Loading...
HomeMy WebLinkAboutP2023-0339 - PermitsCity 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 : 09/07/2023 Final Date: Permit Status: Issued Inspection Area : 3 P2023-0339 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 : 2500 ANNIVERSARY LN Description : PLUM SEWER CLEANOUT Legal Desc : N TR 706 BLK LOT X TR 706 LOT X IRREG LOT IN LOT A Owner: DOLORESLINDSAY Address : 2500 ANNIVERSARY LN NEWPORT BEACH, CA 92660 Phone : (949) 289-1358 Applicant : SERVICE CHAMPIONS HTG Address : 3150 E BIRCH BREA, CA 92821 Phone: (714)777-7777 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : A; X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY SPECIAL CONDITIONS: Contractor : SERVICE CHAMPIONS HTG Address : 3150 E BIRCH BREA, CA 92821 Phone: (714)777-7777 Con State Lip : 799170 Lic Expire : 10/3112023 Bus Lic: BT01080105 Bus Lic Expire:07/31/2024 Workers' Compensation Insurance Carrier : EVEREST PREMIER INSURANCE COMPANY Policy No : RM8WC00054231 W. C. Expire: 8/1/2024 Fire Hazard Zone : NO Occupancy Groups: a.F OWNER -BUILDER DECLARATION hereby oilier under penallyy oOf (Bauder, T03t6. Business and Professions by the checkrnark(s) I have placed next to the ap. f perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated bo ions Code: Any rily or county that requires a permit Io construct, alter, improve, demolish, or repair any Structure, prior to Its issuer) Ce, also tequife, �' m. the permit to file a signed statement that he or she is licensod pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7006) of Division d0 T Precessions Code) or that he or she is exempt from licensure and the basis far the alleged exemption, Any violation of Section 7031,5 by any applicant for a permit subjects the applicant to a 01. """"'�""�°"" not more than five hundred dollars (a500). ❑ L as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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 properly, provided that the Improvements are not intended or offered for sale. If, however, the building or improvementis sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or unproved for the purpose of sale). ❑ l as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section N44, 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 ContractorsState License Law), ❑ I am exempt from Gr:ensure under the Contractors' Stale License Law for the follotvfng reason: y any s gnaturD below, I acknowledge that except for my personal residence in Whleft I must have resided for at least one year prior to completion of the Improvements covered by this permit I cannot legal) sell a structure that I have built. as an owner -builder if it has not boon 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 application is submitted or at the following Web site:http:/!'Amw.leginfo.ca.gov/calaw.html. 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 0 D. sn�ipp 3 of the Business and Proles Gode d my license is In full force and effect. License Class License No Date 'G Contractor Signature NORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED O OLLARS (S100,0a0), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'$ FEES.. hereby affirm under penalty of perjury one of the following declarations: —1 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 Ili Ter orrnanco 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' compensatio suit, e carrier and policy number are: r Policy Number Expiration Date of Agent LJI verify that, in the pa ormanre of the work r which thi mit is issued I shall not employ any person in. any manners a as to become subject to the workers orepensation laws of California, and that, if should tfecn e . ubjact to ilia work s' •.:nnr ation provisions of Section 37DO of the Labor Code, I shall forthwith comply with those provisions. Blgnalure of Applican DECLARATION REG D N LENDING AGENCY., __... ....,. ._.._ ..... _._... ll .,.. I hereby affirm under penalty of )u [there Is a construction lending agency for the performance of the work for which this permit is issued (Section 30 toll Cade}. I -enders Name Lender's Adtlress By my signature brlu.n to each of Ed'm OIC Ain I am Vie property owner or authorized to act on the properly Owner's behalf. I have read this application and the information 1 IT, provided is corr-ct. ag roe to comply mnttt. an applicable city and c vni ordkfences a slat© laws Ielall Io hvlldkig construction. Q �/ I authorize representatives of this city or count to Thar ;Y,a aFJv-'ve•idenlified. any for r5prction purposes. g I� "`/ V[ G� ate ` h !/ Signature of Property Owner or Authorized Agent `�� Print Property Owner's or Authorized Agent's Nam j'VICGI(, ACTION DATE BY ,ITT; ION iPLIAhCE WIl H CODE OF FEDERAL FOR OFFICE USE ONLY RFC&AT _ ART 61 OF TITLE 40 AND AQN11) RULE i PERMIT EXPIRED I Sl1BtNITTrU ASflrCTOS PlQTIF CATI('N TO —`--- FfR Vir7 CAAC�t[FD META PERlvT FNTF;YDCD ❑AQMD PEAMI HplA[ ASt3E5105 NOI IFICATI0N 15 NOf APPLICABLE fU P_ CCRTrRCATE Of � gif � ti� PROPOSED DEMOLITION OCCUPANC'e lSSUEO V rNATI iOP.