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Home My WebLink AboutXR2024-0787 - Permits6WPO Cityof Newport Beach 4� ', B Community Development Department Building Division COMB Permit : XR2024-0 / v O Y P P 9 X R 2 0 2 4 0 7 8 7 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 718-1888 u >tl S Issued Date 3/28/2024 a� newportbeachca.govlcivic Final Date: cgacoae�r Combination Type - SFP Permit Status: Expired Work Class - Other Inspection Area : 9 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 : 7 TORREY PINE Description: SFR PEX REPIPE Owner: GEHRET DAVID A TR Address : 7 TORREY PINE DR NEWPORT COAST, CA 92657 Phone: Applicant: BEN MEDINA Address: 31225 LA BAYA DR, 213 WESTLAKE VILLAGE, CA 91362 Phone: (818)735-7876 Owner/Builder Address : Phone: Legal Desc : N TR 14103 BLK LOT 1 UN 2 TRACT 14103, LOT 1 & FOR Contractor: AMERI-CAL REPIPE & PLUMBING Architect Address : 6900 KNOTT AVE, UNIT J Address BUENA PARK, CA 90621 Phone: (562)644-7477 Phone: Con State Lie : 928649 State Lie Lie Expire : 01/31/2026 Bus Lie: BT30045009 Engineer: Bus Lie Expire : 10/31/2024 Address Workers' Compensation Insurance Phone: Carrier: STATE FARM Policy No: 92KNM5251 Designer: W. C. Expire: 9/1/2024 Address Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $16,500.00 Type of Construction : V-B Fire Hazard Zone : YES Added/New/Ti sq. ft. Bldg: 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg: 0 Bldg Height : No of Stories : 1 Add/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 Building Setbacks Flood Zone : X Use Zone : PC - Newport Coast PROCESSED BY: SPECIAL CONDITIONS: DUPLICATE I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law far 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 county 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 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 'rcfessions 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 rot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of Or U portions of the work, and the structure is not intended or offered for sale (Section 70", Business and Professions Code: The Contractors' State License Law does not apply to an owner of properly 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 provingthat It was not built or mproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contracttorsix3tate 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). 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 1 must have resided for at least one year prior to completion of the Improvements covered by this permit, I Cannot legally ;ell a structure that I have built as an owner -builder 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 Drofessions Code, Is available upon request when this application is submitted or at the following Web site:http:llw .leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature NORKERS' COMPENSATION DECLARATION YARNING: 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 I11100,000i, IN ADDITION TO THE :UST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a 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, for IN ledormance of the work for which this permit Is issued. Policy No. have 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' rance carrier and policy number are: r Policy Number Expiratir of Agent Phone N Date certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers compensation laws of California, and if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date_ CLARATION REGARDING CONSTRUCTION LENDING AGENCY Neby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ider's Name Lenders Address my my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. DUPWAI 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 enter the above -identified property for inspection purposes. ACTION 1 DECLARATION OF CMPLIANCE WITH CODE OF I DATE I BY I REGULATIONS PARTD61 OF TITLE 40 AN AQMD RULE�L FOR OFFICE USE ONLY PERMITCANCELLED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED I SUBMITTED ASBESTOS NOTIFICATION TO t_.I ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: