The URL can be used to link to this page

Home My WebLink AboutX2017-1833 - PermitsaNr„4 City of Newport Beach - Building Division o 4� 100 Civic Center Drive, Newport Beach, CA 92660 ti Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP PLUM IIIIIIIIIII�IIIIIIIIIIIIII�IIIIIIIIIIIIIIIII �� COMB Permit: X2017-1833 x 2 0 1 7 1 8 3 3 Project No Issued Date :0610712017 ^ 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: 2900 ALTA VISTA DR NB Description: SFR - REROUTE PEX PIPE FROM HOSE BIB TO BATHROOM LAV (2 FIXTURES) W/ MINOR DRYWALL PATCH Legal Desc.: N TR 5018 LOT 17 Owner: SCHAUMBURG SUZANNE Contractor: COLE SERVICES Architect: Address: 2900 ALTA VISTA DR Address: 10652 TRASK AVE Address: NEWPORT BEACH, CA 92660 GARDEN GROVE CA 92843 Phone: 949-640-6249 Phone: 714-741-8390 Phone: Applicant: MEDINA BEN/IE INC Address: 31225 LA BAYA DR WESTLAKE VILLAGE CA 91362 Phone: 818-735-7876 Code Edit: 2016 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Valuation: $3,275.00 Building Permit Fee: $127.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $139.43 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lic: 718978 Lic Expire: 02/28/2018 Bus Lic: BT30058487 Lic Exp Date: 0313112018 Worker's Compensation Insurance Carrier: CALIFORNIA INS CO Policy No: 733256100101 Expire: 01101/2018 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: I Left: / Right: I Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: State Lic: State Lic: $0.00 Planning Department - Fire Department $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 $0.00 Public Works Department - General Service $0.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PNV Plan Check : $0.00 Grading Bond: $0.00 $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 $11.43 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $139.43 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) (Sectijn 7031.5,,B4siness 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 toile 3 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 Gode) 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 nit 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 Frufassions 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 improvement_ are no' 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 tna 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 o 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 wing reason: - - - 3y mysignature bPlrna I acknowledge that, except for my person Inc€Fwb MI must have resided or at least one year prior to completion of the improvements covered by this permit, I cannot legal �cil a structure that I have built as an owner -builder if it ha _constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 o the Busirietjs and Professions Code, is available upon request wh ions sub the following Web site:http://www.leginfo.ca.gov/calaw.html. ee'' / Signature of Property Owner or Authorized Agen DatP. LICENSED CONTRACTOR'S DECLAR I hereby affirm under penalty of perjury that Lam -lie sect 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 COMPENSATION DECLARATION IARNING: 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 :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 th AFWmance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Date lame of Agent Phone # ]I certify that, in the p man]th 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 agre fat, if I should bec a subject rkers' comp tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applican _ Data IECLARATION RE A ING C N ta'AGE CY hereby affirm under rally of p � a here is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). enders Name Lender's Address ly 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 provide act. I agree to comply with all applicable city and coun a es an ildi-g construction. I authorize representatives of this city or coup r e above-ide iced- party for inspection purposes. (�/ lionature of PrODertv Owner or Authorized Agent( Print Prooertv Owner's or Authorized Agent's Nam(� Z to _ 1 ACTION DATE BY /\ ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED U ISUBMITTED ASBE T NOTIFICATION TO PERMIT CANCELLED UEPA PERMITEXTENDED OMD PERMITFINAL 1 1_ /7 fL h O$ N FICATION 15 NOT APPLICABLE TO -- CERTIFIC4TE OF OSEI;0;11 ONE OCCUPANCY ISSUED qu;NATI IRF- V