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Home My WebLink AboutX2017-1577 - PermitsCity of Newport Beach - Building Division 111111111111111111111111111111111111111111111111111111 COMB Permit: X2017-1577 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 7 1 5 7 7 Project No: Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 Ex{yyyy�D Combination Type - SFP PLUM Issued Date : 05/16/2017 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: 2100 FELIPE NB Description: SFR - REPIPE WITH PEX, MINOR DRYWALL PATCH Legal Desc.: TR 5740 (L.L.84-2140281 PAR 14 Owner: WEISE NANCY P L' /_ AC9Ktt2p4or: AMERISERVE REPIPING CO INC Architect: Address: 2100 FELIPE L 7716 BALBOA BLVD #7 Address: NEWPORT BEACH CA 2660 _ ttYSCA 91406 -- Phone: Phone: 818-787-9777 Phone: State Lie: .. Applicant: KEVIN/AMERISERVE cr`Con'Stara I it a55252Lc- Engineer: Address: 16837 PARTHENIA Address: NORTHRIDGE CA 9134 C• Bus tic BT30057030 �" Phone: 818.787-9777 Lie Exp Date: - 10/3112017' phone: ' -- State Lie: Code Edit: 2016 Worker's. Compensatiorri�Insurance ^'S Designer: Type of Construction: VB _. CarriPn IJWTY NATL u-! Address: Occupancy Group: R31U Added /NewITI sq.ft. Bldg: 0 -- .Expire„ ' A- _ 09114 2017 Phone: Added /New sq. ft. Garage: 0 No of Stones: 1 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: / Bldg Height: 0 Left: I Bldg Sprinklers: Flood Zone: X as: 0 f _ Construction Valuation: $4,5 0.00 (work started) ((no work started) Building Permit Fee: $142.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $0.00 Additional Fee: $0.00 Plan check Fee : $0.00 Fire Inspection: Overtime Plan Ck: $0.00 Note: Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Investigation Fee: $0.00 urading PU consurrant. Record Management : $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee, $0.00� a^'°"1 initials: Energy Compliance: $0.00 6ree#ing P6 Fee $0.00 o r.r ur Ir n -n r.insp. - CA Seismic Safety : $0.00 •, „ _ Ao_n0 Park De ' Refund eoosit, Disabled Access: $0.00 PAN Plan Check: $0.00 Grading Bond: Hazardous Mat $0.00 Electrical %: $0.00 San Dist : $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $12.78 TOTAL FEE : $155.78 Plan Check Fee : $0.00 Fee Due at Permit Issuance PROCESSED BY: l��/`W PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: d " $0.00 $0.00 m $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $155.78 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) ction 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 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 fessions 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 more thaw ih,e hundred dollars ($500). 1,-3s owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, driess 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 m4ements 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 roved for the purpose of sale). I, as owner of Ike property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ily to an owner c` property who builds or improveJ111911511, 11 lf rfstd Contractor pursuant to the Contractors' State License Law). LJ I Lm exempt fron, licensure under the Contracts By my signatur_ below I acknowledge that, except f sell a Structure that I have built as an owner -builder professions Code. is available upon request when t Signa'ure of Property Owner or Authorized Agent _ LICENSED CONTRACTOR'S DECLARATIOI I hereby affirm under penalty of perjury that I am lice and effect. Licalse Class COMPENSATION 'State License Law for the following reason: my ntX- '- ;idence in which I must have resided for at least one year prior to cor�lpletlon of the improvements covered by this permit, I cannot it has _-been GOTF9ROCtBU1rY1 S. Yurld-erstand that a ddoKlof the applicable law, Section 7044 of the Business and application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. rIL .m M €a ,�;�� N;: -e :� r,. � ., I I Date 3 of the Business and license is in full force IARNING: FAILURE TO SECURE WORKERS' COMPENSATION VERA UL, AND SHALL SUB3ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU D DOLLARS ($100,000), IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SE ION 3 R^� c T A d rama - hereby affirm under penalty of perjury one of the fol win - _ _SM I)Ave and will maintain a certificate of copse to s wor rrni"o issuedy ecl elatigns as provided for by Section 3700 of the Labor Code, for the America of the work for which this permit is issu . P h ve and will maintain workers' compensation i isurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Is nce carrier and policy number are: :arrier POI v N,7l ' r'b r %aoiratiOB D0 9 lame of Agent AjEm■ v F7 k ]I certify that, in the performance of th for w ch this permit is is Lied I hall of a Igg any person in any manner so as to ecome sub' ct to the worlId� r� compensation laws of California, and agree iat, if I should become subject to th ers' com nsation provision lft✓dW ISD abor Code, I shall forthwith cpmpl)��vlistmw��v� y�� signature of Applicant Data /% )ECLARATION REGARDING STRUCTION L t �ENCY hereby affirm under penalty o rjury that there is cons�uc 1 iviF6ede} _ ender's Name Lender's Address ly my signature below, I certify to each of the follow g' f1S.1, Initials I am the property owner or authorized to act on 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 o enft/er the abnove-ide tified pro erty for inspection purposes. signature of Property Owner or Authorized Agent. t. [71%1 I t 4IA eK� Print Property Owners or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 1 REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE r / 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool. PERMIT CANCELLED ITEPA PERMIT EXTENDED OAQMD PERMITFINAL J� ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: