The URL can be used to link to this page

Home My WebLink AboutX2015-0788 - Permits�i8w,�,QT City of Newport Beach - Building Division o� 0 4 100 Civic Center Drive, Newport Beach, CA 92660 F r Permit Counter Phone (949)644-3288 u 0 Inspection Requests Phone (949)644-3255 Combination Type - MFP PLUM III III I III II III IIII III IIII III I II COMB Permit: X2016-0788 x 2 0 1 5 8 7 6 8 Project No: Issued Date : 03120/2015 Ins ection Area 4 P PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. - INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED Job Address: 26 CORSICA DR NB Description: MFR RE-ROUTE (E) COLD WATER LINE (UNIT 34,26 & 28) Legal Desc.: TR 12306 LOT 1 UNIT 39 OF PROJECT LOCATED ON AP 442-053-15 TOGETHER Owner: NEWPORT N TOWNHOMES ASSN Contractor: PROSERV PLUM & DRAIN Address: 23726 BIRTCHER DR Address: 3012 ENTERPRISE ST #F LAKE FOREST CA 92630 COSTA MESA CA 92626 Phone: Phone: 714-540-8400 Applicant: PROSERV PLUM & DRAIN Con State Lic: 798615 Address: 3012 ENTERPRISE ST #F Lic Expire: 0813112015 COSTA MESA CA 92626 Bus Lic: BT01100443 Phone: 714-540-8400 Lic Exp Date: 08/31/2015 Code Edit: 2013 Type of Construction: VB Occupancy Group: R21U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 6 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Valuation: $1,576.00 Worker's Compensation Insurance Carrier: LIBERTY INS CORP Policy No: WC7631508631012 Expire: 10101/2015 Building Setbacks Rear: / Front: / Left: / Right: I Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: Building Permit Fee: $99.00 Excise Tax: $0.00 Planning Department - Plan Check Fee: $0.00 Additional Fee: $0.00 Plan check Fee Overtime Plan Ck: $0.00 Fair Share Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - CA Seismic Safety : $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Disabled Access: $0.00 PAW Plan Check : $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $9.90 TOTAL FEE: $109.90 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: State Lic: State Lic: Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Plan Check Fee: $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLPN C4ECK BY: APPROVAL TO ISSUE: $0.00 $0.00, $0.00+ $0.00 $0.00 $0.00 $0.0d $109.90 F 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, priorto its issuance, also requires the applicant for ie permit to filea 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 of 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, lusiness 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 nprovements 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 nproved 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). I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. lignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Division 3 f the Business and Professio�s,¢ode, m Icense is in full force nd effect. License Class License No Date Contractor Sig nature�C 9/jgig VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 IN erformance of the work forwhich this permit is issued. Policy No. have and will rpn—InTbT 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 Trance carrier a polic number are: rier Po y u be Expiration Date ne of Agent Phone # certify that, �jn the performance of the work f r 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 agree if I should become_ /syyybject 1e, work{@'ys co pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. JJ iatureof ApplicantVIAA/� DjJ�OJ�� hereby 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) ender's Name. Lender's Address y my signature below, I certify to each of the following: I am the pro party owner or authorized to act on the property owner's behalf. I have rea4his 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`er,,the a ntified property for inspection purposes./�n� {mC � ignature of Prdperty Owner or Authorized Agent �.MNI h e Print Property Owner's or Authorized Agent's Nam" / Q r( l ACTNNI DATF By DECLARATTOft OFCOMPLGWCE WITH CODE OF FUB r*HGt USL ONLT FEEIER.4L REGULATIONS PART 6f OF TITLE45 AND A()11111D fw*iILL 14(}.?. PFR1JIT FNPfPF0 ❑ 1 St NiN1TTFD A-W-'gTOS W]TPFK 4THIN TO: ❑ EPA ❑- Add/C' PCiW&T GAP/Cairn PErIMITEXTEAQED 0 AFPES PiE. W_.719OUTMC ROM IS NOT APPLICABLE TO PERMIT FN—. Z "L (5" � CERTJFrCATEC'F STGNAfURL., OCCUCANCP SSVED