HomeMy WebLinkAboutP2022-0286 - Permits��EWPoRr City of Newport Beach
o ecn Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Cq� FDRN\P Inspection Requests Phone: (949) 644-3255
newportbeachea.gov/inspections
11111111111111111111111111111111111111111111111111 jjPlumbing Permit : P2O22-02s6
Plan Check No : PC2022-2486
Work Class : Other
Issued Date: 11/29/2022
Inspection Area : 6
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 INf if AT?EAn�
Job Address:
29 RIDGELINE DR
Description:
PLMB -GAS LINE TO FIREPIT
Owner:
BEN HECHT
Address :
29 RIDGELINE DR NEWPORT BEACH, CA 92660
Phone:
(310) 867-3056
Applicant :
JC WRIGHT
Address :
833 DOVER DR, 7 NEWPORT BEACH, CA 92663
Phone:
(949) 795-0648
Owner/Builder :
Address
Phone:
Code Edition : 2019
Type of Construction :
Building Setbacks : Front: 5, Side: 5, Side: 5, Rear: 5
Flood Zone: X
Use Zone : PC - Harbor View Hills
PROCESSED BY:
SPECIAL CONDITIONS:
Legal Desc : N TR 9861 BLK LOT 5
Contractor : INSTANT POOLS LLC
Address :
116 SENCILLO PL RANCHO MISSION VIEJO, CA 92694
Phone:
(949) 795-0648
Con State Lic
: 1009644
Lic Expire :
07/31/2023
Bus Lic :
BT30053469
Bus Lic Expire:12/31/2023
Workers' Compensation
Insurance
Carrier :
NO EMPLOYEES
Policy No:
EXEMPT
W. C. Expire:
Fire Hazard Zone : NO
Occupancy Groups :
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(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
the 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
Professions Code) or that he or she is exempt from ficensure 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).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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 the property, 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 or sale).
111, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate 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).
❑ I am exempt from ficensure under the Contractors' Stale 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 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 .leginio.c-a.gov/oalaw,html.
Signature of Property Owner or Authorized Agent ____ _ ❑
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 o�( vyysion bfzthe Business and Sion C s n full force
and effect. License Class License No Do Contractor Signs
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (310DA00), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES,
hereby affirm under penalty of perjuryone of the following declarations:
1 have and will maintain a certificate of consent to selfansure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Ih
3erformance 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' compensatiol
trance Carder and policy number are:
Tier Policy Number Expiration Date _
gent Phone N
Yfl:
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 agm
ould become subject to r ors' co pensatio isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant
CLARATION REGA I LENDING AGENCY
Ireby affirm under pe fly of per" tat there is a construction lending agency -for the performance of the work for which this permit is issued (Section 3097, Civil Code),
Ides s Name Lender's Address
3y my signature below, I certify to each of the fallowing:
I am the property owner or authorized to act on the properly owners 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 rotating to wilding construction.
I authorize representatives of this city or county t r the aoo -loon inspection purposes.
Sinature of Property Owner or Authorized Agerila Print Property Owner's or Authorized A
ACTION DATE BY OF NCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
SI PART61 OFTITLE 40 AND AOMD RULE
1403
PERMITEXP/REO
NOTIFICATION TO
PERMIT EXTENDED_
PERMIy_ ���+ ASBE$TD5 NOTIFICATION IS NOT APPLICABLE TO
CEATIFIC,r4i 4TE OF tL�3 PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATURE:
V 1��1� \ note 11 zC1�