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HomeMy WebLinkAboutP2023-0085 - PermitsCity of Newport Beach =m Community Development Department- Building Division >'. ; 100 Civic Center Drive, Newport Beach, CA 92660 r z' Permit Counter Phone: (949) 644-3288 zip Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections 111111III��III�IIII11111111111111111111111111111111111Plumbing Permit : P2023-0085 Plan Check No : 0372-2022 Work Class : Other Issued Date : 02/2112023 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: 2100 OCEAN BLVD Description : PLUM GASLINE TO FIRE PIT Owner: JOHN MONROE Address : 56 WOODLAND LN ARCADIA, CA 91006 Phone : Applicant: YOUNG JAMES CONSTRUCTION Address: 26585 SOTELO MISSION VIEJO, CA 92692 Phone: (949)878-8027 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction : Building Setbacks : Front: 8, Side: 4, Side: 4, Rear: 0 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Legal Desc : N TR 518 BLK F LOT 1 Contractor : YOUNG JAMES CONSTRUCTION Address : 26585 SOTELO MISSION VIEJO, CA 92692 Phone : (949) 878-8027 Con State Lic : 352184 Lic Expire: 08/31/2024 Bus Lic: BT30079183 Bus Lic Expire:07/31/2023 Workers' Compensation Insurance Carrier: This license is exempt from having workers compensation insurance; they certified that they have no employees at this time. Policy No: NO EMPLOYEES W. C. Expire: 8/6/2D23 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 reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) 3ecflon 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, poor to its Issuance, also requires the applicant for le 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 licensure 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 (T$500). 3 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the wcrk, and the structure is not intended or offered for sale (Section 7044, .usiness 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 nprovemants 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 nproved for the purpose of sale). 1 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 poly 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 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 I must have resided for at least one year prior to completion of the improvements Covered by this permit, I cannot Easily ell a structure that 1 have built as an owner -builder if it has not been. constructed in its entirety by licensed contractors. I understand that a copy of tho applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .]CENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wdh Sectio4�� f the Business and Profeinnd my tic G' • 'Lfut1-fhce nd effect. License Class License No DatContractor Signature/ WORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AMC) CIVIL FINES UP TO ONE HUNG D TN SANO DOLLARS ($100,000), IN AODmION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370t OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 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 wmance of the workfor 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' compense ranee carrier and policy number are: Policy Number of Agent 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 Califomia, and agrer ,at, I I should became subject to k workers" earn ens' 'on provisions of ctioo 3700 of the Labor Code, I shall forthwith comply with those provisions. Ignature of Applicant - Date 2_1 Z 3 ECLARATIGN REGA G C STRUCTION LEND' AGE Y hereby affirm under pe ally edury that there is a c truction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read thisapplication and the information I have provided is correct. I agree to comply with all applicable city and count ordinances and stet laws relating to building construction. q i authorize representatives of this city or count abov -I ( prope for inspection purposes. / / / ionature of Property Owner or Authorized Arent �%'lilT Print Prooertv Owner's or Authorized Arent's Name ( I1�%e,5 Y, din ACTION DATE BY ry PJECLARATiON OF/COLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ✓✓REGULATIONS PAP6111 OF'TITLE 40 AND AQMD RULE 1403 PERMIT EXPJRED i ISURMITTF.UASBEST05 NOTIFICATION TO P£RMITCANCELLEO s �EoA ._..... ......_��. r�r ....... L UAQM C .. ... ..— _ —_.. ............ PERRQIT EXTENDED _ - -- �AS6L570S NutIFICA71UN 15 NU'r APPLICABLE TO CERTIFICATE,f PROP05ED DEMCLITION OCCUPANCY ISSUEO SIGNATURE: