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Home My WebLink AboutX2020-0117 - Permitsr£Nrogr City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2020-0117 4 4� 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0 1 1 7 Project NO W ' Permit Counter Phone (949)644-3288 yam.,. Inspection Requests Phone (949)644-3255 r:, "�u,,� 4 Combination Type - SFP PLUM Issued Date: 01/1412020 Inspection Area : 4 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 1035 PORT MARGATE PL NB Description: SFR PEX REPIPE & WATER HEATER REPLACEMENT, INCLDS DRYWALL REPAIR Legal Desc.: N TR 6621 LOT 55 f lv S PELT Owner: ILYA ALAN ERENBERG Contractor: AMER]-CAL REPIPE & PLUMBING Architect: ' ■ o j"l Address: 327 E RUSTIC RD Address: 6900 KNOTT AVE, UNIT J Address: SANTA MONICA CA 90402 BUENA PARK CA 90621 Phone: Phone: 562-644-7477 Phone: State Lie: Applicant: AMERI-CAL REPIPE & PLUMBING Con State Lie: 928649 Engineer: Address: 6900 KNOTT AVE, UNIT J Lie Expire: 01131/2022 Address: BUENA PARK CA 90621 Bus Lie: BT30045009 Phone: 562-644-7477 Lie Exp Date: 0113112019 Phone: State Lie: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: SECURITY NATIONAL Address: - - Occupancy Group: R31U Policy No: 92GJX498OF Added /New sq.ft. Bldg: 0 Expire: 09/0112020 Phone: - Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: I Special Conditions: , No of Units : 1 Front: I - Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parkino Soaces: 0 Fire Hazard Zone : N - Construction Valuation: - W000.00 - - -- --- -- Building Permit Fee: $168.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee: $0.00 Fire Inspection: 4n.qu Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $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 $0.00 Plumbing %: $15.12 $0.00 TOTAL FEE : 1 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $184.12 �12 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING 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). 111, 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). 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 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 legalh 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 c y 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.ht I. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000) �v" jyg,of the B and Pro es sl a and my license is in full force and effect. License Class License No G� Contr for Signature COMPENSATION DECLARATION FAILURE TO SFC'JRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUEIJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TD ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE '.JMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby &ffinn uLdS. PLralty of perjury one of the following declarations: 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 Jnnance of the work for which this permit is issued. Policy No. t.ave and will maimcin 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' compensa' Dance carrier and policy number are: ae of Agent _ certify that, in , if I should be iatu.e of Ali Policy Number Date :he work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compens tion laws of California, and agre workerscompensa ions -of Section 37GO of the Labor Code, I shall forthwith comply with those provisions. ate IiLXR/111V N UV IRUVIIVIY LCIYVIIYV MV GIYYI !reby affirm under 0&mrKJ 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 Cou as and states Is dating to building construction. I authorize representatives of this C�Ey or co e�Q"nter c -I ebovLrd ntified property for inspection purposes. G nature of Prnnertv Owner or Author AG Print Propertv Owner's or Authorized Ag s Name DATE BY RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED DEPA PERMITEXTENDED CI PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED WIZ[/zd JW CkCe L U5„ SBESTOSNOTIF TAPPLICABLE TO ROPOSEAD OLITION SIGNATU