HomeMy WebLinkAboutXR2025-0631 - Permits�gWPpRT City of Newport Beach III III II IIIIII I III I II IIIIIIIIIIIII I II COMB Permit : XR2025-0631
c� Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NO
M� Permit Counter Phone: (949) 718-1888 Issued Date : 03/12/2025
e., newportbeachca.gov/civic Final Date:
C'�CI F00.N�P Combination Type - SFP PLUM Permit Status: Issued
Work Class - ADDITIONIALTERATION 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
Job Address : 1998 PORT CLARIDGE PL Legal Desc : N TR 7028 BLK LOT 13
Description: SFR PEX REPIPE, REPAIR SMALL DRAIN IN KITCHEN AND R/R WATER HEATER
Owner: CHARLES SEBENS
Contractor: SIMPEX REPIPE INC
Architect
Address : 1998 PORT CLARIDGE PL
Address : 18021 SKY PARK CIR., STE. K
Address
NEWPORT BEACH, CA 92660
IRVINE, CA 92614
Phone: (734)546-3078
Phone: (949)396-6394
Phone:
Con State Lic : 1031884
State Lic
Lic Expire: 10/31/2025
Applicant : SIMPEX REPIPE INC
Bus Lic: BT30085328
Engineer:
Address: 18021 SKY PARK CIR., STE. K
Bus Lic Expire: 10/31/2025
Address
IRVINE, CA 92614
Phone: (949) 396-6394
Workers' Compensation Insurance
Phone:
Carrier: SECURITYNATIONAL INSURANCE
COMPANY
Owner/Builder :
Policy No: SWC1528138
Designer:
Address:
W. C. Expire : 1/30/2026
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation
Type of Construction : V-B
Fire Hazard Zone: NO
Added/NewlTI sq. ft. Bldg
Occupancy Groups : U,R-3
Fire Alarms: NO
Alteration sq. ft. Bldg :
Bldg Height :
No of Units : 1
Add/New sq. ft. Garage:
No of Stories : 2
TOTAL sq. ft.
No of Basement: 0
Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 10
Flood Zone : X
Use Zone: PC - Harbor View Hills
PROCESSED BY:
SPECIAL CONDITIONS:
$13,500.00
0
0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law 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 county that requires a peril to construct, alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for
to 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).
] I, as owner of the property, or my employees with wages as their sole compensation, will do U all Of or (_) portions of the work, and the structure is not Intended or offered for sale (Section 70",
usiness 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
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
nproved for the purpose of sale).
] I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors State License Law does not
pply 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).
] I am exempt from licensure under the Contractors' Stale License Law for the following reason:
y 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 legall',
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
'rofessions Code, Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
ignature of Property Owner or Authorized Agent Date
ICENSED 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 farce
nd effect. License Class License No Date Contmctor Signature
COMPENSATION DECLARATION
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$100.0001, IN AODmON
COMPENSATION, DAMAGES AS PROVWED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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
'orance 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 petit is issued. My workers' compense
trance carrier and policy number are:
Policy Number
Date
1e of Agent Phone #
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.
Iature of Applicant Date_
3reby 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 Lender's Address
my 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 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 enter the above -identified property for inspection purposes.
ACTION
PERMITCANCELLED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE BY DECLARATION OF II REGULATIONS PART0610 TIITLE 40 AND AOMD RULE CE WITH CODE OF AL I FOR OFFICE USE ONLY
1 SUBMITTED ASBESTOS NOTIFICATION TO
LJASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
'�-z PROPOSED DEMOLITION