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Home My WebLink AboutX2018-3437 - Permitsfi City of Newport Beach - Building Division I �OIIiI�III�IIIIIIIIIII!IlIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2018-3437 a 100 Civic Center Drive, Newport Beach, CA92660 1 s X 2 0 1 8 3 4 3 7 Project No Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 r'a4 wxar Combination Type - MFP Issued Date : 11/13/2018 Inspection Area : 1 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday - Friday7:00 a.m. to 630 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 1516 W OCEAN FRONT NB Description: MFR PEX REPIPE WI DRYWALL REPAIR Legal Desc : P.M. 206-48 PAR. 1 OF PROJECT 939-80 LOCATED ON AP 047-211-31 f 7 ? Owner.. DIAA SAMIR FAHMY gg Contractor: G & W PLUMBING & REPIPE INC Architect: Address:. 44 CALLE AMEND Address: 7439 LA PALMA AVE #279 Address: - SAN CLEMENTE CA 92672 BUENA PARK CA 90620 Phone: Phone: 714-6004811 Phone: State Lie: Applicant. G & W. PLUMBING & REPIPE INC Con State Lie: 992133. Engineer: Address: 7439 LA PALMA AVE #279 Lie Expire: - 04130/2020 Address: BUENA PARK CA 90620 Bus Lie: BT30051062 Phone: 714-6004811 Lie Exp Date: 0613112019 Phone: ,State Lie: Code Edit, 2016 Worker's Compensation Insurance - Designer: , ° o ..... Type of Construction: VB Carder: FALLS LAKE FIRE Address: Occupancy Group: R3/U. - Policy No: FLA002793 Added /New sq.ft. Bldg: 0 Expire: 12/13/2018 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 ' Building Setbacks Rear. / Special Conditions: UNITS A AND B No of Units : 0 Front: / Bldg Height: 0 . Left: / Bldg Sprinklers: Right: / Flood Znner 1 i.o 7- D-a.!.,.. C------ Construction Valuation: $10,400.00 Building Permit Fee: $248.00 Plait 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: $249.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Excise Tax: $0.00 Planning Department - Additional Fee : $0.00 ' Plan check Fee Grading Bonds Fee: $0.00 Fair Share ' Grading PC Consultant: '.$0.00 SJH Trans: Grading Permit Fee: $0.00 in -lieu. Housing Fee: Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 PAN Plan Check : $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00. Plumbing %: $0.00 Plan Check Fee: d Zone . N • Fire Department °om ° ° $0.00 Fire Inspection: KOS $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $249.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER 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 1e 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 of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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 nproved 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 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). 1 am exempt from Iicensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which Imust have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legaih 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:/Aw .leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perju that I am licensed under provisions of Cha ter 9 commencing with SWtJ'� 7000) Of DiviST 3 of the Busines and Professions C j license is in full force nd effect. License Class s License No t/�� te /�-/1'/ a Contrad nature VORKERS' OOMP£NSATION DECLARATION rARNING-FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE BS*rV rOMPENM0.N,gAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 4ere4y affirm under penalty of perjury one of the following declarations: I -have and wilt 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 arformance ofille w9 $ for which this permit is issued. Policy No. W421Le and dill 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' cempensatio Iseleace carri andp�°1Ijcy-number are: (' T TA 1"� Policy Number F 6 o z-7 53 G Expiration Date MiMtq Agent """"/��t Phone# ]I certtty that,"n fhe larformanoe oy)ne w far 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 ia'c,"flshould becgrpe subject to�tp�1 w ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. CLARATION EGARDIN9C0 S CTIZNLENDING AGENCY �reby affirm un er penalty of p ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's half. I have read this application and the information I have provided is c ct. I agree to comply with all appli 1 city and county ordinan tate laws relating to building construction. I authorize representatives o�ty or county to enter th a-' ntified property for inspection purposes. /10 of ProDertv Owner or ACTION PERMITEXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED Sent Print Property Owner's or Authorized Ag BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 El I SUBMITTED ASBESTOS NOTIFICATION TO DEMOLITION TO , Civil Code). cf J/