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HomeMy WebLinkAboutP2023-0241 - Permits� WPoRT City of Newport Beach 111111111111111111111111111111111111111111111111111 jj Ok'i M Community Development Department- Building Division P 2 0 2 3 0 2 4 1 ¢'� n 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 O°gtu�r. newportbeachca.gov/civic . i Syr Plumbing Permit Plan Check No: Work Class : Other Issued Date : 06/28/2023 Inspection Area: 8 P2023-0241 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 : 1630 BEDFORD LN, E Legal Desc : N TR 1893 BILK LOT 25 Description : PLUMB REPLACE ALT SEWER LINE AT CARPORT Owner: NEW NEW HINOKI LLC Contractors WESTLAND PLUMBING CO Address: 3645 LONG BEACH BLVD LONG BEACH, CA 90807 Address : 16609 LISA AVENUE BELLFLOWER, CA 90706 Phone: Phone: (562)607-3789 Con State Lic : 662499 Applicant : Somphone Paul Siphengphone Address : 16609 Lisa Ave. Bellflower, CA 90706 Phone : (562) 607-3789 Owner/Builder : Address Phone : Code Edition : 2022 Type of Construction : Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 0 Flood Zone: X Use Zone: RM - Multiple Residential PROCESSED BY: SPECIAL CONDITIONS: Lic Expire : 01/31/2025 Bus Lic: BT30081959 Bus Lic Expire:06/30/2024 Workers' Compensation Insurance Carrier : STATE COMPENSATION INSURANCE FUND Policy No : 9294819 W. C. Expire: 4/3/2024 Fire Hazard Zone : NO Occupancy Groups : OWNER-rSUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractom' 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 Low (Chapter 9 (commencing with Section 7000) of Division 3. of the Business and Professions Code) or that he or she is exempt from Iicensure and the basis for the alleged exemption. Any viola jam of Section 7031,5 by any applicant for a permit subjects the applicant to a Civil penalty of not more than five hundred dollars (S500). © I, as owner of the property, or my employees with Wages as their sole compensation, will do (_) all of at (_) portions of the work, and the structure is not intended or attered 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 properly, provided that the improvements are not intended or offered for sale. it, 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 Im roved 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 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). d I am exempt from Ik:ensure 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 legally sell a structure that I have builtas an owner -builder if it has not beenaonsmicted in itsentirety 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:Nwww.leginto.ca.govtcalaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of Ivision 3 of the Business and Profest ode, and my license is in full force and effect. License Class License No Date f! 1 1 Contractor Signature �C,f!/r �— WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIWAAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION Bide OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: 0 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 3100 of the Labor Code, for thl performance of the work for which this permit is issued. Policy No. have and wilt 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' ranee caner and policy number are: Policy Number Date to of Agent Phone N 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. of Date%% Z � freby affirm under penalty of perjury that there is a constriction 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 cowpiv will, all applicable city and county ordinances and state laws relating to budding construction., mature of erepre On. representatives or Authorized city r county to enter the above -Identified property for inspection purposes. I a Rharize ra rosentalives al this aR or c D/J ,,ceam� ant Print Properly Owner's or Authorized Agent's Name DATE PERM', IEXPIRED PERMIT CANCELLLO iYR:A1TONAL i C€RIVICArE OF i �V ,XC UPANCY r55UEb DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMo RULE U ASBESTOS NOTIFICATION 15 NOT APPLICABLE IV PROPOSED DEMOLITION