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Home My WebLink AboutXR2024-6598 - Permits�g�waoRr City of Newport Beach Community Development Department- Building Division X R 2 0 2 4 6 5 9 8 COMB Permit: XR2024-6598 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: XR2024-6598 Permit Counter Phone: 949 718-1888 ( ) Issued Date : 10/1612024 ems+ newportbeachca.gov/civic Final Date: C9r�iORH`P Combination Type - SFP PLUM Permit Status: Issued Work Class - ADDITION/ALTERATION Inspection Area : 9 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 : 3901 INLET ISLE DR Legal Desc : N TR 6425 BILK LOT 58 Description; SFR- PEX REPIPE, DRYWALL RPR AS NEEDED --- Owner: CRAIG RUSSELL Contractor : HOME REPIPE PLUMBING LLC Architect Address: 3901 INLET ISLE DR Address: 213 W CARLTON ST Address: NEWPORT BEACH, CA 92625 ONTARIO, CA 91762 Phone: (714)681-4453 Phone: (909)717-5994 Phone: Con State Lic : 1119147 State Lic Lic Expire : 04/30/2026 Applicant: HOME REPIPE PLUMBING LLC Bus Lic : BT30085412 Engineer Address : 213 W CARLTON ST Bus Lic Expire : 10/31/2025 Address ONTARIO, CA 91762 Phone: (909) 717-5994 Workers' Compensation Insurance Phone: Carrier: CLEAR SPRING PROPERTY AND CASUALTY COMPANY Owner/Builder : Policy No: CWC03098900 Designer Address : W. C. Expire : 5/16/2025 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $10,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units : 0 Alteration sq. ft. Bldg : 0 Bldg Height: No of Stories : 1 Add/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 Building Setbacks : Front: 10, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury [hat I am exempt from the Contractors' State License Law for the reasons) 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 Law (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 Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees With wages as their sole Compensation, will do U all of or U portions 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 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), ❑ 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 properly who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law). ❑ 1 am exempt from licensure under the Contractors' Stale License Law 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 owner -builder If it has not been constructed in its entirety by licensed contractors. I understand that a copy 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://w .leginfo.ca.gov/calaw.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 Section 7000) of Division 3 Of the Business and Professions Cade, and my license is in full farce and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,0001. IN ADDITION To THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 in, performance of the work for which this permit is issued. Policy No. ❑I 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' compensatio insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone N ❑I certify that, 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 that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. Signature of Applicant Dale DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I 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). Lenders Name Lenders Address By my signature below. I certify to each of the following: I am the property owner or authorized to act on the property owners 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 state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. Signature of Property Owner Or Authorized Agent Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMIT EXP7NED 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCEL LED UEPA PERMITEXTENDED OMD PERMIT FINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF ,ur-Z2, PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: