The URL can be used to link to this page

Home My WebLink AboutP2022-0383 - Permits�EWnoRT City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 cq[/cUftN�P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections 111111III 111111111111111111111111111111111111111111111Plumbing Permit : P2022-0383 Plan Check No : 0583-2022 Work Class : Other Issued Date : 12/21/2022 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 : 100 KINGS PL Legal Desc : N TR 1219 BLK E LOT 6 Description: PLUMB -INSTALL (1) NEW GAS LINE TO EXTERIOR FIRE PIT Owner: SARABI RON TR SARABI LIVING TR Address : NEWPORT BEACH, CA 92659 Phone: Applicant: R D M S INC Address : 250 E BAKER ST # 300 COSTA MESA, CA 92626 Phone: (714)448-9835 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction : Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: 12\ SPECIAL CONDITIONS: Contractor : R D M S INC Address: 250 E BAKER ST # 300 COSTA MESA, CA 926260 Phone: (714)448-9835 Con State Lic : 815872 Lic Expire 12131/20T4- BusLic: BT30008726 Bus Lic Expire: 01/31/2023 .--. Workers' Compensation Insurance Carrier : EVEREST PREMIER INS CO Policy No : 7600015443211 W. C. Expire: 9/1/2023 Fire Hazard Zone : NO o 0 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 have placed next to the applicable item(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 he permit to file a signed statement that he or she is licensed pursuant to the previsions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031k5 by any applicant for a. permit subjects the applicant to a civil penalty of im more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L-) portions of the work, and the structure is not intended or offered for sale (SaGlIDn 7044, 3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves theproperly, provided that the mprovements 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 m roved for the purpose of sale). 1. 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 ipply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuantto the Contractors' State License Law). 1 am exempt from licensure under the Contractors' State License law for the following reason: _ 3y 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 all a structure that. I have built as an owner -builder if it has notbeen constructed in its antirety by licensed contractors. I understand that a copy of the applicable law, Section 70" of the Business and 'rofesslons Code, Is available upon request when this. application is submitted or at the following Web site:http:Owww.leginfo.ce.govlcalaw.html. signature of Property Owner or Authorized Agent, Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm and air perally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of DivtsiaIT 3 of the Business and Proles ' ,and my license is in full force and effect, License Glass License No Date I a -a I a� Contractor Signature �( i VORYr CtS, COFAIRDISATION DECLARATION DARNING: FAILURE TP °ECUPE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRE HOUSAND DOLLARS ($IDS.SSU), IN ADDITION TO THE 10.T OF 70MFENSATION, OAMAaEs AS PROVIDED FOR IN SECTION 37H OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. f.emty affirm under penalty of perjury one of the following declarations: _1I ave and will mainTain a ceniffcate 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 �b mtance of the work for which this permit Is issued. Policy No, have and will Ta°n'ain 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' rence carrier and policy number are: to of Agent certify that, in toe ad) , if I should bec7.'ne s tature of Applicant Policy Number Date of a ork 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 agree h hers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ^ �r Date I hereby affirm under pen y 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). Lender's Name Landers Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the propert awner s behalf. I have read this application and the information I have pro ded is correct. I agree to comply with all applicable city and county rdi - rice a state laws retailing to building construction. I authorize representatives of this city or county to to a entifted property for inspection purposes. Signature of Property Owner or Authorized Agent Print Prope Owner's or Authorized A ent's Name le (I I son Date ACTION DATE BY j CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY EGULATIONS PART at OF TITLF.40 AND AO,MD RULE 1403 PERMITEXPIRED I I I LJISUBMITTEDASRESTOS PERMIT EXTENDED ��]JASHIED S14011TICA ION IS NOTAPPLICABLE TO Qmo PERMIT FINAL PROPOS CERTIFICATE DF