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HomeMy WebLinkAboutXR2023-1984 - Permits'"0", COMB Permit : XR2U23-1984 City of Newport Beach III�I��� � III III �II IIIII� �� �II�� II� II „ Community Development Department - Building Division X R 2 0 2 3 1 9 8 4 o, e U 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: S Permit Counter Phone: (949) 718-1888 Issued Date : 07/20/2023 newportbeachca.gov/civic Final Date: cqt ror+`'�P Combination Type - SFP PLUM Permit Status: Issued Work Class - Alteration Inspection Area : 2 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 : 46 LINDA ISLE Legal Desc : N TR 4003 BILK LOT 46 Description: SFR PEX REPIPE AND JACUZZI IN MASTER BATHROOM PER CITY STANDARD PLAN Owner: CLIFFORD DOWNS Contractor: ROOTER HERO PLUMBING Address : 46 LINDA ISLE Address : 1328 S ALLEC ST NEWPORT BEACH, CA 92660 ANAHEIM, CA 92805 Phone : (949) 287-1155 Phone : (949) 656-5525 Applicant: ROOTER HERO PLUMBING Address : 1328 S ALLEC ST ANAHEIM, CA 92805 Phone : (949) 656-5525 Owner/Builder : Address : Phone Con State Lie : 1028886 Lie Expire : 07/31/2025 Bus Lie: BT30065891 Bus Lie Expire : 01/31/2024 Workers' Compensation Insurance Carrier: SAFETY NATIONAL CASUALTY CORP Policy No: SP4066451 W. C. Expire : 4/1/2024 Code Edition : 2022 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : U,R-3 No of Units : Bldg Height: No of Stories Building Setbacks : Front: 10, Front: 25, Side: 4, Side: 4 Flood Zone : AE, 8 FT; X Use Zone : R-1 - Single -Unit Residents PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone : State Lie Engineer: Address Phone: Designer: Address Phone : NO Construction Valuation : NO Added/New/Ti sq. ft. Bldg 1 Alteration sq. ft. Bldg 2 Added/New sq. ft. Garage TOTAL sq. ft. : ii gC $10,000.00 0 0 0 I hereby affirm under penalty of perjury that I ant exempt from the Contractors' State License Law for the reason(s) 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 Low (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 Sectlon 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not Intended or offered for sale (Section 7044, Business and Professions Code: The Cononctors' 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). 0 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 property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 0 [am exempt from licensure under the Contractors' State License Low 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 ownor-buildor if It has not been constructed in Its entirety by licensed contractors. I understand that a copy of the applicable law, Section 70" of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:liwww,leginfo.ca.govlcalaw.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 Sectio 7 00) of Division 3 of the Business and Pr,,,y,,,��rt,,,Plsions Code, a d my license is In full force and effect. License Class License No Datg r)— 2 Contractor Signatur�^ WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' 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 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 970E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: �0 I 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 the performance of the work for which this permit is issued. Policy No. 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' compensation l9rsurance care,and policy number are: , of Agent Policy Number Sv `fy 07 / Expiration Date Phoneff ]I certify that, in the performance of the work for which this permit is issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agree mat, if I should become su ct tot orkers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 'J 2 ignature of Applicant ,_ _ Da - . ........__,_ .. _T_. _ ____��._ _�. — ECLARATION REGAft 1 O STRUCTION LENDING AGENCY 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). endai s Name _ Lender's Address _ y my signature below, I certify to each of the following: I am the property owner or authorized to act on the properly 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 stale laws relating to building construction. I authorize representatives of this city or county entew�e-identified property for inspection purposes. u Cz ,C of Property Owner or Authorized ACTION PERMIT EXTENDED PE ....Ri4fiT ..._.. RIVAL....""" ------ CERTIFICATE OF OCCUPANCYISSUED !� Owner'a or Authorized Aaent's Name le"vY'u VIIA- BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY i REGULATIONS PART 51 OF TITLE 40 AND AONID RULE 1403 ' I SUBMITTFD ASRFSTOS NOTIFICATION TO I dIfICATION 15 NOT APPLICABLE 'TO