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Home My WebLink AboutP2023-0007 - PermitsCity of Newport Beach �aEW�Rr C @cn Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 T Permit Counter Phone: (949) 644-3288 cy� Inspection Requests Phone: (949) 644-3255 coRN�r newportbeachca.gov/jnspections Plumbing Permit Plan Check No : Work Class : Other Issued Date : Inspection Area : 3 P2023-0007 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 : 422 TUSTIN AVE Description: PLMB -WATER HEATER C/O Owner: VINA R SPIEHLER TRUST Address : 422 TUSTIN AVE NEWPORT BEACH, CA 92663 Phone : Applicant: SERVICE CHAMPIONS HTG Address : 3150 E BIRCH BREA, CA 92821 Phone: (714)777-7777 Owner/Builder : Address Phone: Code Edition ; 2022 Type of Construction : Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5 Flood Zone : X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: 4 SPECIAL CONDITIONS: Legal Desc : A TR FIRST ADD TO NEWPORT HEIGHTS BLK 26 LOT 6 Contractor : SERVICE CHAMPIONS HTG Address : 3150 E BIRCH BREA, CA 92821 Phone: (714)777-7777 Con State Lic : 799170 Lic Expire : 10/31/2023 Bus Lic: RM8WC00054221 Bus Lic Expire:04/01/2023 Workers' Compensation Insurance Carrier : EVEREST PREMIER INS CO Policy No: RMBWC00054221 W. C. Expire: 4/1/2023 Fire Hazard Zone : NO Occupancy Groups �— I hereby afrrm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable term(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 to 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 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 of more than five hundred dollars ($500). 11, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, 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 nprovemenis are not intended or offered for sale. If, however, the building or improvement is sold w4hin one year of completion, the (honer -Builder will have the burden of proving that R 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 LlcenseLaw does not pply to an owner of property who bullds or improves thereon, and who contracts for the projects with a licensed Contractor pursuantto the Contractors' State License Law). ] t 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 legalh all a structure that I have built as an owner -builder if it has not boon constructed in its entirely 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 this application is submitted or at the following Web site:http:llwww.leginfo.ca.govlcalaw.html. ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 o N orb_ f the Business and fe my [cerise is�n u ToTC�— nd effect. License Class License No Date !/ Contractor Sig :g, i WORKERS' COMPENSATION DECLARATION 'ARNING; FAILURE TO SECURE WORHERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS i5100.000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S PEES, 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 In ormance of the work for which this permit is issued. Policy No. ' eve 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' compensatioi nee carrier and policy number are: er Policy Number Expiration Dale rra of Agent Phone 9 certify that., in the performance of the foidh 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 agre if I should become subject to the compen aions of Sa a or Code, I shall forthwith comply with those provisions. App licant /' iature of ..� D —� L�_------ i1 of At IIL`MN Ylf\IM I'1\ IY \41 C\If�l\I!� N!!CAII^V I hereby affirm under penaitfEgEpetTO"ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lenders Name Lenders Address By 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 this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances o building construction. I authorize representatives of this city or county to Rule a I led property for inspection purposes. — Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agents Name u- Dat I IEz ACTION DATE BV i DEC N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY El'sULATIONS PART fit OF TITLE AO AND AUMD RULE 1403 PERMIT EXPIRED ILJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITFINAL CERTIFICATEOF OCCUPANCY ISSUED LJ ASBESTOS NOTIFICATION ISNOT APPLICABLE 10 PROPOSED DEMOLITION SIGNATURE: