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Home My WebLink AboutP2024-0046 - PermitsQ ��WPOR� City of Newport Beach 11111111111111111111111111111p111111111111111111 Jill 111 Plumbing Permit: P2024-0046 O Comn it nity Develoumeiit DEpa.tment- Building Division P 2 0 2 4 0 0 4 6 Plan Check No : 1882-2021 F - 100 Civic Cei tei Dive, Newaorl Beach, CA 92660 Work Class :Other lay Z Permit Counter Phone: (949) 718-1888 Issued Date : 02/14/2024 a� cy� ronN�P newportbeachca.govlcivic Final Date: Permit Status: Issued Inspection Area : 5 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: 2216 PACIFIC DR Description : FILMS GAS LINE TO BBQ Legal Dose: A TR CORONA DEL MAR BILK 328 LOT 4 Owner: VADEN ANDREW T TR VADEN FAMILY REVOC TR Address : 220 NEWPORT CENTER DR, #11-384 NEWPORT BEACH, CA 92660 Phone: Applicant: THE FALBO COMPANY Address: 5000 BIRCH STE 3000 NEWPORT BEACH, CA 92660 Phone: (949)794-9534 Owner/Builder : Address: Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: CC Contractor : THE FALBO COMPANY Address : 5000 BIRCH STE 3000 NEWPORT BEACH, CA 92660 Phone: (949)794-9534 Con State Lie : 811059 Lie Expire: 07/31/2024 Bus Lie: BT03042976 Bus Lie Expire:03/31/2024 Workers' Compensation Insurance Carrier: EXEMPT - NO EMPLOYEES Policy No : EXEMPT W. C. Expire: Fire Hazard Zone : NO Occupancy Groups: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I-ha^e p!3-,et next Lc the a,plicaLle items) (Section 7031.5, Business and Professions Code. Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, pro, to its Is ve•Ice, a s0 -erulr2s tl s applicant for the permit to file a signed statement that he or sheds licensed pursuant to the provisions of thu Contractors' State License Law (Chapter 9 (Commencing with Scctiuo Y000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure 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 employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intineed or offered for sale (SvcLan 70,4, Business and Professions Code: The Contmctors' State License Law does not apply to an owner of property who, through employees' dr personal effort, budris or improver the property, pnvidEd Iiat 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 or proving= that it waG not built or run roved for the purpose of sale). LJ I, as owner of the properly, am exclusively contracting with (Icensed 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). DI am exempt from licensure under the Contractors' State License Low for the following reason _ ,.___ By 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 legal) salt a structure that I have built as an owner -builder if it has not been constructed 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 VVeb site:http:/(www.leginfo.ce.gov/calaw.html. - Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that f am licensed under provisions of Chapter 9 (commencing with Section 70 0 f Division 3 of the Business and BFefe ron de, and my license is in full force and effect. License Class License No Date - k4-Zz1 Contractor SignaiD ,n WORKERS' COMPENSATION DECLARATION NARNMG: 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 (5100.900), IN ADOMON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby atflrm under penalty of perjury one of the following declarations: 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 )Imance 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' compense Dunce caffier and policy number are: Policy Number of Agent Date co ify that, in the performance of ark 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 agrin ', I shoved become SUN the Nor ers comoensatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Daley el.CLARATION REGA DING C NSTRUCTION LENDING AGENCY !reby 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). ider's Name _ Lender's Address my signature balow, I carlify 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 eotnply withall applicable city and county ordinances a laws relating to building construction. I I authorize representatives of this city or county to r in -identified property for inspection purposes. ant Z(/+�jtZz nature of Prooertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name �!Y v ."tom �� Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REITMATIONS PART 61 OF TITLE 90 AND AQMD RULE 14U3 FOR OFFICE USE ONLY PERMIFEXPIRED __..—___..._......____ _..____._...... 1 _ I SUBMITTED ASBESTOS NOTIFICATION TO ...__._..._....._.__..____...._�._.._�..�..�.___.�__.—.. PERMITCANCELLED iE_ II[PA P£RMITEXTFNOFD -AP PERMIT FINAL �-Lf.+Lt.( JQ �L t,,,,t A5BFSfOS NOTIEIOATIDNISNLIT PLICABLE TO CERTIRCATEOF ( PROPOSED DEMOLITION OCCUPANCY ISSUED I SIGNATURE; __