HomeMy WebLinkAboutX2022-1665 - Permits,•„� City of Newport Beach - Building Division 'X2022-1665"
r Ao 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
COMB Permit: X2022-1665
Project No :
,., Inspection Requests Phone (949)644-3255 ►"S• -grl-�RA
Combination Type - MFP PLUMi 'yy�'' V V Issued Date : 06113/2022
.IC/Yi,Y 6
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 33 CORSICA DR NB
Description: MFR PEX REPIPE
Legal Desc.: TR 12306 LOT 2 UNIT 22 OF PROJECT LOCATED ON AP 442-053-15 TOGETHER
Owner: NEWPORT NORTH/ CO: TRITZ MGMT
Address: 1525 E 17TH ST #A
SANTA ANA, CA 92705
Phone
Applicant: SWEENEY ROSEMARY
Address: 27176 BURBANK
FOOTHILL RANCH CA 92610
Phone: 949-661-8002
Code Edit:
2019
Type of Construction:
V-B
Occupancy Group:
R2/U
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
2
No of Units :
4
Bldg Height:
0
Bldg Sprinklers:
Flood Zone:
X
Construction Valuation:
52.850.00
Building Permit Fee:
$127.00
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
_ II
PROCESSED BY:
TOTAL FEE: $139.43
ZONING APPROVAL:
Contractor:
JAMES LE COURT PLUMBING
Architect:
Address:
27176 BURBANK
Address:
FOOTHILL RANCH CA 92610
Phone:
949-661-8002
Phone: State Lic:
Con State Lic:
868279
Engineer:
Lic Expire:
11/30/2023
Address:
Bus Lic:
BT30011771
Lic Exp Date:
09/30/2022
Phone: State Lic:
Worker's Compensation Insurance
Designer:
Carrier:
INS CO. OF THE WEST
Address:
Policy No:
WVE505603101
Expire:
0612712022
Phone:
Building Setbacks
Rear: /
Special Conditions:
Front: /
Left: /
Right: /
Use Zone: Parkino Soaces: 0
Fire Hazard Zone : N
Excise Tax:
$0.00
Planning Department -
Additional Fee:
$0.00
Plan check Fee
Grading Bonds Fee:
$0.00
Fair Share
Grading PC Consultant :
$0.00
SJH Trans
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
PAN Plan Check :
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical W
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$11.43
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $139.43
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 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
the 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
Professions 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
not 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 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).
❑ 1 am e,=Pt f,om Iicensure under the Contractors' State License Law for the following reason:
By 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 legally
sell a structure Lha' 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
Professionf CodE, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CON`RACTOR'S DECLARATION
hereby affil m antler penalty of perjury that am licensed under provisions of h� agg$$er 9 (corp�mencing with Section 70�00)�of Division 3 of the Business and rofessions o le, and my license is in full force
and effect. License Class LI G License No lD�'A'�i `I DateIF ) le i ^22 Contractor Signature
WORKERS,'.COPOENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS D DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I ^ereLy affirm underpenalty of perjury one of the fallowing declarations:
❑ I h.Rve and will msintain 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 thi
perjornlance c° the work 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'
rance carrier and policy number are:
Policy Number
Date
1e of Agent rnone N
certify that, in th&
;rform R othe a workfor 3 's 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 agree
if I should becomu the h rkrs' compensation visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lature of Applicant'' Date (Y — 13 2
)ECLARATION REG RDING CONSTRUCTICN LENDING AGENCY
hereby affirm under p Ity of perjury that th 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
3y 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. t,
I authorize representatives of this city or county �D mAr
t rt led property for inspection purposes. I-,
'ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name x
ACTION DATE BY ECLARATIO F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RE NS PART 61 OF TITLE 40 AND AQ1 RULE
1403
PERMIT EXPIRED
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
EPA
PERMI
UAQNID
CERTIFICATE OF
CERTIFICATE
OCCUPANCY ISSUED
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ASBESTOS NOTIFICATO \CABLE TO
PROPOSED DEMO �/\,�
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