HomeMy WebLinkAboutP2023-0168 - PermitsWPr,RT
City of Newport Beach
Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone'. (949) 718-1888
newportbeachca.gov/civic
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Plumbing Permit
Plan Check No :
Work Class : Other
Issued Date : 05/09/2023
Inspection Area: 1
P2023-0168
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: 107 29TH ST, A
Description:
PLUM SEWER LINE REPAIR 75' SECTION
Owner:
ANNE NICHOLSON
Address :
107 29TH ST, A NEWPORT BEACH, CA 92663
Phone:
(714)651-1544
Applicant :
ANNE NICHOLSON
Address :
107 29TH ST, A NEWPORT BEACH, CA 92663
Phone:
(714)651-1544
Owner/Builder : ANNE NICHOLSON
Address :
107 29TH ST, A NEWPORT BEACH, CA 92663
Phone :
(714) 651-1544
Code Edition
: 2022
Type of Construction :
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY
Front: 5, Side: 3, Side: 3, Rear: 5
X
R-2 - Two -Unit Residential
13,7
SPECIAL CONDITIONS: HIGH DENSITY ZONE
Legal Desc : A TR NEWPORT BEACH CITY BLK 29 LOT 32
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:
JO CONSTRUCTION NOISE
ON THE WEEKEND
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury trial 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 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' 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 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 ($500),
❑ 1, 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,
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
wvemenls 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
ved for the purpose of sale).
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).
❑ 1 am exempt from licensors 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, 1 cannot legail
sell 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
Professions Code, is available upon request when this pplicat,A u Itted or at the following Web site:http:llwww.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent ��g.r,Li G Date
LICENSED CONTRACTOR'S DECIARATIOIf
I 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
WORKERS' COMPENSATION DECLARATION
NARNING: 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 ($100,000I, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LASOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 1 have and will maintain a certificate of consent t0 self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
)er(Drmance 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:
Policy Number
of Agent
Date
UI 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 Cafifomia, and agr
Tat, if I should became subject to th orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r/
lignature of Applici ___ _ Date_
��FR/JG�`� eS
IECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby affirm under penatty 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).
ender's Name Lenders Address
ly my signature beiow,, I certify to each of the following:
I an, the property owner or authorized to act on the property owner's behalf.
I he is read hlis application and the information I have provided is correct.
I agree to comp�y with all applicable city and county ordnWnces and state laws relating to building construction.
authorize representatives of this city or county t e�emert e b -identified property for inspection purposes.
.gnalure of Proper,y Owner or Authorized Agent Print Prooerty Owner's or Authorized ADent's Nam& 4, Alt (./" Al, n�re .�.�•- %%
AClII,N I DATE ( 8Y DECLARATION OF RFCULATIONS PARTOMPLIANCE 61 OF TITLE 40TH c6b�EOF AND AOMU RUII.E AL FOR OFFICE USE ONLY
P-MMT EXPIRED i L1 I SUBMITTED ASBESTOS
DEFI✓r7EXTENDED - _.UAQMD _.
✓ERvfl7 MAL q _ 1 JPPL
_- ASBESTOS NOTIFICATION IS NOT AMICABLE TO
CERTIFICATE Oh PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATIIRF-