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Home My WebLink AboutXR2023-2078 - Permitsr�WPO�T City of Newport Beach IIIIII IIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2023-2078 Community Development Department - Building Division x R 2 0 2 3 2 0 7 8 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2370 i Permit Counter Phone: (949) 718-1888 Issued Date : 07/27/2023 a. newportbeachca.gov/civic Final Date: C-0�rFn0.N�P Combination Type - MFP ELEC PLUM Permit Status: Issued Work Class - Other 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 Legal Desc : N TR 5425 BILK LOT 7 Description: MFR ALT: WATER DAMAGE REPAIR 100 SF AND REPLACE WATER HEATER. *STOPWORK 122-1777* *REPLACE EXPIRED PERMIT* Owner: CHUI 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 : Type of Construction Occupancy Groups Bldg Height: Building Setbacks Flood Zone Use Zone: PROCESSED BY: 2022 V-B U,R-3 Front: 20, Side: 4, Side: 4, Rear: 10 RM - Multiple Residential Contractor: FRM PLUMBING & MAINTENANCE Address : 4161 E LIVE OAK AV ARCADIA, CA 91006 Phone: (626)734-6300 Con State Lic: 1003539 Lic Expire : 05/31/2025 Bus Lic: BT30080184 Bus Lic Expire : 12/31/2023 Workers' Compensation Insurance Carrier: COLONY INS. Policy No: 600GL0032724 W. C. Expire : 12/10/2023 Fire Sprinklers : NO Fire Hazard Zone : NO No of Units : 1 No of Stories : 1 SPECIAL CONDITIONS: I Iry C F LECT 19 Architect Address Phone: State Lic: Engineer Address Phone Designer: DORIS IIU Address : 9080 TELESTAR AVE, 309 EL MONTE, CA 91731 Phone: (626)552-9808 Construction Valuation : Added/New/Ti sq. ft. Bldg : U Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 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 to 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 licensuro 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 of more than five hundred dollars ($500). 1 I, as owner of the property, or my employees withwages 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, ,usiness and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements 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 nprovod for the purpose of sale). 3 1, 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 pply to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law). I I am exempt from licensure under the Contractors' State License Law for the following reason: y my signature below 1 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 legall,, ell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site: hltp:llw y.ieginfo.ca.gov/calaw.html, signature of Property Owner or Authorized Agent Date .ICENISED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section of ivision 3 of the Business and Profess' s Sada d my Ire In full force nd effect. License Class License No Date Z Contractor Signature PORKERS" COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORNSRS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO' ONE HUNORE THOUSAND D ,$_1I1 001. IN AUDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: have and wilt 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 armlanee of the work for which this permit is issued. Policy No. have 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' compensatia rance carrier and policy number are: 'ier Policy Number Expiration Date IS of Agent Phone d certify that, in the perfo once of the work for w h this permit is issued. I shall not employ any person in any manner so as to become subject to IhB workers' compensation laws of California, and agre if I should become su 1 tq the co p nsat n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions_ lature of Applicant l/� /J}�/� Date Ij a 7 I?' 3 Heby affirm under penalty of perjury ktalt1ht * is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). Ider's Name / Lender's Address 3y 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 cool ordmanc s and slate I ws r laying to building construction. I authorize representatives of this city or county t n the o-identifi d p rt for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized A ACTION DATE. BY DECLARATtO E CO LIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY flF.UULATIONS PA T OF Tf7LE 40 AND AONID RULE 1403 PERMIT EXPi.4E SUBMITTED ASBESTOS NOTIFICATION I TO .__...._..... PERMITEAN,.EL ............ _ ..�...—. __. E___ PERMIT EXiENGEJ N ;_ ❑.AQMD ..._..__. ._.______.... j._/PERMiTWNAL C✓2 G� .3. �.. _. __�i,�—%f TLitI�ASBESTOS N0. 71FC.A...._iON IS NOT _APPLICABLE "1O CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSJED SIGNATURE: �T'_. kit _AA 2