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Home My WebLink AboutX2018-3102 - Permitsr%wro4 City of Newport Beach - Build] of r 100 Civic Center Drive, Newport Beach, CA 926 Permit Counter Phone (949)644-3288 ®ate: Inspection Requests Phone (949)644-3255 °:�ziy,xr,T Combination Type - MFP PLUM r rMUM71 Construction Hours: Monday - Friday 7 Job Address: 493 MORNING CANYON RD NB Description: MFR PEX REPIPE Legal Desc.: TR 12079 LOT 1 UNIT 4 OF PROJECT LOCATED ON Owner: DELISIO FREDERICK Address: 493 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: Construction Valuation: 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: N COMB Permit: X2018-3102 i�i�abfe: � [Ns8@W0j0a241@0% refutl. Inspection Area : 5 p.m. Sarurdayircm 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays 4 -151-2 r;FTVA ® 6=lh M - -.. Milan! r% EZ ""��,,W�� ,O,+� E IMPERIAL 13 BREA CA 92821 714.618-2633 Address: Phone: Lic pi �{ i Address: Bus ic: 3 62 3 9 Lic Date: 04130(WtJjrk Started) Phone: Worker's lmpensation Insurance Designer: State Lic: Carr! r: + TRUCK INSURANCE Note: Address. Polio Expi : 08/01/2019 Phone: Insp. initials:_ Building S backs Rear: /�,,,,„,,, Left: I Nook Right: I Use Zone: Parking Spaces: 0 Fire Hazard Zone : N ' Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee: $0.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $10.80 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $131.80 PUBLIC WORKS 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 items) '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 3rofessions 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 improved 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 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). ❑ ' ^m exem.p' f-cm licensure under the Contractors' State License Law for the following reason: By my signature bgdw 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 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:http://www.leginfo.ca.gov/calaw.htmi. Signature of El[ape tk,OWner or Authorized Agent Date LiRENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect/INAL 00) of Division 3 of the Business ense is in S n 'cfull force and e'fect. License :;lass License No D Contractor Sig Wn ORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE COST OF CONIPhAdAYIUH, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. nereny affirm ,ender penalty of perjury one of the following declarations: D I have and wig 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, rformance of the work for which this permit is issued. Policy No. I ve 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' compensatior nsuran a carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # 131 certify that, in the perfor nce 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' Ompensation laws of California, and agre, that, if I should become sub' ct to the workers' compens lion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant D 's ��r'� DECLARATION REGA ING CONSTRUCTION LENDING AGENCY I hereby affirm under p alty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 7, Civil Code). Lender's Name Lender's Address y my signature belo 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 ave provided is correct. I agree to comply with all applicable city and coLfIty ordinances and state Is I authorize representatives of this city or count to enter the abDva PERMIT EXPIRED _baileliN construction. inspection purposes. DATE I BY/�] DECILARATION 01 COMPLIANCE WITH CODE OF REGULATIONS PART 61 OF TITLE40 AND QMD RULE RAL SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED QM D PERMITFINAL L ASBESTOS N 11IFICATION IS NOT APPLICABLE TO CERTIFICATEOF PROPOSED DE OLITION /J OCCUPANCY ISSUED 7URE: FOR OFFICE USE ONLY v17