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Home My WebLink AboutX2015-0209 - PermitsCity of Newport Beach - Building Division 111111111111111111111111111111111111111111111111111111 COMB Permit: X2015-0209 04 0 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 5 0 2 0 9 Project No e F yryry Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 �x«cgs* Combination Type - SFP PLUM Issued Date : 01123/2015 Inspection Area : 6 Job Address: 7 SARACENO NB Description: SFR - REPIPE W/PEX Legal Desc.: Owner: BASSIRPOU GREG Address: 7 SARACENO NEWPORT COAST CA 92657 Phone: Applicant: ULTIMATE BUILDERS INC Address: 19326 VENTURA BLVD #201 TARZANA CA 91356 Phone: 818-342-2927 Code Edit : 2013 Type of Construction: VN Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added (New sq. ft. Garage: 0 No of Stories: 2 No of Units : 7 Bldg Height: 0 Bldg Sprinklers: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED Contractor: ULTIMATE BUILDERS INC Address: 19326 VENTURA BLVD #201 TARZANA CA 91356 Phone: 818-342-2927 Con State Lic: 927892 Lic Expire: 01/31/2015 Bus Lic: BT30044924 Lic Exp Date: 10/31/2015 Worker's Compensation Insurance Carrier: EVEREST NATIONAL INS Policy No: 7600012064131 Expire: 09/15/2015 Building Setbacks Rear: / Front: / Left: / Right: I Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: State Lic. State Lic: Special Conditions: NO PEX ALLOWED THROUGH FIREICOOMMON WALL Fire Hazard Zone : N Construction Valuation: $5,000.00 Building Permit Fee: $144.00 Excise Tax: $0.00 Planning Department - Plan Check Fee: $0.00 Additional Fee: $0.00 Plan check Fee Overtime Plan Ck: $0.00 Fair Share Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans Record Management : $0.00 Grading Permit Fee. $0.00 In -lieu Housing Fee Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Disabled Access: $0.00 P/W Plan Check: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $ Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $14.40 TOT/(L FEE: $1 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due atP_ermit Issuance : $159.40 PUBLIC WORKS APPROVAL: i PLAN CHECK BY: APPROVAL TO ISSUEi . OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) Indic (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dem the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License L Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Secti not 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 tl Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through E improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comp improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, apply to an owner of property who builds or improves thereon,. and who contracts for the projects with a licensed Contractor ❑ 1 am exempt frorr licensure under the Contractors' State License Law for the following reason: By my signature oelow I acknowledge that, except for my personal residence in which I must have resided for at least one y I SPII P ^,tructure;hat I lave built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I urn Professions Code, is .available upon request when this application is submitted or at the following Web site:http://www.leginl Gignature of Property Owner or Authorized Agent LICENSED CONTPACTOR'S DECLARATION III hereby affirm under ,enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SepSK 7000) of ,and effect. License Class License No IV1(01?KERS' :.GMPdNSATION DECLARATION 11NC4" I'IG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL' COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I' hcreb} affirm ender penalty of perjury one of the following declarations: I 1 heie and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of ante of'.hc wort: for which this permit is issued. Policy No. TI< I ha e and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe insure ce carrier and policy number are: Policy Number of Agent certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner t, if I should become subject to the workers' compensatig-provisions of Section 3700 of the Labor Code, I shall forthwit 9tu re of Applicant !� CLARATION REGARDING CONSTRUCTION LENDING AGENCY Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for whic'. 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 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 constructioni authorize representatives of this city or county to enter the above -identified property f spedio purposes. ature of Property Owner or Authorized Agent �``-�� n roperty Owner's or Au d below by the checkmark(s) I have placed next to the applicable items) .h, or repair any structure, prior to its issuance, also requires the applicant for (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of work, and the structure is not intended or offered for sale (Section 7044, ployees' or personal effort, builds or improves the property, provided that the ion, the Owner -Builder will have the burden of proving that it was not built or and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law). to completion of the improvements covered by this permit, I cannot that a copy of the applicable law, Section 7044 of the Business and /calaw.html. Date in 3 of t�siness and Professions Code, and my license is in full force r o actor Signature AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date as to become subject to the workers' compensation laws of California, and Imply with those provisions. ^^ permit is issued (Section 3097, Civil Code). Agent's Name d �i fC, rt -fan d ae AC"TiiNV DATF RY DECLARII ROW OF COMPLL NCE KIT CODE OF MJA LA "a ink LWAT FEDERAL REGULA TK}NS PART 61 OF AQVID RULE 1403. TITLE40 AND PFRMtTFYPARF0 / Sf InMTTFn.L4fY4TfiS M-?Tfr ❑ EPA ATV)N Trl- PE71viCMICLLLEJ ❑ AQMD PENAIT E%'TEN LIEL 0 ASiiES TOS M07K iCADMIS NO PROPOSED DEMOLITNGN. APPLICABLE TO PCAYMlT TNVA.L OtiJL C 0A— / CERTFrCATECF 7 /;,/Z? 51i;NA I tn&: OCCURAidCYiSSVED I