The URL can be used to link to this page

Home My WebLink AboutX2020-0144 - Permitswe=�, City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 'F 'x Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP PLUM COMB Permit: X2020-0144 IIIIIIIIII�IIIIIIIQIIIIIII�IIIIIII�IIIIIIII II Project No: Issued Date: 01/16/2020 Inspection Area : 4 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: 15 HARBOR POINTE NB Description: SFR PEX RE -PIPE. 12 FIXTURES Legal Desc.: N TR 10625 LOT l l Owner: SHIER GLORIA & SCOT Contractor: INTEGRITY REPIPE Architect: Address: 15 HARBOR POINTE Address: 927 CALLE NEGOCIO #D Address: NEWPORT BEACH CA 92660 SAN CLEMENTE CA 92673 Phone: Phone: 877-473-7473 Phone: State Lic: Applicant: INTEGRITY REPIPE Con State Lic: 993925 Engineer: Address: 927 CALLE NEGOCIO #D Lic Expire: 06/3012020 Address: SAN CLEMENTE CA 92673 Bus Lice BT30066794 Phone: 877-473-7473 Lic Exp Date: 04/3012020 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance - Designer: Type of Construction: V-B Carrier: HARTFORD UNDERWRITERS INS CO Address: Occupancy Group: R31U Policy No: 76WEGGG6692 Added /New sq.ft. Bldg: 0 Expire: 08125/2020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: I Special Conditions: No of Units : 1 Front: I Bldg Height: 0 Bldg Sprinklers: Left: I Right: I 31 INSPECTOR Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $4,500.00 Building Permit Fee: $152.00 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 %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $13.68 $0.00 TOTAL FEE : $16 6.68 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $166.68 PROCESSED BY: ZONING APPROVAL: PUBLIC WDR&APPRIIWAL �o a of o o PLAN CHECK BY: GRADING APPROVAL: o e o V O G 00 O 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). 111, 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 legallt 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.ra.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty o p rjury that I am licensed under provisions of Ch (@r $ (S,orpmencing with Secti 00) of Division 3 of the Business and P ofes ions Code, nd my license is in full force and effect. License Class �♦r License No S i Z l D •' `• 9N Contractor Signat re WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNE rS FEES. hereby affirm under penalty of perjury one of the following declarations: have 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 a of the work for which this permit is issued. Policy No. 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' ie policy number are: �. tI.Ka Policy Number 71 Expiration Date ZV of Agent certify that, in the performance of the vvy 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 agre, , if I should become subject to the II compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. n Dated' �� o RUCTION LENDING AGENCY �( I hereby affirm under penalty of miry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name �/ Lender's Address By my signature below, I certi o 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 ordin s and state laws relating to building construction. I authorize representatives of this city or county to enter above -identified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Na a Date •/b- ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 • ••. ••• • • PERMITEXPIRED ISUBPIIEDISBESTOS,TIOTIFMT NTb PERMITCANCELLED EPA,• •: •: `e• PERMIT EMENDED QMD PERMITFINAL t-&— OASBESTOS NOTIFICATIONS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DE4051-17016 • • •. i • s• OCCUPANCYISSUED i SIGNATURE: : e• •• • e e s % o eee e. ee e s eoc eo of Applicant