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Home My WebLink AboutXR2023-0757 - Permits"EWpoj,T City of Newport Beach 11111111111111111111111111111111111111111111111111111111111 Community Development Department - Building Division x R 2 0 2 3 0 7 5 7 s 100 Civic Center Drive, Newport Beach, CA 92660 i Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP Work Class - Other COMB Permit : XR2023-0757 Plan Check No: Issued Date : 0312212023 Inspection Area : 6 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 : 3720 BLUE KEY Legal Desc : N TR:6152 BLK LOT 36 Description : SFR PEX REPIPE ENTIRE HOUSE Owner: BORIS M ACKERMAN TRUST Contractor: REPIPE PRO Architect Address : 3720 BLUE KY Address : 1607 W BURBANK BLVD Address CORONA DEL MAR, CA 92625 BURBANK, CA 91506 , Phone: Phone: (818) 295-3800 Phone Con State Lic : 695125 State Lic Lic Expire : 10/31/2024 " Applicant : ARA PEPANYAN Bus Lic : BT30081043 Engineer Address : 1245 GRANDVIEW AVE, 6 Bus Lic Expire : 03/31/2024 Address GLENDALE, CA 91201 Phone: (818) 295-3800 Workers' Compensation Insurance Phone: Carrier: MID-CENTURY+INSURANCE+COMPANY Owner/Builder : Policy No: D09436646 Designer Address : W. C. Expire : 10/12/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $17,000.00 Type of Construction : V-B Fire Hazard Zone : NO 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 : Front: 20, 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:NI �!� OWNER -BUILDER DECLARATION i hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law far the reason(s) indicate 3ection 7031.6, Business and Professions Code: Any city or County that requires a permit to construct, alter. Improve, demohi in permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Lam, ^rofes wris Code) or that he or she is exempt from }#censure and the basis for the alleged exemption" Any violation of Section of more than five hundred dollars ($500). 3 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the ^mar ess and Professions Code: The Contractors' State License Law does not apply to. an owner of property who, through eml nprovemams are not intended or offered for sale. If, however, the building or improvement is sold within one year of completi nproved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bu pply to an owner of property Who guilds or improvesthereon, and who Contracts for the projects with a licensed Contractor pu 1 I am exempt from lieensure under the Contractors' State License Law for the Following reason: .y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one yea oil a structure that I have built as an owner -builder if it has not been constructed in its entirely by liconsod contractors. I under `rofessions Code, is available upon request when this application is submitted or at the following Web site:httpalwww.Ieginfo.e igrrature of Property Owner or Authorized Agent __ .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of penury that I am licensed under provisions at Ch ptet 9 (commenc€ng with Section 7000) of Di nd effect. License Class C 3 License No F 6 19 4� Date WORKERS' COMPENSATION DECLARATION ARNING FAILURE TO SECURE WORKERV COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTEI C ET w. ,%OMPENs,ATION, DANA €S AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES, hereby affirm under penalty of perjury one of the following declarations: ��i have and rovill maintain a CortifiData of consent #a self -insure far workers' compensation, Issued by the DireDtar of In Brio anG6 of tree wary for which Phis parrnif is issued. Policy No. � a and wilt malntaln workers compensation insurance, as required by Seattan 3700 of the Lobar Code, for the perfo uranca Br and pnricy etu :bar re: � p ramq cr 4gen# _� JI Certify that, in thq performance, of the work for which this permit is Issued, I shall not employ any person in any manner so ,p', 'f I a.;ioutd become sto the workers compensatkYW relents of Section 3700 of the Labor Code, I shall forthwith cz tgnalure of Applicant below by the checkmark(s) I have placed next to the applicable items) _ or repair any structure, prior to its issuance, also requires the applicant for Chapter 9 (commencing with Section 7000) of Division 3 of the Business and a31.5 by any applicant for a permit subjects the applicant to a civil penalty of k, and the structure is not intended or offered for sale (Section 7044, ees' er personal effort, builds or improves the property, provided that the the Owner -Builder will have the burden of proving that it was not built or and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law), that a copy of the applicable law, Section Date and I the Business and Professions Cgda, aDd'm' erase Is ri full force Contractor Signature t== PINES UP TO ONE HUNDRED THOUSAND DOLLARS R000,0001, IN ADDETION TO THE Relations as provided for by Section 3700 of the. Labor Code, for of the work for which Ibis permit is issued. My workers' Date /0 - r of - 2 3 to become subject to the workers' COmpenS8li0n laws Of C8140mi3, and ply with those provisions. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which th i permit is issued (Section 3097, Civil Cade). Lender's Name Lenders Address By my signature below. I certify to each of the following: I am the property owner or authorized to acton the properly owner's behalf. I have read this application and the information t have provided is correct I agree to comply with all applicable city and county ordinances and state Paws relating to building construction. I authorize representatives of this city or county ltl r the allays Idantlt3bd`pra etiy for inspectlon purposes. Sl nature of Property Owner Authorized Agent ----� Print Property Owner's or Autho zed Agent's Name Dat ` - ACTION DATE BY J bFCLARATIOROPC MPLTANCE WITH CODE OF FEDERAL I FOROFFICEU. .ONLY RFGIAA PON5 PART 61 OF TITLE RO AND AQMD ROLE 1403 PERMITEXPfREO P€NNUTFINAL �- + I-.t ASBESTOS NOTIFICATION IS CERRHcATE OF Zi is-�'�`-� ( PROPOSED DEMOLITION." _ OCCUPANCYISSUEO FICATtON TO