HomeMy WebLinkAboutXR2023-1904 - Permits�kWPoRT City of Newport Beach 111111p11111111p1p11111p11111111111111111111111111111 jjCOMB Permit: XR2023-1904
0� � Community Development Department- Building Division X R 2 0 2 3 1 9 0 4
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
Perrnit Counter Phone: (949) 718-1888 Issued Date : 07/13/2023
w.. newportbeachca.gov/civic Final Date:
�q[/co PN�P Combination Type - SFP PLUM Permit Status: Issued
Work Class - Alteration Inspection Area : 4
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 : 3051 CORTE MARIN Legal Desc : N TR 12271 BILK LOT 111
Description: SFR PEX REPIPE , DRYWALL REPAIR AS NEEDED
Owner: Samer Kebab
Address : 3051 Corte Merin
Newport Beach, CA 92660
Phone : (949) 400-1007
Applicant: PRIMEWEST PLUMBING
Address: 31878 OBISPO ST STE 118343
SAN JUAN CAPISTRANO, CA 92675
Phone: (949)880-6221
Owner/Builder
Address :
Contractor:
PRIMEWEST PLUMBING
Address :
31878 OBISPO ST STE 118343
SAN JUAN CAPISTRANO, CA 92675
Phone:
(949)880-6221
Con State Lic
: 1087885
Lic Expire :
03/31/2024
Bus Lic:
BT30079101
Bus Lic Expire : 06/30/2023
Workers' Compensation Insurance
Carrier: STATE FUND
Policy No: 9314729
W. C. Expire : 9/19/2023
t cz M
Architect
Address
Phone:
State Lic
Engineer:
Address
Phone :
Designer:
Address
Phone:
Phone:
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation :
$9,000.00 '
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: 5, Side: 5, Side: 5, Rear: 5
Flood Zone :
X
Use Zone:
PC - North Ford
PROCESSED BY
SPECIAL CONDITIONS:
DEC
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the mason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
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 '..
is 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 '..
'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 for a permit subjects the applicant to a civil penalty of '..
of more than five hundred dollars ($500),
3 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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 properly, provided that the
nprovements 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
nprdved for the purpose of sale).
1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not
ply to an owner of properly who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
1 am exempt from licensure under the Contractors' Stale License Law for the following reason:
ly 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
oil a structure that I have built as an ownonbuiider if it has not boon constructed in its entirety by licensed Contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
rofessions Code, is available upon request when this application is submitted or at the following Web site;hitp:GWwwaeginfo.ca.govlcalavehtml. .—
signature of Property Owner or Authorized Agent �w- Date
ACENS£D CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Se Ion ) of Divi�n 3 of the B r e and b ssio Code, and my license is In full force
and effect. License Class License No e / S " E3 Contract Signa re
VORKERS' COMPENSATION DECLARATION
rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CR MNAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO AND DOLLARS 1E100,000), IN ADDITION TO THE
GET OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES$,
hereby affirm under penalty of perjury one of the following declarations;
and will oaotain. a certificate of Consent to sal -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
ce of th.a wcr':'or which this permit is issued. Policy No.
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permitis issued, My workers' compensa.
carrier and policy number are:
le.. or Agent-
(A,Alfy that, Ir Ih3 pe
if I snouM-bec ure
Policy Number
Dale
I of the work for which this permit is issued. I shell not employ any person in any manner so as to become subject to the orkers' compensation laws of California, and
the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
- .---- Date 1 Y'
r,r 6,, affirm under penalty of perjury that theca is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade).
enr e ', Name Lender's Address
ly my signature allow, I certify to each of the following:
I am the property owner or authorized to act on theproperty 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 entw Rle above -identified property for inspection purposes. / 7�
signature of Property Owner or Authors ed ent Print Property Owner's or Authorized A
ACTION DATE BY EittfLAKATON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
1 1 REGULATIONS PART 510FTMILE40AND ACIMD RULE
PERMIT CANCELLED rU-t1PA
PERMIT EMENDED LJARM p
PCRNHT FINALQ, 'r� ( HESTOS NO F1CAT1 NIS NOTAPPLICAaLE TO
CERTIFICATE E OF rv/' PROPOSED D LITE '
OCCUPANCY ISSUED ! SIGNATURE: