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Home My WebLink AboutP2023-0467 - Permits�eY PORT City of Newport Beach Community Development Department- Building Division n•. 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 c9oa��r newportbeachca.gov/civic 111p111111111111111111111111111111111111111111111p jjPlumbing Permit : P2023-0467 P 2 0 2 3 0 4 6 7 Plan Check No : Work Class : Other Issued Date : 10/0612023 Final Date: Permit Status: Issued Inspection Area : 2 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: 333 GRAND CANAL Legal Desc : Description: FILM REPAIR GAS LINE AND REPIPE (3) FIXTURES Owner: KATHLEEN CARRELL Address : 333 GRAND CANAL NEWPORT BEACH, CA 92662 Phone: Applicant: PRIMEWEST PLUMBING Address : 31878 OBISPO ST STE 118343 SAN JUAN CAPISTRANO, CA 92675 Phone: (949)880-6221 Owner/Builder : Address Phone: Code Edition: 2022 Type of Construction : Building Setbacks : Front: 8, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone: PROCESSED BY: SPECIAL CONDITIONS: Contractor : PRIMEWEST PLUMBING Address : 31878 OBISPO ST STE 118343 SAN JUAN CAPISTRANO, CA 92675 Phone : (949) 880-6221 Con State Lic : 1087885 Lic Expire : 03/31/2024 Bus Lic: BT30079101 Bus Lic Expire:06/30/2024 Workers' Compensation Insurance Carrier : STATE FUND Policy No: 9314729 W. C. Expire: 9/19/2024 Fire Hazard Zone : NO Occupancy Groups: NO CONSTRUc l-it: lr.: OIL SATU HUA Y OWNER -BUILDER DECLARATION I hereby affirm under pace Ity of perjury :that I am exempt from the Contractors State License Law for the reasoAs) Nidica.ee bc!ow by the-,check'rinark(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 construcrtl; alter, improve. dea,< lisp, or repair a,ItyIiIlrQpIure, prior to its issuance, also requires the applicant for the permit to file a signed statement that lie or she is licensed pursuant to the provisions of the Contractors' State Eiconsv �mv (Ghapte; 9 (ccmmarcfng with Section 7000) of Division of the Business and Professions Code) or that he or she is exempt from Iloensure andthe 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 (_) all of or (_) portions of `he work, and the stru^Lu,e is mot intended or offered for sale (Section 7044, Business and Professions Code; The Contmetnrs' State License Law does not apply to an owner of property who through empleyi:es' nr personal nylon. 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, tr,a Gwrgr-Bu:ldcr will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' State License Low does not apply to an owner of propertywho builds or improvesthereon, 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! gall a structure that I have built as an owner -builder if it has not. been Constructod in itsontirety by licensed contractors. I understand that a copy of the applicable taw, Section 7044 of the Business and Professions Code, is avaiiabie upon request when this application is submitted or at the following Web site:httpiJ/w .leginto.ca.govJcalavr.ntml. Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION I hereby al"nm under penait of a 'ury that I am licensed under provisions pf C a t�.I �j 'with Section 7000 f Phsiyyn 3 of the Business and Prole silo e, pd my license is 9d full Voice and effect License Close License No }�! %i!O ( Date } Co'��7Coniractor Signature NORKERS' COMPEN. ATION DECLARATION MARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL; AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND cIVSL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (StK.000), IN ADDMON TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEVS FEES, hereby affirm under penalty of perjury one of the following declarations: I have and lit maintain a certificate of consent to soft -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for orman. : the work for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is. issued. My workers' carrier and policy number are, is of Agent cerify that, in thepi if I should become [Si Policy Number Date the work for whioh this permit, Is issued, I shall not employ any person in any manner so as to becomesubject to the workers' compensation laws of California, workers compensation provisions of Section 3700 of the Labor Code,. Ishall forthwith comply with those provisions. IEGLARATION REGARBfN'ONSTR1' IpN LENDING AGENCY ------- -_-..- Pate 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 eoder's Name ly my signature. below', 6cSOY to each of the fol€owing:----"---�_--- - 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 comply with all applicable city and county ordinances and state laws retailing to building, construction. I authorize representatives of this city or county to der tt4rlabove-ideritlfied property for inspection' purposes, or ACTION DATE BY (' DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFGULATION5 PART 61 OF TITLE. 40AND AOMD RU LE 1403 PERMITFXPIRED ' [SUBMITTE,)ASBFS rib NOTIFICATION TO PERMIT CANCff.fFO - E0r�IPA PERMIT EXTENDED T��I AS 0MD PERMITFINAL 1,_I ASBE5 IOS NOTIFICATION IS NOT APPLICABLE 10 CERTIFICATE OF �Ot- PROPOSED DEMOLITION S ._OCCUPANCY ISSUED �51GAATUhE::_ Civil Code).