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Home My WebLink AboutXR2022-2564 - PermitsCity of Newport Beach ��EWP04,r O - F Community Development Department- Building Division e y 100 Civic Center Drive, Newport Beach, CA 92660 U s Permit Counter Phone: (949) 644-3288 °$�conH'P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - MFP Work Class - Alteration COMB Permit : XR2O22-2564 Plan Check No: Issued Date : 09/26/2022 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: 18 DAUPHINE Description : MFR PEX REPIPE *122-2651* Owner: JOHNLIN Address : 1602 PEACOCK AVE SUNNYVALE, CA 94087 Phone Applicant: BEN MEDINA Address : 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362 Phone : (818) 735-7876 Owner/Builder : Address : Phone Code Edition: Type of Construction Occupancy Groups: Bldg Height: Building Setbacks: Flood Zone Use Zone : 2019 V-B R-2 X PC - Newport Ridge PROCESSED BY: F C SPECIAL CONDITIONS: Legal Desc : N TR.14588 BLK LOT 9 UN 58 TRACT 14588, LOT 9 OF PROJECT 936 -46 LOCATED ON AS BUILT PERMIT Contractor: PIPELINE RESTORATION PLUMBING `; Architect :EXPOSE ALL STRUCTURAL, Address `. 29291-KENSINGSTON DR Address • I-+, LAGUNA NIGUEL, CA 92677 tLECTRICAL, PLUMBING, AND Phone : (714);860-4250 Phone : Con State Lie : 965054 State Lic I`-°ECHANICAL COMPONENTS `<. Lie Expire : 08/3112023 Bus Lic:. BT30074100 - Engineer: Bus Lie Expire : 01/31/2= 3 Address Workers'. Compensation Insurance Phone Carrier: SENECA+INSURANCE+COMPANY+INC Policy No: SWC1385951 Designer: W. C. Expire : 5/13/2023 Address Phone: Fire Sprinklers : ; NO Construction Valuation : $8,400.00 Fire Hazard Zone NO Added/New/TI sq. ft. Bldg: 0 '. No of Units : 6 Alteration sq. ft. Bldg : No of'Stories: 2 Added/New sq. ft. Garage : 0 • i J¢J bi 4 W • JS•• i hereby affirm under penalty of perjury that t am exempt from the Contraclors' State -License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) Icilon 7931:5, Business and Professions Code. Any city or county that requires a permit to construct, alter, improve, demolish, or repoIr any structure, prior to: its issuance, also requires the applicant. for permit to file a signed statement that he or she is Licensed pursuant to the provisions of the Contractors' State License Caw (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ifessions Code) or that he or she is exempt from licensors and the basis for the alleged exemption Any violation of Section 7031.5 by Applicant for a permit subjects rthe _Applicant to a civil penalty of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sale compensation,, will do L) all of or L) portions of the work, and the structure is notintended or offered for sale (Section 7044, ;iness 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 theproperty, provided that the irovements are not intended or offered for sate. 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 ,roved for the purpose of sale). 1, asowner 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 Ay 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). I am exempt from licensure under the Contractors' State .License Law for the following reason'. 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 a structure that I have built as an owner -budder if it has not been constructed in its entirety by licensedcontractors. I understand that a copy of theapplicable law. Section 7044 of the Business and. ,fessions-Code, is available upon request when this application is submitted prat the following Web site:http.,/Avw .leginfo.ca.govlcalawihtml. nature of Property Owner or Authorized Agent Date._ , s.vrr.ira vrvn a i- vI..s a,vi• in under penaltydfperjurythat I:am licensed under provisions of Chapter (Commencing with Sectio"W!i the Business and -Pr a lions a :, d my [loan -rc Licertse, Class License. No Do Contractor Sign _ V COMPENSATION DECLARATION .URE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL;. AND $HAIL SUBJECT AN. EMPLOYER TO CRIMINAL PENALTIES AND CNIL FWES UP TO ONE aUNORED TNOUSAND DOLLARS t$100,000), IN ADDITION TO PENSATION, DAMAGES AS PROVIDED FOR W SECTION 3706 OF THE LABOR COOP: INr6REST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: J I have and will maintaina 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, forth ormance of the work for which this permit is issued, Policy No. eve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for theperformance of the work for which this permit is issued, My workers' comeensadoi Isurance Carrier and policy number. are+ :artier Policy Number Expiration Date lame of Agent Phone# It certify that, in the pe rman �k for which this permit is issued, I shall not employ any person it) any manner so as to become subject to the woT-1, 'mpens lion laws of California, and agfe rat, if l should Deco a ubtect f t work rs ompensauon provLsl eotion.3700 of the Labor Coded I shelf forthwith comply with those provisionsant %/,, ignature of Applica t Za -iECLARATION RE RD CO 1 4 LENDING AGENCY hereby affirm under penal rtury that there Is a construction lending agencyfar iheperformance of the work for which this permrtisissued (Section 3097,ivil ode). tinder's Name Lenders Address. y my signature below, I certify to each of the following:: I am the proparhy awper or authorized to act on theproperty owners behalf. . I have, read thig application and the information I.have provided is correct. 'I'a'Args to corp"yvq all applicable city and founty or u s and state Laws relating to building construction.. •1 authorize repMerttatives of this city or c{{*ty_t"nt above-idemifAd property for.;ncoection pufpasea A IeX 1' j - J , , , , A/6 L- 17, ACFIONc.- . • DATE G 'ARATIONOF GOMPUANCF WITH LODE OF FEDERAL FOR OFFICE U5E: C�NLy `••` " REGOLAT10NSPART61 OFTITLE40AN0 AQMD RULE •..lAnl ` • �)._I'��Z�- �. 3 LJ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO • • (, h-t�ii PROPOHODEMOUTION..