HomeMy WebLinkAboutX2022-1722 - Permitsr�wrrip City of Newport Beach - Building Division *X2022-1722*
r� 100 Civic Center Drive, Newport Beach, CA 92660
u;
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255 A r�. a''> O'�
rai,rSlu+'�� Combination Type - MIFF PLUM y,0 i
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLE
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00
Job Address: 31 CORSICA DR NB
Description: MFR R/R PEX REPIPE @ GARAGE F
Legal Desc.: TR 12306 LOT 2 UNIT 21 OF PROJECT LOCATED ON AP 442-053-15 TOGETHER fie. OlO�
Owner:
SSD CAROUSEL BEACH PROPERTIES LLC
Contractor:
JAMES LE CO
PLUMN6
Address:
31 CORSICA OR
Address:
27176 BU K
\\'
NEWP0 BEACH, CA 92660
FOOT ANCMt`C�'92610
Phone:
T
phone:
1-BOO
\
Applicant:
SWEENEY ROSEMARY
Con State Lic:
68279
O��
Address:
27176 BURBANK
Lic Expire:
11130/2
FOOTHILL RANCH CA 92610
Bus Li
BT3 11771
Phone:
949-661-8002
Lic p Date:
301202k,31
Cade Edit : 2019 W er's Compe ion In a
Type of Construction: Carrier: T 03ST
Occupancy Group: R2/U Poli 0 M E50 0
Added /New sq.ft. Bldg: 0 pire: 7/ 2
Added /New sq. ft. Garage: 0
No of Stories: 0 uilding�tbac r. / = `�
No of Units : 4 a +� Front:
Bldg Height: 0 j .e4'4> 6�cyr Left:
Bldg Sprinklers: ✓ - ei' R"
Flood Zone: X '�� ('x"L .__ Use Zene P g a 0
Construction Valuation:-11,250.00 .-
Building Permit Fee: $110.00��
Plan Check Fee: $0.00
E e Tax w
tonal Fee r" s a 0.00
Planning Departm
Plan check Fee
Overtime Plan Ck:
Investigation Fee:
$0.00
$0.00 `:;�
s.W
n
$0.00
$0.00
�! air Share:
eq 1JH Trans
Record Management:
$0.00
Fe
®rading
�r
$0.00 In -lieu Housing F
Energy Compliance:
$0.00
e:
$0 0
� Public Works DeCA
Seismic Safety:
$0.00
.,:
iiii dl Park Dedic onDisabled
Access:
Mat
$0.00
$0.00
",, Electrical %: �,,, O.QB'L�U
.�C�i PNV P Check
San ' t
Hazardous
Building Green Fee :
$1.00
"Mechanical °w
_Jp'
SD Fe
Plumb
90
TOTAL
FEE : $120.90
Plan C
ck Fee : 0.00
PROCESSED BY:
ZONING APPROVAL:
ect
ddress:
COMB Permit: X2022-1722
Project No:
Issued Date : 06/2112022
Inspection Area : 4
)R PERMIT WILL HE INVALIU
on Sundays or Holidays
Lio
Phone: State Lic. :'Al
Designer:`
Address:
Phone: (�,\
Special
a
¢Fire Inspection:
Fire Plan Rev
Demolition Fee
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
$0.00
Fee Due at Permit Issuance : $120.90
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)
ction 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
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
fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section W31.5 by any applicant for a permit subjects the applicant to a civil penalty of
more than five hundred dollars ($500). X .
LJ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) port' of the
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property vybon1hrough emp
Improvements are not intended or offered for sale. If, however, the building or improvement is sold within year of completic
improved for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to constr a project (Section 7044,�rrEE
apply to an owner of property who builds or improves thereon, and who contracts for the cis with Ml Vaed ContFB�twulf
❑ I am exempt from licensure under the Contractors' State License Law for the f Ing reasonerS
By my signature below I acknowledge that, except for my personal residenceich I mus qa� esided f r t ast one year
sell a structu"f, 'hit I have built as an owner -builder if it has not been con led in its Wylie lie ns¢d(c ntractors. I and
Professions Cade, is available upon request when this application i mitted or at the following �4s'i{'e:http://w .'l fo.c
Signature of Property Owner or Authorized Agent 'O
LICENSED CONTRACTOR'S DECLARATION �•
d the structure is not intended or offered for sale (Section 7044,
or personal effort, builds or improves the property, provided that the
)wnec-Builder will have the burden of proving that it was not built or
an Professions Code: The Contractors' State License Law does not
tot Contractors' State License Law).
o comp tion of the improvements covered by this permit, I cannot lel
that a CON of the applicable law, Section 7044 of the Business and
I hereby affirm under penalty of perjury that I am lic d under provisi of Chap 9 (commenci�Ji It Section 7000) of Division 3 of the Busing
and effect. License Class Licen o �` Date Y Contractor
CCM?ENSATION
ARMING: FAILURE TO SECURE WORKE OMPEN
as I' OF COMPENSATION, DAMAGE PROVIDED
derehy affirm under oe of per
I have and aintain a cert to of
have and will•fVt Fin workers'
ran, a carri=r ar~ policy nlijglber
ne of Agent q
certify that, in the peffpr,. the
, if I should become sd o the w
tature of Applicant
I � t ,
C GE IS UN FUL C O E, INTEPU ST, AND
EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
TION 3]0641F TABOR CODE, INTEREST ANO ATTORNEY
'S FEES.
follow'I`3g decla{a ,Is
mil; �`c,
to self insurq f6*1rkers compensation, issued by the Director of In�lustral �ons as pn
�Palicy No 4� @�+
r-is(SuLce as required'"by Section, 3700 of the Labor Code, for t rf ann of the work for
:relay affirm under pena oR.,oerj to is a construction
Ider's Name
my signature below, I certify to 29ch of the following: Q^� N
I am the property owner or authorized to acVeT�tarty oI
I have read this application and the i9fWaRtlfPF,,a eA provio
I agree to comply with all applicabl ty
I authorize representatives of this cit
signature of Property Owner or Authorized AJe_
ACTION I DATE I BY
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
issued, I shall not am
is of Section 3700 of
for the 'OEff
Lender's
of
purposes.
)NO F C IA ITH CODE OF FEDERAL
INS P 61. ITLE 40 AND AQMO RULE
NOTIFICATION TO
[00511190"I[OHN
manner so as
forthwith coal
FOR OFFICE USE ONLY
Date
and. Professions Code, and my license is in full force
gnature x
THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE
by. Section 3700 of the Labor Code, for
is issued. My workers'
orkers' compensation laws of California, and agre
Date,
is issued (Section 3097, Civil Code).
x W121
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