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HomeMy WebLinkAboutP2023-0236 - Permits (3)04 RTe City ofYNewport Beach evelopment pa mhnt-Building Division 111111111111111111111111111111111111111111111111111111111Plumbing Permit : P2023-0236 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No 6 }b S Permit Counter Phone: (949) 718-1888 Work Class : Other newpodbeachca.gov/civic Issued Date : 06/2712023 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 : 642 RAMONA DR Description: PLUMB REPLACE WATER HEATER Owner: BRIAN STAPLETON Address : 642 RAMONA DR CORONA DEL MAR, CA 92625 Phone : (949) 720-8778 Applicant: BRIAN STAPLETON Address: 642 RAMONA DR CORONA DEL MAR, CA 92625 Phone: (949)720-8778 Owner/Builder : BRIAN STAPLETON Address: 642 RAMONA DR CORONA DEL MAR, CA 92625 Phone : (949) 720-8778 Code Edition : 2022 Type of Construction : Building Setbacks : Front: 27, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: �AUTHFOANNED Legal Desc : N TR 1701 BILK LOT 73 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 : 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 items) (Section 7031.5, Business and Professions Coda: Any city or county that requires a permit to construct, ester, 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 sheds licensed pursuant to the provisions of the Contractors' State License Low (Chapter 9 (Commencing. with $action 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 111, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or C) 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 impmves 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 11 was not built or S for the purpose of sale). �} , 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 ra ly 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 Lew), L.1 I am exempt from lice nsure under the Contractors' State License Lew 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 legall, sell a structure that I have built as an owner-bullder if it has not been constructed in its entirety by licensed contractors, I understand that a copy of theapplicable law, Secti -7044 of the Business and Professions Coda isavailable upon request when his applicago to sulymifted o at the following Web site:hop:ifwvw.joginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized LICENSED CONTRACTOR'S 01 ARA N I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70DO) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' LOMPENSATION DECLARATION WARNING: PAILUkE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 11400.000), IN ADDITION TO THE COST C,F COMPEPS"ON, DAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE, INTEREST, Me ATTORNEY'$ FEES. i I hereby affirm under penalty of perjury one of the following declarations: f 0 1 brive and w111 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 ;:mufo,mence of t'le work for which this permit is issued. Policy No. ha,O and wuF 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' lance cank.r and policy number are: Policy Number Expiration Date Agent ok— N :erdiv 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 became subject to the workers' compensation laws of California, and agre if I should become subject to the workers` Oompensation provisions of Section 37D0 of the Labor Code, I shall forthwith comply with those provisions. 41'ire of p0artr S' LARATION REDARDIIVD CDNRMtl(' M I CWnIArn AnCIUrV 4A°F�� 27 — 2 3 Haby 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), iders Name Lender's Address my signature below, (certify to each of the following: I am the property owner or authorized to act 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 thq pbove-ldenlified property for inspection purposes. nature of Property Owner or Authorize A t %3 Print Prope Owner's or Authorized Agent 's riON DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AOMD RULE !_dASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICAFt Or .3ca- PROPOSED DEMOLITION OCCUPANCY ISSUED I lO alruAr,nc.