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HomeMy WebLinkAboutXR2023-1751 - Permits£wPoRr City of Newport Beach IIII�I���IIIIIIII�II�III��I�II�IIII��I��III� II connB Permit : XR2023-1751 .off:. Community Development Department -Building Division X R 2 0 2 3 1 7 5 1 y 1fr ,; y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: ¢ Permit Counter Phone: (949) 718-1888 Issued Date : 06/27/2023 newportbeachca.gov/civic Inspection Area : 6 oaN�" Combination Type - SFP PLUM Work Class - Alteration 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: 1 ARBELLA Legal Desc : N TR 15485 BLK LOT 6 TRACT NO 15485 LOT 6 POR OF LOT Description: SFR PEX REPIPE, DRYWALL REPAIR AS NEEDED Owner: KAZEMI ABBAS TR Contractor : CREATIVE REPIPE Architect Address : 1 ARBELLA Address : 901 W CIVIC CENTER DR, STE 200 Address NEWPORT COAST, CA 92657 SANTA ANA, CA 92703 Phone: Phone: (888)373-0046 Phone: Con State Lie : 986251 State Lie Lie Expire : 08/31/2023 Applicant : CREATIVE REPIPE Bus Lie : BT30081996 Engineer: Address : 901 W CIVIC CENTER DR, STE 200 Bus Lie Expire : 06/30/2024 Address SANTA ANA, CA 92703 Phone: (888) 373-0046 Workers' Compensation Insurance Phone: Carrier: NATIONWIDE MUTUAL INSURANCE COMPANY Owner/Builder : Policy No: ACPWC3019867201 Designer Address : W. C. Expire : 11/8/2023 Address Phone: Phone: Code Edition: 2022 Fire Sprinklers : NO Construction Valuation : $13,000.00 Type of Construction : V-B Fire Hazard Zone : YES Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks Flood Zone Use Zone : PROCESSED BY: Front: 10, Side: 5, Side: 5, Rear: 10 X PC - Newport Ridge SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 iterate) (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 licensors 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 (_) all of or (_) 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' Slate License Law does not rawly to an owner of property who Wide or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), L1 I am exempt from licensure 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 resided for at least one year prior to completion of the improvements covered by this permit, I cannot lagaly soli 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 siteihttp://www.leginfo.ce,gov/celaw.html. Signature of Propcny Owner or Authorized Agent Date _ LICENSED CONTRACTOR'S DECLARATION I h.: e7; Yfirm unck r psaulty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business d Pmfes�lep�Gade, and my licenseisin full force and effect. License Cless C —� , License Now&,n'7i'I ��o— Z � a� Contracto gnature ��%L� �/� WORKEf`S' COMPENSATION DECLARATION WARNING; FAILURE TO SECVR7 WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE COS. OF COMPENSA'. ION; JAMAGES AS PROVIDED FOR IN SECTION ]TOE OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I h: reb} iffirm under penalty of perjury one of the following declarations: ❑ I have and wilt maintaina certificate of consent to self -Insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by SOction 3700 of the Labor Code, for th Qlul,nauce of the work for which this permit is Issued. Policy No. Sil*we cnd will maintaln 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' compensatoor InsdInance, carder and polity number are: " Ca7ler /� o� l �x�� Policy Number 11P09 Expiration Date Name of Agent Phone # UI certify that. In the performance of the work for which this permit is issued. I shelf not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, If 1 should become subject the workers' mpensetion provisions of Section 3700 of the Labor Code; I shall forthwith comply With those provisions. Signature o(A�vLg'��e.ant /gyp Dat 2 2 f DECLARATtr�f FWA I ING CONS UUCTION LENDING AGENCY I hereby affirm u der 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). Lendar's Name Lender's Address By 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 county ordinances and state laws relating to building construction. I authorize representatives of thisciity_-or county to enjielhe above -identified property fir inspection purposes. of Procertv Owner PERMIT CANCELLED PERMIT EXTENDED PERMITFINAL CERBFICAlt OF OCCUPANCYISSUED DATE I OY DECLARATION OF I REGULATIONS PART 510 TIITE AO AND AQ.MD RULE CE WITH CODE OF AL I FOR OFFICE USE ONLY TO dtY Z=