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Home My WebLink AboutX2021-2400 - Permitsrcrkr City of Newport Beach - Building Division "X2021-2400" COMB Permit: X2021-2400 �x 100 Civic Center Drive, Newport Beach, CA 92660 � p Project No : 2181-2020 Permit Counter Phone (949)644-3288 u + Inspection Requests Phone (949)644-3255 /q ^ _�d t N � EC Ci<,r3iP+"� Combination Type - SFP PLUM V VVV Issued Date : 2021 : Inspection Area : 6 Area PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/09/2024 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: 2589 BUNGALOW PL NB Description: SFR PEX REPIPE Legal Desc.: Owner: TOMAC JILL Contractor: AMERI-CAL REPIPE & PLUMBING Architect: Address: 2589 BUNGALOW PL Address: 6900 KNOTT AVE, UNIT J Address: NEWPORT BEACH, CA 92625 BUENA PARK CA 90621 Phone: Phone: 562-644-7477 Phone: State Lic: Applicant: AMERI-CAL REPIPE & PLUMBING Con State Lic: 928649 Engineer: Address: 6900 KNOTT AVE, UNIT J Lic Expire: 01131/2022 Address: BUENA PARK CA 90621 Bus Lic: BT30045009 Phone: 562-644-7477 Lic Exp Date: 10/31/2021 Phone: State Lic: - Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: STATE FARM INS Address: Occupancy Group: R3/U Policy No: 92JOG6811 Added /New sq.ft. Bldg: 0 Expire: 09/01/2022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $6,500.00 Building Permit Fee: $195.00 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 PAN 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 %: $17.55 $0.00 TOTAL FEE : $213.55 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $213.55 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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 to 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, Iusiness 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). I am exempt Trom licensure under the Contractors' State License Law for the following reason: Iy my signatu,e 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 legally ell q 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 Cede 's available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw,html. 'igcature of Prooerty Owner or Authorized Agent Date .IC-NSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section oo) b vjfl}o the Business and P s ions a d my license is in full force ad elect. License Class License No Dat �'1, Contractor Signat VORKERS' CONIFENSATION DECLARATION 'APWNG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR SAND DOLLARS ($100,0001, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 m,ance of mg wc•k forwhich this permit is issued. Policy No. 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' carrier and policy number are: me of Agent I certify that, in the t, if I should bacon mature of Applican Policy Number Date Ice of the wp4or which permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensintion ws of California, and agre to the wo ersco nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r :DNS CTIO NDING AGENCY Ul 1 D� hereby affirm under penalty ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, .iif 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 be aIf. I have read this application and the information I have provided is co ct. I agree to comply with all applicable city and county ordinances state laws Ing to building construction. I authorize representatives of this city or county o r t a n property far inspection purposes. % P ionature of Prooertv Owner or Authorized Agent � Print Property Owners or Authorized Aqent's NameV I ACTION I DATE I BY PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMITFINAL y�1T�1J CERTIFICATEOF ni OCCUPANCYISSUED QF COMPLIANCE WITH CODE OF FEDERAL PART 610F TITLE 40 AND AQMD RULE 1403 1 SUBMITTED ASBESTOS NOTIFICATION TO AQMD NOTAPPLICABLE TO FOR OFFICE USE ONLY LAP