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Home My WebLink AboutP2023-0543 - PermitsCEWPOkT City of v Community `' :, �. r ri; ,.�._ 100 Civic C _ Permit Cou cii,oixN,r newportbea wport Beach elopment Department- Building Division r Drive, Newport Beach, CA 92660 Phone: (949) 718-1888 Il iiii iiiii iiiii iiiii iiii iiiii iiiii iiii 3 II Plumbing Permit Plan Check Nd,: Work Class :_jgt�er ' Issued Date : 11/30/2023 Final Date: Permit Status: Issued Inspectior. Area : 6 - P202A�-0543 PERMITS EXPI E 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTI N RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address: 21090 Description : PLMB Owner: NEWPORT Address: 15241 LAGI Phone: Applicant; JAMES LE COL Address : 27176 BURBAN Phone: (949)661-8002 Owner/Builder : Address Phone: Code Edition : Type of Construction Building Setbacks Flood Zone: Use Zone: PROCESSED BY: SPECIAL CONDITIONS: CANYON DR Legal Desc : N TR 15467 BLK LOT 62 LOT 62 IS FOR. OF COASTAL CA PAVILLON WATER PIPE REPAIR COMMUNTY ASSN JYON RD IRVINE, CA 92618 ,T PLUMBING FOOTHILL RANCH, CA 92610 X PC Newport Coast Contractor : JAMES LE COURT PLUMBING Address : 27176 BURBANK FOOTHILL RANCH, CA 92610 Phone: (949)661-8002 Con State Lic : 868279 Lic Expire : 11/30/2025 Bus Lic: BT30011771 Bus Lic Expire:09/30/2024 Workers' Compensation Insurance Carrier: OAK RIVER INS CO Policy No: MKLV5EUL104275 W. C. Expire: 6/27/2024 Fire Hazard Zone : NO Occupancy Groups: GTC V YYIYGR�OVILUGR UC44lYr.i\11\'IY , , I hereby affirm under pene'ty of per:urp th9t I em exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.5. Business and Professions Coda: Any city or ,,;ounty 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 staleinani ti)et he or sham is licanscd-fursuant 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 Iicensure 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), ❑ I, as owner of the property, or my emplryees -vdh wagee Ps 0h lr sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: l he Contractors' dtate License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, howeu ar, 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). �❑ 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). ❑ 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, I cannot legally 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 application is submitted or at the following Web site:http://www.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 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 WARNING: 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 the performance 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 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. signature of Applicant Dale IECLARATION REGAAmN_Cc&hsiRu_cfi_6W LENDING AGENCY hereby affirm under penalty 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 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 this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and slate laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. ignature of Property Owner or Authorized Agent _ - _ Print Property Owner's or Authorized Anent's Name ACTION I DATE EY DECLARATION OF COMPUACE WITH CODE OF I REGULATIONS PART 610 OF 40, AAOMDFEDERULERAL I FOR PERMIT EXTENDED UAQMD PERMITFINAL IA 5 NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF L (/J PROPOSED Of OCCUPANCY ISSUED I 1i SIGNATURE: