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Home My WebLink AboutXR2022-2532 - Permits�aEWPo�T City of Newport Beach p Community Development Department- Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 °gtiro a`'�P newportbeachca.gov/inspections Combination Type - MFP ELEC PLUM Work Class - Alteration COMB Permit : XR2022-2532 Plan Check No : PC2022-2370 Issued Date: Inspection Area : 4 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: 777 DOMINGO DR, S r cn, tn. Description: MFR ALT: WATER DAMAGE REPAIR 100 SF Owner: CHILI CHRISTINE Y TR C Y Address : 1508 VIA FERNANDEZ PALOS VERDES ESTATES, CA 90274 Phone : (626) 582-8001 x121 Applicant: VINCENT MEDNA Address : 4161 E LIVE OAK AVE ARCADIA, CA 91006 Phone : (213) 219-8445 Owner/Builder : Address : Phone Code Edition : 2019 Type of Construction : V-B Occupancy Groups: U,R-2 Bldg Height: Le c : &r 5475 SLK'LOT 7 If applicable. AND E,LACE WATER HEATER. "STOPWORK 122-1777* ❑ 80% or ❑ 100% re` Contractor: FIRM PLUMBING &MAINTENANCE Architect: Address : 4161 E LIVE OAK AV ,_Z t0 �Ss "��iyADIA, CA 91006 Phone: (626)734-6300 Phone: Con State Lie: 1003539 -� State Lie Lie Expire : 05/31/2023 Bus Lic : BT30080184 Engineer Bus Lie Expire : 12/31/2023 Address : T"+T_� A d t' r� � i.'sa Workers' Compensation Insurance Phone. Carrier : ' r Policy NO : ��O�LQj�32724 i s card 90 jilanR AVE, �1 h hire : 1' ffbb7Cfs4i��1�77��''nn""33tt 111......111 W L MONTE, CA 91731 (work Started) (no Worh&karteC) 552-9808 Fire Sprinklers : NO �r� �/� Construction Valuation : $8,01 fi�t•^ Fire HazardZ nin—_-- 11V'ewITrB 3Vvt;. No of Units: 22 MYAP �'#01 100 No of Stories 2- — /N°e�w�sq. T Building Setbacks : Front: 20, Side: 4, Side: I Flood Zone: X Use Zone : RM - Multiple Residential PROCESSED BY: SPECIAL CONDITIONS: STOPWORK 122-1777 ; FIRE HAZA.ZC REDUCTION ZONE; LANDSLIDE ZONE OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that # am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the oheokmark(s) 1 have placed next to the applicable literals) Section 703T.5, Business and Professions Code: Any city or county that requires a permit to construct. alter, improve, demalish, or repair any structure, prior to its issuance, also requires the applicant for ie 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 theBusiness and 'refessions Code) or that he or she is exempt from Ilcensare and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the appiicantfo a civil penalty of at more than five hundred dollars ($500). 1, as owner of the property, or my erl ye , a ruc era is oat mtendBd or offered for sale (Section 744-0, rusiness and Profession Coda. The Contract rs' State License Law dots no !plyto n owl of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for le. If aw ver the builr7jLtq r im4LTry rr ar 'F Id within one year of completion, thl fJuy� gift hili�ave the burden of proving that it was not built or nproved for the purpose of sale) 05 e:_ CdJJJ RRII c'I''N I, as owner of the property, am exclusively ntracting with licensed C tractors to construct the project (Section 7044, BusmF ssg�{d,E' fg sibns �eGle�-�R�ntr,s�[g� State License Law does not poly to an owner of property who builds or Im ov d who for the protects with a licensed Contractor pursuantlftaltt Q+�r '-*,ittas fo Li l = i am exempt from licansure under the Can acto 'State L rise for e fi ernq reasarr _, __. ly my signature below I acknowledge that, ex pt to my per I TBs nc® must have resided for at least one year prior tp core II tha Improvements covered by this permit, I cannot legal) all a structure that I have built as an owmaeb dor i an D r s NWrrpty by licensed conlractors. I undoraWel t� �t dfl M 4 of the Business and 'rofessions Code, is. available upon request w an in Is seam. ad ad, the 1afiow6,g Web Site hill) r vnvev.leginfo ra.gov/calaw:hfmL lignature of Property Owner or Authorized Agi it Date .ICENSED CONTRACTOR'S DECLAR EON ;fi.�.^s°t: hereby affirm under penalty of perjury thud I a Ilse a de�t,rrJvif lob of Ch Spier 5 Icornrnenanq xrth Se¢ti � ) Drvl � n 3 of the Business and o , ,indrtn�-lf i.- n full oa I effect License Class Ud6 -e No D Contractor Signatu PORKERS' COMPENSATION DECLAR TEO4dglIl irk . � ay � Lv E� +ARNIM FAILURE TO SECURE WORKERS' COMPENSA ION COVERAGE IS UNLAWFUL, AND SHALL SU84ECT AN EMPLDYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS tlijosou rN ADarr OST OF COMPENSATION: nAMAOE3 AS PROVIDED F6 N SECTION JT06 OF THE LABOR CODE, INTEREST, AND ATTORNErS FEES, hereby affirm under penalty of perjury one oft a following d larations: I have and will maintain a certificate of c se #o -In, rY f r ' m�' eqs f ed by the Di atnr t I us �11 EItftTDr+R°° S ed p l Dt 3700 0 the Labor Code, for 9 oa�rr rmanoe of the work for whiGm this permit I issu y f o,.. ( i yam., L„ w��..g N 1 1 1 Z ve and will maintain workers' compens�ion ' Durance, as re��d b, Seen,) of the Labor Code.. for the Dodor�p�Q pf wpf �yisMthis permit is Issued. M - workers' compansatic Isura ca carrier and olio number am: t K I L / :ard Policy Number Expiration Date lama 7Agent Phone# 3I cen the performance of the § r I iI s s no employ any person -in any manner so as to become subject to the workers`co laJilt of California, and agniat, if ecome subject on f the Labor CDde, I shall forthwith comply with they{Ervisij Atiaionatunlicant, ?reby affirm under penalty of pedurythat there is a construction lend'mrtbagptScy for tre-performance of the workk ibry t qh this permit is issued (Section 3097,. Civil Code), idei 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 incorrect. I agree to comply with all applicable city and count no state taws ating to building construction. I authorize representatives of this city ove '. a nspecbon purposes. ,n mature of Property Owner or Authorized Agent It Prgdy Owner's or AuthorizedAgent's Name TION I DATE BY CLARATtONtl CONIPLIAN E. 'ITH CO OF FEDERAL OFFICE USE ONLY I I REGULATIONS PART 51 OF T'ITkE $0 AND ACINK) RULE PERMITCANCELLED P€RA,t7£ EkTE(YDED PER,Uf77 FINAt ____ CERY/FlCATE OP OCCUPANCYISSUED NOTIFICATION 15 NOT APPCICA)l TO