HomeMy WebLinkAboutP2022-0350 - Permits*,Po"
City of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
11Illlll111111111111111111111111111111111111111111lu 11Plumbing Permit : P2022-0350
Plan Check No : 0573-2021
Work Class : Other
Issued Date: 11/30/2022
Inspection Area : 2
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 : 1315 SANTANELLA TER
Description: SFR GAS LINE TO FIREPIT
Legal Desc : N TR 1700 BLK LOT 42
Owner:
BRITTA PULLIAM
Address :
1315 SANTANELLA TER NEWPORT BEACH, CA
Phone:
(714) 501-0970- —
Applicant :
BRITTA PULLIAM
Address :
1315 SANTANELLA TER NEWPORT BEACH, CA
Phone:
(714) 501-0970
Owner/Builder : BRITTA PULLIAM
Address:
1315 SANTANELLA TER NEWPORT BEACH, CA
Phone :
(714) 501-0970
Code Edition
: 2019
Type of Construction
:
Building Setbacks : Front: 26, Side: 4, Side: 4, Rear: 10
Flood Zone
: X
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY :
SPECIAL CONDITIONS: O/B FORM ATTACHED
Contractor
Address
-Phone : - -
Con State Lie
Lie Expire:
Bus Lie:
Bus Lie Expire:
Workers' Compensation Insurance
Carrier :
Policy No:
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 resson(s). indicated below by the checkmares) I have placed next to the applicable items)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, afar, Improve, demolish, or repair any structure, poor to Its Issuance, also requires the applicant for
is 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
'rofessions Code) or that he or she is exempt from lieensure 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
of more than five hundred dollars ($500).
1 1, as owner of the property,. or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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, pmvi6ad that the
nprovements 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
id for the purpose of sale).
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
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).
D I am exempt from licensure under the Contractors' State License Law for the following reason:
y my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal])
all a structure that I have built as an owner -builds If i has not been constmced in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when t f appHee Ion Is submi e t the following Web site:http:fl" v.leginfo.ce.gov/calaw.html. \ /�
signature of Property Owner or Authorized Agent Data,._.
.ICENSED CONTRACTOR'S DECLARATIO lf��
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70DR) of Division 3 of the Business and Professions Code, nd my license is in full force
no effect. License Class License No Date Contractor Signature
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 THOUSAND DOLLARS ($100A00), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEPS FEES,
hereby affirm under penalty of perjury one of the following declarations:
] I 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 thi
erformance of the work for which this permit Is issued. Policy No,
]I 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' compensatior
Iserance carder and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone #
01 certify 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 agrer
that, if I should Deco a sub' to the fkefS` co sation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. /
Signature of Applinant(w(p,,_. / D f .Date 1d�r
DECLARATION REO R ONS7ROCTIO LE NY
I hereby 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, ivil ode),
Lender's Name Larder's Address
By 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 is correct.
I agree to comply with all applicable city and co my rdinances and state laws relating to building construction.
I authorize representatives of this city or county t rAertie party for inspection purposes. I
Signature of Propert Owrlar or Authorized A ant atio a -Id roPrint PropertypOwner's or Authorized Agent's Name _ 1 U.`I j Oat Lc —
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
--_ 1403 _
PERMIrEXPIRED _� NO'.IFICADON TO _
PERMITCANCELLED O'E ,
FEAMI7 FXIENOFO -t�tr-'reQrylp_ ___
P£RMITFINAL r,,,I ASBESS IDS NOT IPLAr10N IS NOT APPUCASLh TO�
CERTIFICATE OP PROPOSFD DEMOLITION
OCCUPANCY ISSUED [ SIUNIqTUAE',_
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