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Home My WebLink AboutX2020-2664 - PermitsCity of Newport Beach - Building Division *X2020-2664* COMB Permit: X2020-2664 100 Civic Center Drive, Newport Beach, CA 92660 Project No Permit Counter Phone (949)844-3288 Inspection Requests Phone (949)644-3255 Issued Date : 1111712020 Combination Type - MFP Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1111812023 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: 400 CARLOTTA NB Description: MFR WATER REPIPE Legal Desc.: TR 5463 (L.L.84-214025) PAR 7 AND PAR 7G Owner: SANTRY JOHN M Contractor: REPIPE 1 Architect: / A'/,� Address: 400 CARLOTTA Address: 19326 VENTURA BLVD #201 Address: �•fU NEWPORT BEACH CA 92660 TARZANA CA 91356 State Lie: Phone: 9491636-2272 Phone: 818-342-2927 Phone: Applicant: REPIPE 1 Con State Lie: Lie Expire: 927892 01/3112021 Engineer: Address: Address: 19326 VENTURA BLVD #201 TARZANA CA 91356 Bus Lie: BT30070567 Phone: State Lie: - Phone: 818-342-2927 Lie Exp Date: 10/31/2021 Code Edit : 2019 Worker's Compensation Insurance Designer: " Type of Construction: VB Carrier: BENCHMARK INSURANCE Address: Occupancy Group: R2IU Policy No: CST5013781 Added /New sq.ft. Bldg: 0 Expire: 09/1512021 Phone: Added /New sq. ft. Garage: 0 Building Setbacks Rear: I Special Conditions: SHARED WALLS MUST BE No of Stories: 2 Front: / 1 HOUR FIRE RATED No of Units: 3 Bldg Height: 0 Left: I Bldg Sprinklers: N Right: I Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Flood Zone: X Construction Valuation: $8,700.00 Building Permit Fee: $229.00 Excise Tax: $0.00 Planning Department- $0.00 Fire Department Fire Inspection: $0.00 Plan Check Fee: $0.00 Additional Fee : $0.00 $0.00 Plan check Fee: Fair Share : $0.00 Fire Plan Rev $0.00 Overtime Plan Ck: $0.00 $0.00 Grading Bonds Fee: Grading PC Consultant : $0.00 SJH Trans: $0.00 Demolition Fee Investigation Fee: Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm General Service $0.00 $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 $0.00 Public Works Department - Park Dedication : $0.00 Refund Deposit $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: PAN Plan Check: $0.00 Grading Bond: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Electrical W $0.00 San Dist: $0.00 $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 TOTAL FEE : $230.00 Plan Check Fee : $230.00 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PROCESSED BY: PLAN CHECK BY: ZONING APPROVAL: APPROVAL TO ISSUE: GRADING APPROVAL: 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U 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). 111, 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 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.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION 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 THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will 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 the performance of the work for which this permit is issued. Policy No. ❑I 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' compensatior insurance carrier and policy number are: Policy Number of Agent Date 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' compensation laws of California, and , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date_ CLARATION REGARDING CONSTRUCTION LENDING AGENCY rreby affirm under penalty of perjury that there is a construction lending agency for the performance of 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 state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. nature of Property Owner or Authorized Agent Print Propertv Owner's or Authorized ADent's Name PERMIT CANCELLED PERMIT EXTENDED CERTIFICATE OF OCCUPANCYISSUED DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 I SUBMITTED ASBESTOS )S NOTIFICATION IS NOT APPLICABLE TO DEMOLITION