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Home My WebLink AboutX2014-1707 - Permitsq�QNro4r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIII II y? Gp 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 4 1 7 0 7 h > . Permit Counter Phone (949)644-3288 „ Combination Type - SFP PLUM -zf�SLP69 Job Address: 18 VILLENEUVE NB Description:SFRI REPIPE WI PEX & DRYWALL RPR Inspector Area: 6 Legal Desc.: Owner: SNIDER DIANE Address: 18 VILLENEUVE NEWPORT BEACH CA 92657 Phone: Applicant: ULTIMATE BUILDERS INC Address: 14724 VENTURA BLVD #507 SHERMAN OAKS CA 91403 Phone: 818-535-1778 Code Edit: 2013 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $6,180.00 Building Permit Fee: $174.00 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 Fee Increase: Fee: $0.00 Additional Fee : $0.00 Hazardous Mat : $0.00 Building Green Fee : $1.00 TOTAL FEE: $192.40 PROCESSED BY: ZONING APPROVAL: Contractor: ULTIMATE BUILDERS INC Address: 14724 VENTURA BLVD #507 SHERMAN OAKS CA 91403 Phone: 818-535-1778 Con State Lic: 927892 Lic Expire: 01/31/2015 Bus Lic: BT30044924 Lic Exp Date: 10/31/2014 Worker's Compensation Insurance Carrier: TOWER INSURANCE Policy No: WCP-BC12783-12 Expire: 09/15/2014 ' Building Setbacks Rear: / Front: / Left: I Right: / use cone: Excise Tax: $0.00 Grading PC Consultant : $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 Electrical %: $0.00 Mechanical %: $0.00 Plumbing %: $17.40 u Architect: Address: Phone: Engineer: Address: Phone: Designer: R Address: Phone: Special Conditions: r< Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist : $0.00 NMUSD Fee: $0.00 COMB Permit: X2014-1707 Project No : Inspection Requests Phone (949)644-3255 Issued Date : 06/18/2014 ` St' m State Lic: 000°o° Fire Department $0.00 Fire Inspection: $0.00 $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 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $192.40 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED 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 Irofessions Code) or that he or she is exempt from Iicensure 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 U 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). 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). 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 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 thdt I Kave 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, :s Lvailable upon request when this application is submitted or at the following Web site:hftp://www,leginfo.ca.gov/calaw.htmi. 'i3r.ft ro of Prop��.' Owner or Authorized Agent Date .ICENSED CON r4ACTOR'S DECLARATION //// hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Busing s nd Professions Code, and my license is in full force nd eHact. License Class License No -Date lz ��7 r" Contractor ignature 7 VORKERS' COMPENSATION DECLARATION Jt 'ARNING: 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 ($100,000), IN ADDITION TO THE CS' 7' COMPENrAT'ON, rAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hs-eby affirm under penalty of perjury one of the following declarations: ..1dve 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 thl erformLnce of :he v.cr.: for which this permit is issued. Policy No. have and 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' rauce carrier anu policy number are: of Agent Policy Number Expiration Date Phone # 3 certify that, in the 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 agrE Iat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Apolkant n DECLARATION REGARD CONSTRUCTION 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 y 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. G ignature of Property Owner or Authorizej A ent Print Property Owner's or Authorized Agent's Na d 04 1�, h ; � [/ Cate /Y/Y At-fRW n4 TF RY DECLARATION OF COMPLIANCE VATH CODE OF WIN UHREA USE DNL1' FEDERAL REGULATIONS PART 61 OF TITLE40 AND A011110 RULE 1403. PFRhJ(T ,FYPfRrn ❑ l sunuTrm ALSIYST)S ROnrfrATKIN TOE ❑ EPA ❑ AQMD PE�WTITCAPICCLLED PERMIT EXTENDED ❑ ASBESTOSNOTKICA'RONIS NOTSPPLICABLETO PROPOSED DEMOLITION. PERIMITTMLAL OCCUPANCY iSSUED V SIGINA I IR&: