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Home My WebLink AboutX2019-2365 - Permits (2)R'auq City of Newport Beach - Building Division apt 100 Civic Center Drive, Newport Beach, CA 92660 -, Permit Counter Phone (949)644-3288 @ Inspection Requests Phone (949)644-3255 Combination Type - SFP PLUM III'IIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-2365 x 2 0 1 s 2 3 6 5 Project No : Issued Date: 07/3012019 Inspection Area : 8 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: 3025 CORTE HERMOSA NB Description: SFR PEX REPIPE, INCLUDES DRYWALL REPAIR Legal Desc.: N TR 12271 LOT 113 �� Owner: NICKOLE C N JAQUESS Contractor: ' � � � OC REPIPES Architect: Address: 3025 CORTE HERMOSA Address: 15520 ROCKFIELD BLVD STE A-100 Address: NEWPORT BEACH, CA 92260 IRVINE, CA 92618 Phone: Phone: 866-627-3747 Phone: State Lic: Applicant: OC REPIPES Con State Lie: 1037177 Engineer: Address: 15520 ROCKFIELD BLVD STE A-100 Lie Expire: 0313112020 Add IRVINE, CA 92618 Phone: 866-627-3747 Code Edit, 2016 Type of Construction: VB Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: ress. ood Zone: Use Zone: Parking S Construction Valuation: $5,700.00 Building Permit Fee: $168.00 Excise Tax: $0.00 Plan Check Fee: $0.00 Additional Fee: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 Record -Management: Ao-nn_ Grading -Permit -Fee 0.00- Energy Compliance: $0.00 Grading PC Fee: $0.00 CA Seismic Safety : $0.00 WO Insp. Fee: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 Plumbing %: $15.12 TOTAL FEE: $184.12 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee Zone: N State Lie: Planning Department- Plan check Fee : $0.00 Fair Share: $0.00 Fire Department Fire Inspection: Fire Plan Rev $6.66 $0.00 SJH Trans : $0.00 Demolition Fee In-lieu-Mousing-Fee-:-------0;00- Building-DeptAdm- $0.00 Public Works Department - General Service $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PM Plan Check : $0.00 Grading Bond: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $184.12 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 :he 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 iot 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 mproved 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 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://w .leginfo.ca.gov/calaw.htmi. 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 Sectipn 7p00) of Division 3 of the Business a PIEDH Code, a my license is in full force and effect. License Class License No D 7-50— /A Contractor natu WORKERS' COMPENSATION DECLARATION WARNING' FAILURE 10 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDND DOLL ($100,000), IN ADDITION TO THE CCST r':OMPENPATION DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm r'Pder penalty of perjury one of the following declarations: ❑ I have and wil; 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 Werformance of :he wcrk for which this permit is issued. Policy No. yjJ-Eve 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 Ina Nance carrier s,iJ policy number am. �1 1 �/"t �2 r;arti=.�oQt7vipiAD 2NFi �6M'IOA�Y Policy Number S , J O Expiration Date Nam=or Agent RAJ ►'N Phone# 20q t/D0" 01 certify that, i;. az p orm e of the work for hich 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 agre :f.a:, if I should bi gm subject he workers' co ensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. _/ B �r O' f Signature of Appant DT.. DECLARATION G subject U E DING AGENCY I hereby affirm under p nalty of t t there i onstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lenders Address By my signature below, certi to each of the following: I am the property own he to act on the property owners b half. I have read this application and the information I ha provided is corr ct. I agree to comply with all applicable city and u dinances ands to laws relating to building construction. I authorize representatives of this city o cou ty to hie r the above -id ified property for inspection purposes. �40./ �� ;Signature of Property Owner or Authori A en Print PropertyOwner's or Authorized Agent' ame """'^^R� V to ACTION DATE BY _,[/EMOATION OF C01MIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE PERMIT EXPIRED V I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMITFINAL 04/OI/ly q('4fVv �w' JASBE d�l'�7TIFICATION 15 NC�'APPUCABLE TO CERTIFIC4TEOF CW. in.',n PROPOS DDE LITION �`\ OCCUPANCYIS. SIGN RE: $