The URL can be used to link to this page

Home My WebLink AboutP2022-0179 - Permitsty of Beach O.?EWFp,Q@ olmmunnityDe Development DDepaartment- BuildingDivision II IIIIII I IIII I IIII II Plumbing Permit: P2U22-0179 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 2248-2019 y. Permit Counter Phone: (949) 644-3288 Work Class :Other Inspection Requests Phone: (949) 644-3255 � yr � � � � Cq��FORN�P new ortbeachca.govlins ections "1L E O Ir'� Issued Date j � ��g :" j'Av' 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 : 424 RIVERA TER Legal Desc : N TR 1237 BLK LOT 155 TR 1237 LOT 155 POR OF LOT(AND POR OF LOT 156 Description : PLUMB: INSTALL GAS LINE STUB OUT Owner: PETER DOLOTTA Address : 1912 PORT CARDIFF PL NEWPORT BEACH, CA 92660 Phone : Applicant: PATTERSON CONSTRUCTION Address : 15 CORPORATE PLAZA STE.150 NEWPORT BEACH, CA 92660 Phone: (949) 723-1800 Contractor PATTERSON CONSTRUCTION Address: - 15 CORPORATE PLAZA STE.150 NEWPORT BEACH, CA 92660 Phone: (949).723-1800 Con State Lie : 802367 Lie Expire : 0713112024 Bus Lie: BT30042985 Bus Lie Expire 04/30/2014 Workers' Compensation Insurance Carrier : STATE COMPENSATION INSURANCE FUND Policy No : 9065406 W. C. Expire: 8/1/2022 .. is _ Code Edition : 2019 Fire Sprinklers : NO - Type of Construction : Fire Hazard Zone: Y - Occupancy Groups: Building Setbacks : Front: 5, Front: 10, Side: 6, Side: 6 Flood Zone: X •- Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: R OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable ftem(s) Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for 10 permit to file a signed statement that no or she is licensed pursuant to the provisions of the Contractors' 5tala License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and rotesslons Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7034.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) ponlons of the work, and the S€ructure Is not intended or offered for sale (Section 7044, usiness and Professions Code: The Contractors' Stale License Law does not apply to an owner of properly, who, through employees' or personal effort, builds or improves the property, provided that the nprovemants are not Intended or offered for sale. If, however, the building or Improvement is sold within one year of eompletlon, the Otvner-Builder will have the burden of proving that It was not built or nproved for the pvrpose of sale). J 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Coda: The Contractors' State License Law does not pply to an owner of properly who bullds or improves thereon, and who contracts for the projects With a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensors under the Contractors' State License Law for the following reason "..".__-,. 'y 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 legell, ell a structure that I have built as an owner builder If if has not been constructed In its entirely, by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business end 'rofessions Code, is available upon requestwhen this application Is submitted or at the following Web sits:http://www.leginfo.ca,gov/calaw.html. .ignature of Property Owneror Authorized Agent hate .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000J of Division 3 of the Business and Professions de and my licepse is' full farce nd effect, License Class License No Dale Conlr¢ctor Signature •/ PORKERS' COMPENSATION DECLARATION 'ARMING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T dill. (E100,0001, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: 1 have and 011 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 th er manta of the work for which this permit Is issued. Policy No, have and wti 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' compensation Isurance "mar and policy number are: Policy Number Expiration Date of Agent _ - cenlfy tnnl 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 RWworkgrs' compensalign pro4ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of IpCLARATiOAI REGARDING CO RDCTION LENDING AGENCY i,sreby affirm under penallyo erjury that there is a construction lending agency for the performance Df the work forwhich [his permit is issued (Section 3097, Civil Code). erder's Nrme Lenders Address ,,my signature below, I certify to each of the following: I am the prooeny 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 relating to building construction. I authorize representatives of this city or county to anterJlae'Ajdoveddentified) proge jy for Ins�dFen-pDrposes. _ C1 I ACTION I DATE BY DE ATiON OF COMPLIANCE WITH CODEOF FE FGUtATION5 PART61 OF TITLE 40 AND, DERAL NDAQMDflIORAL FOR OFFICE USE ONLY r� PERMITEXP,MEU _ LI I SUBMITTED ASOESTOS NOTIFICATION TO PERMITCANCELLED EPA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall --- "- — -- PERMITWENVEO {tN4p - be in plane prior to approval to fill pool/spa &shall remain in place & he maintained fort e "'—"---- — -- -- life of the pool. PERMIT FINAL-ZS`Z (« A5BESTOSNOTIHCA ONISNOTAPPLICABLE TO CERTIFlCATEOF PROPOSED DEMO OCCUPANCYISSUED _ SIGNATURE