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Home My WebLink AboutXR2023-1930 - PermitsaEW City of Newport Beach 111 IIIIIIII 11111111 Im 111111111111111111111111111111111 jj COMB Permit:XR2O23-193O 4D�" Community Development Department- Building Division X R 2 0 2 3 1 9 3 0 100 Civic Center Drive, Newport Beach, CA 926BO Plan Check No Permit Counter Phone: (949) 718-1888 Issued Date : 07/17/2023 newportbeachca.gov/civic Final Date: 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 : 70 CROOKED STICK DR Legal Desc : INTR 15391 BLKLOT 45 `ti13�l' ®.v' Description: SFR PEX REPIPE, DRYWALL REPAIR AS NEEDED Owner: ANN ALDEN Contractor: PIPELINE RESTORATION PLUMBING Architect Address : 70 CROOKED STICK DR Address : 29291 KENSINGSTON DR Address: NEWPORT BEACH, CA 92660 LAGUNA NIGUEL, CA 92677 Phone: (949) 322-8029 Phone: (714) 860-4250 Phone Con State Lie : 965054 State Lie Lie Expire : 0813112023 Applicant : BEN MEDINA Bus Lie: BT30074100 Engineer: ' Address : 31225 LA BAYA DR Bus Lie Expire : 01/31/2024 Address WESTLAKE VILLAGE, CA 91362 Phone: (818) 735-7876 Workers' Compensation Insurance Phone: Carrier: SENECA INS CO INC Owner/Builder : Policy No : SWC1439227 Designer Address : W. C. Expire: 5/13/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $9,850.00 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: 3 Flood Zone : X Use Zone : PC - Aeronutronic Ford PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION t hereby affirm under penally of perjury that t am exempt from the Contractors' Slate. License Law far theteason(s) indicated below by the clieckm a rk(s) I haveplaced next lD the applicable item (a) ieellon 7031.5, Business and Professions Code: Any city or county that requires a perm I to construct, alter, improve, demolish,. or repair any structure, prior to its issuance, also requires the applicant for io permit to file a signed statement that be or she Is licensed pursuant to the provisions' of the Contractors' State License Law (Chapter g (commencing with Section 700q)of Division '3 of the Business and Tofessions Code) or that he or she is exempt from toensure'and the basis, for the alleged exemption. Any violation or Section 7031,5 by any applicant fora permit subjects the applicant to a civil penalty of '. of more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure Is not intended or offered for sale (Section 7044, uric Pss 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 nprovemenls are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Bullderwill have the burden of proving that It was not built or nproved for the purpose of sale). 1 I, as owner of the property, am exclusively contracting with licensed Contrartors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not 5ply 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), 1 am exempt from ocensure'under the Contractors' State License Law for the following reason iy my signalure below I acknowledge that, except for my personal residence in which I must have rosided for at least one year prior to completion of the improvements covered by this Carroll, I cannot legally ell a slructuro that I have builtas an owner -builder if it has not been constructed in its antiroly by licensed contractors. I understand that copy of the applicable law, Section 7044 of the Business and 'rofessions Code„ is available upon request when this application Is Submitted orat the fallowing Web site:htip:liw v'.leginfo.cB.govlcalaw.html. signature of Property Owner nr Authorized Agent __ Date ___ .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of pafjtfry that I am licensed under provisions of Chapter 9 (commencing with Se ion 700A) f 0 i i n 3 of the Business a d Profess) O D-a .rid —erase is In full farce rid effect. License Class License No to 1 Contracto elute VORKERS' COMPENSATION DECLARATION EARNING: FAIWRI TO SEC'IRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP70'. ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN AOOrT ION TO THE CST OF COMPENSI.T.C,J, DAMAGES AS PROVIDED FOR IN SCCTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEE$_ 6aruby affirm under I,€nalty of perjury one of the following declarations: .11 hive and rvIll maintain a Certificate of Conseil( fo self -insure for workers' compensation. Issued by the Director of Industrial Relations as provided for by Section 3700 of the. Labor Code, for the oncrm8,nce of the work for which this pormit Is Issued. Policy No. 55 -ye and will ma'rloin 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 isurRnce, carrier and policy number are: fl, Policy Number Expiration Date ma of Agent Phone ll LF l.fy that. in the oerforme 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 workers' compensation laws of California, and agre If 1 should .(eccm6 sub of to the workers compensation provisions of Section 3700 of the Labor Code, i shall forthwith comply with those provisions. Ialu e of Nf an' hereby affirm undercIbanal'tp of perjury that there -is a construction lending agency for the performance of the work for which this permit is issued (Section tinder's Name I-� Lender's Address ly my signature be w, I ce each of the following. I am the Grope .wrier or authorized to act on theproperly owner's behalf, I have read this application and the information I.have provid correct. I agree to comply with all applicable city and county or noes and state laws relating to building construction. I authorize representatives of this city or co ty to entei-th bove•Identified property for inspection purposes. t .ipnature of Property Owner or Aulhonzad aural Pnnl Prooertv Owner's or Authorized Aoent's Nalma ACTION I DATE. PERMIT EXPIRED PERMr7 CANCEIlEO PERMIT Ex -FENDED CERTIFfCAYE Or V?jtl� OCCUPANCYISSUEP OF COMPLIANCE NNT14 CODE OF FEDERAL PART 61 OF TITLE 40 AND AQNID RU tE. i1<Wa I SLJ UFINI TIED TO FOR OFFICE USE ONLY , Civil Code). FA 0