HomeMy WebLinkAboutP2023-0575 - Permits`7
P0 City of Newport Beach II II I I II I III II III I I�I III II Plumbing Permit : P2023-0575
Community Development Department - Building Division P 2 0 2 3 0 5 7 5 Plan Check No :
i1 100 Civic Center Drive, Newport Beach, CA 92660 Work Class : Other
M - r Permit Counter Phone: (949) 718-1888 Issued Date : 12/1912023
cgrr newportbeachca.gov/civic Final Date:
Permit Status: Issued
+ . Inspection Area : 6
Kati:
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 : 272B WINDOVER DR Legal Desc : N TR 6113 BLK LOT 64
Description: REMOVE AND REPLACE 50 GAL WATER HEATER SAME LOCATION IN GARAGE
Owner:
DIVINCENZO JOSEPH P TR JPDV TR
Address :
2728 WINDOVER DR CORONA DEL MAR, CA 92625
Phone:
Applicant:
BEN MEDINA
Address:
31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362
Phone:
(818) 735-7876
Owner/Builder
Address:
Phone:
Code Edition : 2022
Type of Construction :
Building Setbacks : Front: 12, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone; R-1-60R00-TSiingle-Unit Residential (6000 Indicates minimum lot area)
PROCESSED BY: V
SPECIAL CONDITIONS:
Contractor.: SADDLEBACK PLUMBING INC
Address :
23901 REMME RIDGE LAKE FOREST, CA 92630
Phone:
(949)829-0910
Con State Lic:
414946
Lic Expire :
01/31/2024
Bus Lic:
BT30076374
Bus Lic Expire:08/24/2024
Workers' Compensation Insurance
Carrier:
INSURANCE COMPANY OF THE WEST
Policy No :
WPL507192900
W. C. Expire :
7/1/2024
Fire Hazard Zone : NO
Occupancy Groups:
OWNER. -BUILDER DECLARATION
I hereby affirm underpenally of perjury that I am exempt from. the Contractors' Stale. License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable ftem(s)
;Section 7031..5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demollsh, or repair any stnlcture, prior to Its issuance; also requires the applicantfor
.he permit to file a signed slalom Dnt that. ho or she is licensed pursuant to the provisions of the Contractors' State Licenso Law (Chapter 9 (commencing with Section 7000) of Division 3 Oil aus[ness and
orofesslons Code) or that he or she is exempt from l censureand the basis for the slipped exemption. Any violation of Section 7031.5.by any applicant for a permit subjects the applicant to a civil penalty of
not more than fivehundred dollars ($500).
7 1, as owner of the property, or my employees with wages as their sole compensation will do L) all of or U portlons of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code. The Contractors' State License Law does not apply to an owner of properly who, through ompinyees' or personal effort, builds or Improves the. property, provided that the
'mprovements are not Intended or offered for 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 for the purpose of Sala).
�W 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Coda; The Contractors' State License Law does not
apply to an owner of property who builds or Improves thereon; and who contracts for the projects witha licensed Contractor pursuant to the Contractors State License Law).
I am exempt from licensors under the: Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which I must have residedfor at least one year prior to Cumulation of the improvements covered by this. permit, I cannotlagall}
Sall a structure that I have built as an owner -builder if It has not been constructed In itsentirety by licensed contractors. I understand thatcopy of the applicable, law, Section 7044 of the Business and
Professions Code, Is available upon request when this application Is submitted or at the following Web site:http.11wvw.leginfo.oa,govjcalaw.html.,
Signature of Property Owner or Authorized Agent �_ . Dato
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secl on71) j ). f' wi i bfthe Business and P ' ns.C�6 e,.and my license is in full force
and effect. License Class License No Dale II GG Contractor SIgI lure
JVORKERS'COM.f ENSATION DECLARATION
NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGEIS 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 3706 OF THE LABOR CODE, INTEREST', ANO ATTOsCNnrs FEES.
hereby affirm underpenalty of perjury one of the following declarations:
have and will maintain a certificate of consent toself-insure for workers' compensation, Issued by the Director of Industrial Relations as provided forbySection 3700 of theLaborCode, for
ormance of the work for which this permit is issued. Policy No.
have and will martaln 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' compense
ranee carrier and policy number are:
'ter Policy Number Expiration[)are
P of Agent
edify that, in theperformance of
if I; should become s'ubjact to ills
Hure of Applicant
for which this permit is .issued, I shall not employ any person: 10 any manner so as to become subject to the workers' compensation laws of California. andagre
compensation provisions of Section 3700 of the Labor Code, I shall: forthwith comply with those provisions.
Date
3reby.affirm under pe parju ` here is a conalructlon lending agency for th6 pedformaDue of tha'work for whi on this permit Is issued (Section 3097, Clvll Code)
)der's Name _ Lender's Address
my signature b oorltfy to each of the following:
I am the property owner or authorized to act on the property owner's' behalf.
I have read firs application and the information I have provided is correct.
laagree to co prey 7w ibrp f this tied Acontcity cic y to o cry os and state laws retailing r insbuildingetin purposes.
' : uthorize , re.:Lnlalives of this oil or count to on eabove-identiheo ro art for Inspection purposes.
Print Property Owner's or Authorized Agent's Name [xV\
kCT10;J. DATE BY DCCL OF COIAPUANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
UsPI ATIONS PART 61, OF TITLE 40 AND AQMD RULE
1403
PEr MIIT EXPIRED I I SUBMITTED ASBFST05 NOTIFICATION TO
Psh'M!r FINAL "[' LASBEStnS NOFIHCATION'1$NOT APPOCAls" TO
CERYINv;ATE Or rL���� PR0P05r0 DEMOLITION
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