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HomeMy WebLinkAboutXR2022-2576 - Permitsa'�wPoRT City of Newport Beach p Community Development Department- Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 i Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 CgGiFppN�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Alteration COMB Permit : XR2O22-2576 Plan Check No: Issued Date : 09/27/2022 Inspection Area : 6 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 2127 YACHT RADIANT Description : SFR PEX REPIPE Owner: HINTON STEVEN J TR Address: 2127 YACHT RADIANT NEWPORT BEACH, CA 92660 Phone: Applicant: OC REPIPES Address : 15520 ROCKFIELD BLVD STE A-100 IRVINE, CA 92618 Phone : (866) 627-3747 Owner/Builder: Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone: 2019 V-B R-3 Front: 5 Legal Desc : N TR:9047 BLK LOT 24 Contractor: OC REPIPES Architect r' Address': 15520 ROCKFIELD BLVD STE A-100 Address IRVINE, CA92618 • Phone: (866) 627-3747. Phone Con State Lie : 1037177 State Lie: -. Lie Expire : 03131/2024 Bus Lie: : BT30077709 Engineer: Bus Lie Expire : 01/31/2023 Address Workers' Compensation Insurance Phone: PC - Broadmoor & Pacific view PROCESSED BY:� SPECIAL CONDITIONS: 1rL." Carrier: 'NATIONWIDE+MUTUAL+INSURANCE+COMP ANY Policy No: ACP3100408332 Designer: W. C. Expire: 6/27/2023 Address Phone: Fire Sprinklers : NO Construction Valuation Fire Hazard Zone :. NO Added/New/Ti sq. ft. Bldg No of Units : 1 Alteration sq. ft. Bldg : No of Stories : 2 Added/New sq. ft. Garage ° o .° °. •° • $11,000.00 0 OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the ContractoW State License -Law forthe reason(s) indicated below by the checkmark(s) I have :placed next to the applicattleitem(s) elion 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 requiresthe applicant for permit to file a signed statement that lie 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 licensors and the basis forthe alleged exemption Any violation of Section 7031,5: by any applicant fora permit subjects the applicant to -a civil penalty of more than five hundred dollars ($500). I,.as owner ofthe property, or my employees with wages as their sole compensation, will do h) all of or U portions of the work, and the structure is notintended or offered -:for sate (Section 7044, ;mass 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 rovementa 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 not built or roved for thepurpose 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 Lawdoes not. ply to an owner of property who builds or Improves.theraon, and who contracts fortheprojects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from lieensure-under the Contractors' State License Low for the following reason: my signature below I acknowledge that; except for my personal residence in which I must have resided for at feast one year prior to completion of the improvements covered by this permit, I. cannot. iegail 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 copy of the applicable low, Section 7U44 of the. Business and. fessions Coda, is available upon request when this application is submitted orat the following Web site:bttplAvww.leginfo.ca-govtrala..vr:htmi. nature of Property Owner or Authorized Agent Date: I hereby affirmundeu penalty and effect. Lic€gw.Qass_ e affirm under p2 2attyof perjury one of the following declarations: 9 (commencing with .CT AN EMPLOYER TO CROMAL AND ATTORNEy"a.FEES. full force DOLLARSIS100,000). M ADDITION TO THE d have and AV Aoidtain 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, forth fora'ience of I:e wprj.lor which this permit Is issued, Policy No. Mand wiaaiaintain 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 carder and policy number. are; lie P • • . Policy Number E:cpiration Date ma of Agent Phone # 0MITy*oMaL, in the performance of 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� t' if 19hould became s fect to th orkers' compensation provisions of Section 3700 of the Labor Code( I shall forthwith comply with those provisions. - nature of APpfici? D wzo 21 z' CLARATION RE. NSTRUCTION LENDING AGENCY ?reby affirm under penalty of perjury thatthere is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, -.Ivil Code), )der's Name. Lenders 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 coun ordmances and state laws.. relating to building construction. i authorize representativesofthis city or court t enter the identified property for inspection purposes. ina8 re nT Rrnrvorh, flu,nex ne IlurhnmcM Ilrvanr Print PrhnaAV Ownar'c nr Aidheri>9d AOHRE'R Name A / 0� /. U/Y/V ��Dflt ACTION DATE ! BY r j DECLARATION OF COMPUANCE WITH CODE OF FEDERAL I FOR f f REGULATIONS.. PART 61 OF TITLE 40 AND AQMD RULE CERTI AlfE IO53UEO t,"I�I DEN XLQOAN ftlN:1 APPLICABLE TO