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HomeMy WebLinkAboutP2022-0257 - Permits4 �EWPO?r City of Newport Beach II II I I II I II I II II I III II II Plumbing Permit : P2022-O25J7 � d Community Development Department- Building Division > 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2256 ~ Permit Counter Phone: (949) 644-3288 U Work Class : Other Inspection Requests Phone: (949) 644-3255 CSCI FO RN�P Issued Date : 09/13/2022 newportbeachca.gov/inspections Inspection Area : 4 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 : 1814 PORT CHARLES PL Legal Desc : N TR 6622 BLK LOT 8 Description: PLUMB- GAS LINE TO FIREPLACE Owner: Jeremy Grissinger Address : 11912 ARROYO AV NEWPORT BEACH, CA 92660 Phone: (949)922-5755 Applicant: SCHWARZ POOLS Address : PO BOX 28437 SANTA ANA, CA 92799 Phone: (714)241-7665 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction : Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Harbor View Hills PROCESSED BY: I Contractor : SCHWARZ POOLS Address : PO BOX 28437 SANTA ANA, CA 92799 Phone: (714)241-7665 Con State Lic : 967325 Lic Expire : 09/30/2022 Bus Lic: BT30038738 Bus Lic Expire:03/31/2023 Workers' Compensation Insurance Carrier : Policy No W. C. Expire: Fire Hazard Zone : N Occupancy Groups: I D L-.� R OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item i (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 the permit to file a signed statement that he or she is licensed pursuant 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 Iiceflsure 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). 71 I, as owner of the property,or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure Is not intended or offered for sale (Section 7044, Business 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 theproperty, provided that 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 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' Stale 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). El I am exempt from licensure under the Contractors' State License Law for fire following reason By my signature below f 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, sell a structure that I have built as an owner-buildar if it has not boon constructed in itsentirely 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:/,' w.leginfo.ce.gov(calaw.html. Signature of Property Owner or Authorized Agent _ Datat LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001, i ion 3 of the Business arid Profes ' C nd my license Is in full force and effect. License Class License No Date `( T Contractor Signatur NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SU13JECI AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED 0 AND DOLLARS IS100,000F, IN ADDITION TO THE COST 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: aeve 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 th mrfor a of the work for which this permit is issued. Policy No. hay and will maintain workers' componsation 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 nsuran a carrier and policy number are: :order Policy Number Expiration Date 4nedof Agent Phone ii ]I certify that, in the performance of t r f r which this permit is issued, I shall not employ any person in any planner so as to become subject to the workers' compensation laws of California, and agre rat, if I should become sub' Ct to t w s' ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �� ? ignature of Applicant 'i`�� at't3 e�Q �✓ 22 ,ECLARATION REG DING CO STRUCTION LENDING AGENCY hereby arm under penalty of pe rytha here is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). enders 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 owners behalf. I have read this application and the information I have provided IScorrect. I agree to comply with all applicable city and county ordina nd state laws relating to building construction. I authorize representatives of this city or county to ante e ve-identified property for inspection purposes. ,�• ���9 V/ />/ �� L i g nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam /I� Date lCTION DATE BY—,"' DE AR ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RE TIONS PART 610E TITLE 40 AND AQMD RULE PERMIT EXPIRED _................._.____ PERMIT CANCELLED ____— U I SUBMITTED ASBESTOS NOTI FICATION TO _ ME —PA PERMIT EXTENDED__ _ PERMIT FINAL ASHES ASHES FOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF �I PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: