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Home My WebLink AboutP2023-0105 - PermitskaEWPoRT City of Newport Beach p ecn Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-328B cy "` Nor Inspection Requests Phone: (949) 644-3255 00. newportbeachca.gov/inspections 111�1111111 11111111111111111111111111111111111111 111JillPlumbing Permit : P2023i-0105 Plan Check No: PC2023-0488 Work Class : Other Issued Date : 03/06/2023 Inspection Area : 3 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 : 1863 BONAIRE WAY Description: PLUMB - (1) GAS LINE TO FIRE PIT Legal Desc : N TR 3282 BLK LOT 24 Owner: LINSKY JEAN C TR J C Address : 1863 BONAIRE WAY NEWPORT BEACH, CA 92660 Phone : Applicant: LINSKY JEAN C TR J C Address: 1863 BONAIRE WAY NEWPORT BEACH, CA 92660 Phone: Owner/Builder : LINSKY JEAN C TR J C Address: 1863 BONAIRE WAY NEWPORT BEACH, CA 92660 Phone: Contractor Address Phone: Can State Lie Lie Expire Bus Lie Bus Lie Expire: Workers' Compensation Insurance Carrier Policy No: W. C. Expire Code Edition : 2019 Fire Hazard Zone : Type of Construction : Occupancy Groups Building Setbacks : Front: 15, Side: 10, Side: 10, Rear: 10 Flood Zone : X Use Zone: R-1-10000 - Single -Unit Residential (10000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: NO OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checktnark(s) I have placed next to the applicable item{s) (Section 7031.5, Business and Professions Coder Any city or county, that requires a. permit to construct, alter, improve, demolish, or repair any structure, prior to Its Isspanee, 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' Stato License Law (Chapter 9 (commencing with Section 700b) of Division 3 of the Business and Professions Code) or that he or she is exempt from Ilcensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant forapermit subjects the applicant to a civil penalty of not more than five hundred dollars ($50D). ❑ 1, 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 rmployees' or personal effort, builds or improves the property, provided that the improvements 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 improved for the purpose of sale) l 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 app to an owner o£ 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 licensure 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 legall, sail a structure that I have built as an owner -builder if it 46sapt boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law. Section 70 of the Business and Professions Code Is available upon request when +�' a n's ubmitted or at the following Web site:htip:lfwww.leginfo.ce.gov/calaw h¢ml,. ,J Signature of Property Owneror Authorized Agent _ Data ✓� LICENSED CONTRACTOR'S ❑ECL.ARATIO I hereby affirm under Feialty 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 effi-I License Class License No Date Contractor Signature NORKERS' CCEIP .NSATION DECLARATION NA'3W"!G: r %ILURE TO SSCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT" EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TOONE HUNDRED THOUSAND DOLLARS (S100.000), IN ADDRION TO THE C63T 0, COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. he, Goy affirm under penalty of perjury one of the following declarations: J I have and will, maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided forty, Section 3700 of the Labor Cade, for th Dertumence of the work iorwhich 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' rncecarrier are poll^y number. are: Policy Number of P gent Date certify that, in file Nbrformance 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, if I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with Those provisions. ignature of Applicant _--_,T,,,_-„-__,____a_, Date IECLARATION REGARDING STR CONUCTION LENDING AGENCY — � hereby affirm under penalty of perjury that there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code), onder's Name Lender's Address y 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 thisapplication and the information I have provided is correct. I agree to comply with all applicable city and county rdmances and state laws relating to building construction. I authorize representatives of this city c ccuntyy t3E Strove -identified property for Inspection purposes. ( L _.?i ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART St OF TITLE 40 AND AOMD RULE 14D'3 PERMIT EXPIRED PERMIT EXTENDED rCMWil IfIVAL �27ZGf U-'44SBE5 TOS NDIFICAT10N 15 NOT APPLICABLE TO CERTIFICATE Of PROPOSED 0 OCCUPANCY ISSUED SIGNATURE :�� 4 .13 co O C L m m C V j 0) p;=Nc ' • Ec .aNyO.. " wc "-um wLa. 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