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Home My WebLink AboutP2023-0047 - Permits��EwPdR� City of Newport Beach p ecn Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 N"� = Permit Counter Phone: (949) 644-3288 C9<I�F`O0.N�P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections 1111111111111111111111111111111111111111111111111111 jj Plumbing Permit : P2023-0047 Plan Check No : 1917-2021 Work Class : Other Issued Date : 01/30/2023 Inspection Area : 1 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 : 3906 RIVER AVE Description: PLUMB - SFR (1) GAS LINE TO FIREPIT Owner: RICHARD ROSEN Address : 3906 RIVER AVE NEWPORT BEACH, CA Phone : (949) 246-5215 Applicant: PG LANDSCAPE Address : 424 S OLIVE ST ANAHEIM, CA 92805 Phone : (714) 290-0490 Owner/Builder: Address Phone : Code Edition : 2019 Type of Construction : Building Setbacks : Front: 4, Front: 20, Side: 3, Side: 3 Flood Zone : AE, 8 FT; X Use Zone: R-2 - Two -Unit Residential PROCESSED BY: K SPECIAL CONDITIONS: Legal Desc : A TR CANAL SECTION BLK 239 LOT 4 Contractor : PG LANDSCAPE Address : 424 S OLIVE ST ANAHEIM, CA 92805 Phone : (714) 290-0490 Con State Lie : 1055351 Lie Expire : 07/31/2023 Bus Lie: BT30080410 Bus Lie Expire:01/31/2024 Workers' Compensation Insurance Carrier : Policy No : EXEMPT W. C. Expire : Fire Hazard Zone : NO Occupancy Groups : NO CONSTRUCTION NOISE ON THE WEEKIENP OWNER -BUILDER 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 Cade: Any City or county that requires a permit fie 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 llcensure 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 structureisnot 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' cr 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 thepurpose of safe). 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 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). ❑ lam exempt from lcensure under the Contractors' State 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 1 have built as an owner -builder if it has not boon constructed In its entirety by licensed contractors, I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, isavailable upon request when this application is submitted or at the following Web site:http:llwww.]eQinfo.ce.gov/calaw.htmi, Signature of Property Owner or Authorized Agent Date LICENSED CONIkAr.TOR'S DECLARATION I hereby affirm Linde penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7000) of DI VISIOn 3 of the Business and Professions Code,. and my license is in full force ai.e c1I License Clas License No Date Contractor Signature WORKERS" COMPENSATION DECLARATION. WpRN,NG rAILURE TO bECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADDmON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby, effirm urdnr renafy, of perjury one of the following declarations: D I have and wit, ,na;ntain 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 IN perform@rce of the r'cr'. for which this permit Is issued. Policy No. C)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' compensator in.;urancei carrier a.td u�fcy number are; Policy Number Expiratic of ,agent _; _ _ Phone ff Date 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 if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code., I shall forthwith comply with those provisions. nature of Applicant _ Date_ CLARATION REGARDING CONSTRUCTION LENDING AGENCY areby 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, Civil Code), tder s Name Lender's Address _ my signature below, I certify to each of the following: I am the property owner or authorized to art 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 enter the above -identified property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized AOent's Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY i REGULATIONS PART bl OF TITLE 40 AND AOMD RULE 140B PERMITENPIRfD h SUBMITTED ASBESTOS NOTIFICATION TO PER,MITCANCELLED ! ME PA PERMIT EXTENDED fOA�SBE8f0$NO'IIFICATION IS NOT APPLICABLE T0� PERMri FINAL CERilF1CAiE OF f 4 Z JW I PROPOSED DEMOLITION f OCCUPANCY f55UFD I SIGNATURE; Date T. 5�ef War k Underground Gas line 18" depth, 1" polyethylene pipe, 80' run Property Line (N) Gas Fire Pit .._..—.._.._.._..—.._.._.._.._.._..—.._.._.._.' ..�..i..�..�.._.._..�..�..�.. ..s.. ' I i - 12'-1" I � I I I g'- n I I 21 t-2"— !.._.._.._._p.._.._.._.._.._.._.._.._.._.._.._.._.._.._.._.._.._.._.._.._.._..... i .._.._..� Existing Gas Meter Property Line Sm Newport Bay Planning Division JAN 3 0 2023 JT 0 N v 0 rn Ln Uco c\j cn N m Ln �-- i LSn O 00 O Cr3 co O � � � U ro r-- J co C9 CD N c aio� a> >Q� N Q U N IY a)�� cu N N U_ C) cop CA CL N z n_zti ED �s al�ii � QI II II m J � I NMI j " D - o7 :."fig Divi ® CORRECTIOr 3 El SUBMIT -ZS X APPROVED LATE: l 30 23 INITIALS: 00 (Intl -Dr -arc, s=3