The URL can be used to link to this page

Home My WebLink AboutX2018-3179 - Permits�,�>♦•,,� City of Newport Beach - Buil a4 100 Civic Center Drive, Newport Beach, CA ti Y Permit Counter Phone (949)644-3288 i; Inspection Requests Phone (949)644-3255 Combination Type - MFP PLUM Construction Hours: Monday - Job Address: 495 MORNING CANYON RD NB Description: MFR PEX REPIPE Legal Desc.: TR 12079 LOT 1 UNIT 5 OF PROJECT LOC. Owner: KIJESTAN GORDON Address: 495 MORNING CANYON RD CORONA DEL MAR, CA 92625 Phone: Applicant: NUNEZ AMPELIO Address: 2500 E IMPERIAL HWY #213 BREA CA 92821 Phone: 714-618-2633 Code Edit : 2016 Type of Construction: V-B Occupancy Group: R2 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: Flood Zone: Construction Valuation: $2,500.00 Building Permit Fee: $120.00 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 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $131.80 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: ig Division *X2018-3179* COMB Permit 0 „ i i - - ^ Project No : Gate: - If applicable: Issued Date: 10/1912018 .. ,n . .. 11 , I �., �. r'. ,?3 t'::i". ...">.' Ai9'd?. AF l l , :f� '7. • ., r 6 T %. ff fflil n i 250&Nj$ L #213 BREA CA 92821 Ph'6ne: 714-618-2633 Phone: State Lic: Con Ataffi1 lC' _&52741 - Enaineac:.�� A . Liu t LI cvv%.4i .t. ~ ..... i' : 04/30/2019 Phone: State Lic: ' work Started) �riu'Wclompensauon (no work started) , insurance Designer: TRUCK INSURANCE Address: MOW A0810 7 3256 PT120'F9 IMP %g Setbacks Rear t Special CandiGnns Insp. initials: a Frnnh I .. Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical A: Mechanical %: Plumbing %: Right: / Parkino Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.80 Plan Check Fee 0 Fire Hazard Zone: N ""Vito 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 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 Grading Bond: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $131.80 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 79 1 r 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 :he 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 iot more than five hundred dollars ($500). ❑ I, 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, 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 Em roved for the purpose of sale). i r 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 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally 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:hftp://V w .leginfo.ca.gov/calaw.html. Signature of Pmpertv, Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION i hereby affirm ui,da, penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) Divi ' 3 of Business and Prof�c'o� =1 force and effect. License Class License No Date, f! ctor Signature ¢VORK'ZRS' COMPENSATION DECLARATION / WARNING: FAILURE .O SECJRE 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 rOFT O'F,COMPENSAI ON, 11AMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. 1 hereby affirm under penalty of perjury one of the following declarations: U I hale and wil:.T.aintain 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 puff rmance of the work for which this permit is issued. Policy No. pav��and wiii 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' compensatiol ' urance carrier and policy number are: Policy Number Date ne of Agent Phone # 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' Compens ' n laws of California, and agre if I should become �iag to ta mar.,..,.-� visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. .01� 14,,1e� nature of Applicant / G� CLARATION REGA DING CONSTRUCTION LENDING AGENCY ireby affirm under penalty of perjury that there is a construction lending agency for the performance o the work for which this permit is issued (Section 3097, Civil Code). 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 stat ws relating to building construction. 1 authorize representatives of this city or county Y17rinspection purposes. nature of Property Owner or Authorized Agent �� _ Print Property Owner's or Authorized Agent's Name l FIT" INP PERMIT EXPIRED PERMIT CANCELLED PERMIT EMENDED PERMIT FINAL CERTIFICATEOF OCCUPANCY ISSUED DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE NOTIFICATION TO APPLICABLE TO