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HomeMy WebLinkAboutXR2022-1951 - Permitsq ���iPoa City Newpot Beach II II I I I II I II I III IIII I I I II COMB Permit : XR2O22-1951 @CommunityDevelopment cnt-Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No Permit Counter Phone: (949) 644-3288 Issued Date : 07/19/2022 Inspection Requests Phone: (949) 644-3255 Inspection Area : 6 newportbeachca.gov/inspections 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: 28 FAENZA Legal Desc : N TR 15467 BILK LOT 14 Description : SFR PEX REPIPE Owner: ROBERT WEINBERG Contractor: MR REPIPE Architect Address : 28 FAENZA NEWPORT COAST, CA 92657 Address : 138 1/2 W 86TH PLACE LOS ANGELES, Address CA 90003 Phone : Phone : (323) 627-6625 Phone Con State Lic : 970896 State Lic Applicant: MR REPIPE Lic Expire : 03/31/2024 , Address : 138 112 W 86TH PLACE LOS ANGELES, CA Bus Lic: BT30061515 Engineer: 90003 Phone : (323) 627-6625 Bus Lic Expire : 07/31/2024 Address Workers' Compensation Insurance Phone Carrier : Policy No: Designer W. C. Expire: Address Phone Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $9,900.60 Type of Construction : V-B Fire Hazard Zone : Y Occupancy Groups : R-3 No of Units : 1 Added/New/TI sq. ft. Bldg : 0 Bldg Height : No of Stories : Added/New sq. ft. Garage : 0 Building Setbacks Flood Zone : X Use Zone : PC - Newport Coast PROCESSED BY: SPECIAL CONDITIONS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that { am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placednext 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 Iieensure 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). 13 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 [hat 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 builtor 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 ra�ptply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law)— — (J I am exempt from Imensure 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 legally 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:httpa/www.leginfe.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Profession Cotfa, and myand my In full force land affect. Licc.iLc Class e- 3 10 License No eno 59 re Date 1L Contractor Signature �`NORKERS' Ca,YXENSATION DECLARATION 'WARNINu: FAILFa TO aRCVRE WORMERS' 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 COMPEPSA'i ION; DAMAGES AS PROVIDED FOR W SECTION 370E OF THE LABOR CODE„ INTEREST, AND ATTORNEY'S FEES. I hrrecr affirm under penalty of perjury one of the following declarations: hI have and +ill m^intain 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, �pe.forn lance of the work for which this permit is issued, Policy No, I -IT I•ave and M; meC,Ttain 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 neural,ce carrier 3ir'. policy number are: Card=,r �alll kIDI � GCifaGJ!bJ _Policy Number 'GJ etfjT r 1c) Expiration Date IO- � S•'22 Name or Agent _ _, Phone # ,i I,c-iffy 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 agree e`.. if I Should cenoroe subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Ignature of Applicant „ G( ��� Dad If ECLARATiON REGA ING CQNSTRUCTION LENDING AGENCY Tereby 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, Ciwfl Code). enders Name Lenders Address y 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 this city or county to enter the above -identified proptry for inspection purposes. DATE PERMIT EXPIRED PERMT RIVAL VA1 CEATIPICATE OF OCCUPANCY155UED GGG/k- DECLARATION OF COMPLIANCE WIT}I CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE NOTIFICATION TO EPA All required alarms, latches gates and fenceswhich serve as part of a pool/spa barrier, shall _MNQIVID be In place priorto approval to fill pool/spa & shall remain In place & be maintained forthe ASBESTOS NOTIFICATION IS NOT APPLICABLE To life of the pool. PROPOSED DEMOLITION