HomeMy WebLinkAboutXR2022-3055 - Permits�-WP'Og
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City of Newport Beach
Community Development Department- Building Division
.
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type - SFP PLUM
Work Class - Other
111111111111111111111111 i1111111111111111111111111111 jj COMB Permit : XR2022-3055
Plan Check No
Issued Date : 1112112022
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
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Job Address: 41 BRIDGEPORT RD Legal Desc : N TR 14712 BILK LOT 3�
Description: SFR - PEX REPIPE (23) FIXTURES.e�
Owner: NABIL AND NEHAD FARAG FAMILY TRUST
Address : 41 BRIDGEPORT RD
NEWPORT COAST, CA 92657
Phone:
Applicant: G & W PLUMBING & REPIPE INC
Address: 7439 LA PALMA AVE #279
BUENA PARK, CA 90620
Phone: (714) 600-4811
Owner/Builder :
Address :
Phone
Contractor: G & W PLUMBING & REPIPE INC
Address : 7439 LA PALMA AVE #279
BUENA PARK, CA 90620
Phone:
(714)600-4811
Con State Lie:
992133
Lie Expire :
04/30/2024
Bus Lie:
BT30080101
Bus Lie Expire : 11/30/2023
Workers' Compensation Insurance
Carrier: CALIFORNIA INSURANCE COMPANY
Policy No: 463629470105
W. C. Expire : 12/13/2022
Architect
Address
Phone :
State Lie:
Engineer
Address
Phone:
Designer:
Address
Phone:
Code Edition :
2019
Fire Sprinklers : NO
Construction Valuation:
Type of Construction :
V-B
Fire Hazard Zone : NO
Added/New/Ti sq. ft. Bldg:
Occupancy Groups :
U,R-3
No of Units: 1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 2
Added/New sq. ft. Garage:
TOTAL sq. ft.
Building Setbacks :
Front: 10, Side: 5, Side: 5, Rear: 10
Flood Zone :
X -
Use Zone:
PC - Newport Ridge
PROCESSED BY:
SPECIAL CONDITIONS:
$9,448.00
0
0
0
I hereby affirm under penalty of perjury that I am exempt from the Contractors' StateLicenseLaw 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 courtly that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
he permit to file a signed statement that ho 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
'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
lot more than five hundred dollars ($500).
1, as owner of the property, a my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usines , 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
mprovements 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
mproved for the purpose of sale).
1, 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 Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
9 9 p my ..._._..______
I am exempt from licensure under the Contractors' State License Law for the following reason:
3y my signature below I acknowledge that, except form personal residence in which I must have resldod forat least one year prior to completion of the improvements covered by this permit, I.cannot legalli
;ell a structure that I have built as an owner -budder if it has not been constructed in its entirety by licensed contractors, I understand that a copy of the applicable law, Section 7044 ofthe Business and
Professions Code., is available upon request when this application is submitted or at the following Web site:http.live+vr.leginfo.ca.gov/calaw.fltml.
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 700 ofpjvision 3of the Business and Professions Code, and my license is In full force
and effect. License Class License No Date �'Lf�2 Contractor Signaturz/
WORKERS' COMPENSATION DECLARATION
NANNING: 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-PNIPENSATIIN: DA:9AGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR cons, INTEREST, AND ATTORNEYS FEES -
hereby arfirm under pamnity of perjury one of the following declarations:
D I :lave and will r,mintain a certificate of consent fo self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for to
*rNr'mance of tha Bork Lr which this permit is issued. Policy No.
AAdve 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' compeasatiol
insurance carrier and polii.y number are:
Policy Number
of Agent
Date
certify 'hot, in:he 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 agre
If I shnuld become subjeclto the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
e of
rreby affirm under Density of perjury that there is a construction tending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ides s Name Lender's Address
my signature below, I oedify 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 t5venteLPS abaG identified property for inspection purposes.
ACTION DATE. [ BY r)£CCARATf94f OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
' REGULATIONS PART 519E TITLE 40 AND AQNID RULE
1403
PERMITEXPIRED �-Il I SUBMITTED ASBESTOS NOTIFICATION TO
PEfIMm CANCFUSD k EPA
PERMIT FINAL I I6VSBESTOS NOI'IFICA'I'[ON 15 NOT APPLICABLE TO
CERTIFICATE OF —11-11 Dew--' PROPOSED DEMOLITION
OCCUPANCY ISSUED 1 5tGNATURE: L/