Loading...
HomeMy WebLinkAboutP2023-0275 - Permits0!", City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Plumbing Permit Plan Check No : Work Class : Other Issued Date :-Illglo Final Date: Permit Status: Applied Inspection Area : 4 P2023-0275 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 : 1949 PORT PROVENCE PL Legal Desc : N TR 6624 BLK LOT 57 Description: PLUM CHANGE OUT WATER HEATER Owner: KENNETH KRUM Address : 1949 PORT PROVENCE PL NEWPORT BEACH, CA 92660 Phone : (949) 235-3085 Applicant: KENNETH KRUM Address : 1949 PORT PROVENCE PL NEWPORT BEACH, CA 92660 Phone: (949) 235-3085 Owner/Builder : KENNETH KRUM Address: 1949 PORT PROVENCE PL NEWPORT BEACH, CA 92660 Phone: (949)235-3085 Code Edition : 2022 Type of Construction : Building Setbacks Flood Zone Use Zone : PROCESSED BY: Front: 24, Side: 5, Side: 5, Rear: 10 X PC - Harbor View Hills SPECIAL CONDITIONS: SEE PERMIT H2O23-0314 FOR O/B FORM Contractor Address Phone: Con State Lic Lic Expire Bus Lic : Bus Lic Expire: Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Fire Hazard Zone : NO Occupancy Groups: OWNER -BUILDER DECLARATION f hereby affirm under penalty of perjury that I am exempt horn the ContractorsState License Law for the reason(s) indicatei below by the checkmark(s) I have placed next to the applicable tten(s) (Section 7031.5, Business and Professions Code. Any city Dr county that requires a permit to construct, alter, improve, demobs I, or repair any structure, prier 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' State 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 Bcensure and the basis for the alleged exemption. Any violation of Section 03L6 by any applicant for a permit subjects the applicant to a civil penalty of not rnore than five hundred dollars ($500)_ s owner of the property, or my employees with wages as their sole compensation, will do ( ail of or (_) portions of the rk, and the structure is not intended or offered for sale (Section 7044, Buv ness and Professions Cade- The Contractors' State License Law does not apply to an owne roperty, who, through offir CyDDs' or personal effort, Holds or improves the property, provided that the improvements are not Intended or offered for sale. if, however, the budding or improvement is sold within one year of complatl n, the Owner -Builder will have the burden of proving that it was not built or Eroved foe the purpose of sale) 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Buit -Hass and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts ror the projects with a licensed Contractor pur scent to the Contractors' State License Law). © I am exempt from licensure under the Contractors' Stale License Law for the follormng reason By my signature below I acknowledge: that. except for my personal residonce, in which I must have resided for at least one year prior to completion of the Improvements covered by this permit, I carrot legally soli a structure that I have built as an owner -build r if't has n t on construe i 1 entirely by licensed contractors. I under find that a copy of the applicable law, Sect Xo7,4 of the Business and Profosslans Code, Is available upon request who spoil on Is submit o e following Web sila:htip:lfwww.laginfo. .govlcalaw.hfml.. p2Signature of Property Owner or Authorized Agent _� L'�2 ` -z LICENSED CONTRACTOR'S DECLARATI I hereby affim, under penally of perjury that I am IrCeC Sd under provisions of Chapter 9 (Commencing with Section 7000) of Dk ision 3 of the Business and Professions Code, and my license is in full force and effect. License Glass License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES tole CIVIL ONES UP TO ONE HUNDRED THOUSAND DOLLARS U1100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations_ © 1 have and will maintain a cerilleate of consent to self -insure for workers' compensation, issued by the Director of Incustrial Relations as provided for by Section 3700 of the Labor Code, for Its performance of lire work for which this permit is issued. Policy No. ❑I have and will maintain workers' compensation insurance, as required by Section 3700 of the. Labor Code, for the parloronce of the work for which this permit is issued. My Workers' abo compens insurance carrier and policy number are: Carrier _ Policy Number Expiration Date Name of Agent Phone # ©I certify that, in 1 0 p hornUnce of the work for which this permit. is Issued, I shall not employ any person in any manner so s to become subject to the workers' eompansation laws of California, and agni that, if I should boo n subject EnTRLICTZINCING Orrde'p Uan provisions of Section 3700 of the Labor Code. I shall forthwith c0 rallywi0t those provisions. Signature of App6ca t DECi.ARATION REG RC5EN I hereby Mitten under pens ty of penury that there is a construction lending agency for the performance of the work for which thi permit Is issued (Srction 309 C vil Code), Lenders Name _._ .......__..� ___..._...._..._.-.......__.-_.._...._...-.._.__.._..___�. Lender's Address 9y my signature below. 1 Certify to each of the fDllowing: I ant file property owner Or authorized to act oil 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, au eof P representatives of th city or to tsi �r Y the a[USW Hotted property for inspection purposes. N/- ' Slm7ature of Prnaedv Owner or Authorized ADan \I �'.4//l�� .f( A�) Print ProDertv Owner's exr Autho zed Aoent°5 Nam16rA\ �NwC Date �9'z ACTION I DATE I BY 1 I \ DECLARATION PERMIT 1,XPrPFD G'ERWf rT CANC6t t6D PERMIT EXTENDED P['RMI7` FINAL CERTIFICATE OF �F OCCUPANCY ISSUEO PART 61 OF TI7LF 40 AND AQfV HIRE 1404 ,._C'AOM1D _ .... ❑A,8"IGO NO11YICATIONL$NOTAPPL;CABtE PROPOSED DEMOLITION to FOR OFFICE USF, ONLY