HomeMy WebLinkAboutXR2023-1984 - Permits'"0", COMB Permit : XR2U23-1984
City of Newport Beach III�I��� � III III �II IIIII� �� �II�� II� II
„ Community Development Department - Building Division X R 2 0 2 3 1 9 8 4
o, e U
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: S Permit Counter Phone: (949) 718-1888
Issued Date : 07/20/2023
newportbeachca.gov/civic Final Date:
cqt ror+`'�P Combination Type - SFP PLUM Permit Status: Issued
Work Class - Alteration Inspection Area : 2
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 : 46 LINDA ISLE
Legal Desc
: N TR 4003 BILK LOT 46
Description:
SFR PEX REPIPE AND JACUZZI IN MASTER BATHROOM
PER CITY STANDARD PLAN
Owner:
CLIFFORD DOWNS
Contractor:
ROOTER HERO PLUMBING
Address :
46 LINDA ISLE
Address :
1328 S ALLEC ST
NEWPORT BEACH, CA 92660
ANAHEIM, CA 92805
Phone :
(949) 287-1155
Phone :
(949) 656-5525
Applicant:
ROOTER HERO PLUMBING
Address :
1328 S ALLEC ST
ANAHEIM, CA 92805
Phone :
(949) 656-5525
Owner/Builder
:
Address :
Phone
Con State Lie :
1028886
Lie Expire :
07/31/2025
Bus Lie:
BT30065891
Bus Lie Expire
: 01/31/2024
Workers' Compensation Insurance
Carrier: SAFETY NATIONAL CASUALTY CORP
Policy No: SP4066451
W. C. Expire : 4/1/2024
Code Edition : 2022
Fire Sprinklers :
Type of Construction : V-B
Fire Hazard Zone
Occupancy Groups : U,R-3
No of Units :
Bldg Height:
No of Stories
Building Setbacks : Front: 10, Front: 25, Side: 4, Side: 4
Flood Zone : AE, 8 FT; X
Use Zone : R-1 - Single -Unit Residents
PROCESSED BY:
SPECIAL CONDITIONS:
Architect
Address
Phone :
State Lie
Engineer:
Address
Phone:
Designer:
Address
Phone :
NO Construction Valuation :
NO Added/New/Ti sq. ft. Bldg
1 Alteration sq. ft. Bldg
2 Added/New sq. ft. Garage
TOTAL sq. ft. :
ii
gC
$10,000.00
0
0
0
I hereby affirm under penalty of perjury that I ant 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
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Sectlon 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not 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 (_) portions of the work, and the structure is not Intended or offered for sale (Section 7044,
Business and Professions Code: The Cononctors' 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
Improvements 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
improved for the purpose of sale).
0 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 to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law),
0 [am exempt from licensure under the Contractors' State License Low for the following reason: _._ _—.--.----- .---------
By my signature below I 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 legal)
sell a structure that I have built as an ownor-buildor if It has not been constructed in Its entirety by licensed contractors. I understand that a copy of the applicable law, Section 70" of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:liwww,leginfo.ca.govlcalaw.html
Signature of Property Owner or Authorized Agent__.._______�_�_.__._._____ Date__,,,_
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 00) of Division 3 of the Business and Pr,,,y,,,��rt,,,Plsions Code, a d my license is In full force
and effect. License Class License No Datg r)— 2 Contractor Signatur�^
WORKERS' COMPENSATION DECLARATION
WARNING: 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'.
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 970E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
�0 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 the
performance 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' compensation
l9rsurance care,and policy number are: ,
of Agent
Policy Number Sv `fy 07 / Expiration Date
Phoneff
]I certify that, in the performance of the work for which this permit is issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agree
mat, if I should become su ct tot orkers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 'J 2
ignature of Applicant ,_ _ Da -
. ........__,_ .. _T_. _ ____��._ _�. —
ECLARATION REGAft 1 O STRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code).
endai s Name _ Lender's Address _
y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the properly 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 county ordinances and stale laws relating to building construction.
I authorize representatives of this city or county entew�e-identified property for inspection purposes.
u Cz ,C
of Property Owner or Authorized
ACTION
PERMIT EXTENDED
PE
....Ri4fiT ..._.. RIVAL....""" ------
CERTIFICATE OF
OCCUPANCYISSUED !�
Owner'a or Authorized Aaent's Name le"vY'u VIIA-
BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
i REGULATIONS PART 51 OF TITLE 40 AND AONID RULE
1403
' I SUBMITTFD ASRFSTOS NOTIFICATION TO
I dIfICATION 15 NOT APPLICABLE 'TO