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Home My WebLink AboutXR2023-0484 - PermitsCity of Newport Beach O�agWaoRT @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 n.. Inspection Requests Phone: (949) 544-3255 Cq<�FDRN`P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 11IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 11COMB Permit : XR2023-0484 Plan Check No: Issued Date : 02/22/2023 Inspection Area : 5 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 : 4 TIMOR SEA Description : PEX REPIPE Owner: LAN BWI Address : 4 TIMOR SEA NEWPORT BEACH, CA Phone: (714)724-5726 Applicant: CARE PLUMBING Address : 6054 SAN FERNANDO RD GLENDALE, CA 91202 Phone: (818)565-0080 Owner/Builder : Address : Legal Desc : N TR 15818 ELK LOT 17 Contractor: CARE PLUMBING Address : 6054 SAN FERNANDO RD GLENDALE, CA 91202 Phone : (818) 565-0080 Con State Lic : 740599 Lic Expire : 10/31/2023 Bus Lic: BT30075166 Bus Lic Expire : 05131/2023 Workers' Compensation Insurance Carrier: FARMERS+INSURANCE+EXCHANG E Policy No: A09496868 W. C. Expire : 9/18/2023 Architect Address Phone: State Lic Engineer Address Phone: Designer: Address Phone: Phone Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : YES 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 Flood Zone : X Use Zone : PC - Newport Coast PROCESSED BY: SPECIAL CONDITIONS: $27,000.00 0 .. — 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I. am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.5, Business and Professions Cade: 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' Stato License Law (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 Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (u.500). 0 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 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). El 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). 0 1 am exempt from licensure under the Contractors' State License Law 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 legalll sell a structure that I have built as an owner-buildor if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site;http:llwvnv.leginfo.ca.gov/calaw.html, Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury th t I am licensed under provisions of C agja,69 commencing with Section 7 0 of Division 3 of fhe Business and Profgsslons Code, a .m _i It force and effect. License Class G .� �? License No r' .lr Date a Contractor Signature S�'� 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 I$YDD,OW), IN ADDITION TO THE COST OF COMPENSATIC'1', 7r.MAOES AS PROVIDED FOR IN SECTION STIR, OF THE LABOR CODE, INTEREST, AND ATTORNEY" S FEES. I hereby affirm under Ducally of perjury one of the following declarations_ ❑, t have and will maintain a certificate of consent to sett -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th performance of the .York f.;r which this permit is issued. Policy No. Rhave 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' compensatiol msurancr, carder and po,iC.y number are: Carrier a n��1n s, L Policy Number, l� 9y Y D h !/ Expiration Date Name of 4geht Phone # Eig- 7 6 5--e)O ,?A [3, ILnif7 that, in the performance of the work for which this perm' is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agfe thr.t, i' I should become subject to the workers' comp n pro`,ions of SactiQn 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant w DateS5;�? v`Z - �- ? DEC.LAAATION REGAFZTJIIVG CONSTR AGENCY I helaa, .affirm under penJty of perjury that there is a' sfructiw lending agency for the performance ofthe work forvfiich this permit is issued (Section 3097, Civil Code). Lenders Name Lender's Address By Ivy signature below, I Certify 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 andthe information 1 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 nterthe ab gI for inspection purposes. s Signature of Property Owner or Authorized Agent i -- Pon Property Owner's Or Authorized Agent's Nam �' Daial ACTION DATE BY D. ARATiON Of COAtPUANCE w%ITH CODE OFF[ OF FZAI I FOR OFFICE USE ONLY ':. REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMIT CANCELLED NOTIFICATION TO PERMIT FINAL 3-Z . I ^I AS8E5T05 NOTIFICATION 15 NOT CERTfFtCATE OF PROPOSED DEMOLITION ,' OCCUPANCYISSUED SIGNATURES% / /�