjury that there is a construction lending agency for the performance of the work for whichthis permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By. 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 is correct. I agree to comply with all applicable city and co ordin as and state laws relatin21n in construction. I authorize representatives of this city or ty t nt a above-idenC 'e r ction purposes. Signature of Property Owner or Authorized enProperty Owner's or Authorized Agent's Name ate ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITFINAL UASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF lt% PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: