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HomeMy WebLinkAboutP2023-0171 - Permitso City of Newport Beach Community Development Department- Building Division 1D0 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic 11IIIIII111111111111111111111111111111111111111111II jj Plumbing Permit : P2023-0171 Plan Check No: Work Class : Other Issued Date: 05/16/2023 Inspection Area : 6 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: 1 ZIANI Description: GASLINE REPAIR TO WATER HEATER Owner: ZIANI HOMEOWNERS ASSOCIATION Address : 2201 DUPONT DR STE100 IRVINE, CA 92612 Phone : Applicant : JAMES LE COURT PLUMBING Address : 27176 BURBANK FOOTHILL RANCH, CA 92610 Phone : (949) 661-8002 Owner/Builder Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks Flood Zone Use Zone : PROCESSED BY SPECIAL CONDITIONS: X PC - Newport Ridge Legal Desc : N TR 16195 BLK LOT 14 Contractor : JAMES LE COURT PLUMBING Address : 27176 BURBANK FOOTHILL RANCH, CA 92610 Phone : (949) 661-8002 Con State Lic : 868279 Lic Expire : 11/30/2023 Bus Lic : BT30011771 Bus Lic Expire:09123/2023 Workers' Compensation Insurance Carrier : OAK+RIVER+INSURANCE+COMPANY Policy No: MKLV5EUL104275 W. C. Expire : 6/27/2023 Fire Hazard Zone : YES Occupancy Groups : q iz� OWNER -BUILDER DECLARATION I hereby affrm 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) ction 7031.5, Business and Professions Codei 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 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 fessions 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 more than five hundred dollars (3500). €, 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 structure is not intended or offered for sale (Section 7044, :mess 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 properly, provided that the Irovements 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 ,roved for the purpose of sale). I, 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 Ily to an owner of property who belles or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). J 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 Impro' Gil a structure that I have built as an owner -builder If it has not been constructed in its entirely by licensed contractors.. I understand that a copy of the applicab 'rofessions Code, is available upon request when this application is submitted or at the following Web site:httpd(www,leginfo.Ca.govlcalaw,html, signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section Dfa n of the Business and Pro no effect. License Class License No Date fo t Contractor Signature VORKERS' COMPENSATION DECLARATION ARNII FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TO ONE HUNDRE OST OF COMPENSATION, DAMA055A5 PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES: hereby affirm under penalty of parjury One of the iellowing declarations: ments covered by this permit. I cannot law, Section 7044 of the Business and Date Code, and r�iv license is In full force DOLLARS 1S100,0001, IN ADDITION TO THE U 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 th e ormance of the work for which this permit is issued. Policy Ni Vl,bZve d 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 Insurance carrier and policy number are: Carrier Policy Number Exptration Date Name of Agent A Phone # ©I certify that, in the parts ace of the ork 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 agre that, if I should becom j c .the or ors Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. �////V��// Signature of Applicant I mm Dat#A......_ DECLARATION REGi' F 1 O STRUC pN LENDING AGENCY ���/��JJ I hereby affirm Linder F nifty o p rjury that ih ra is a construction lending agency for the performance of the work for which this permit is issued'. (Section 3097, Civil Cade). Len-, r', N, me Lender's Address By my signature barow, I certify 46 each of the following; I art tri i property owner or authorized to act on the ril owner's behalf. I have read this application and the information ha provided is correct. I agree to Comyiy Aith all applicable city and count rdinanc and slate laws relating to building construction. I au,t orize representatives of this city or co u t ter the. ove 'dentified property for inspection purposes. pp Bignatw s of Props,t�Owcar or Authorized Agent Print Property Owner's or Authorized A ent's Name ACTION DATE BY V ARATI N COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY EGULATI N P T 61 OF TITLE 40ANDAQMD RULE 403 7E;.7iJ,'.7 FXlVRED P7{ �SUBMITTED A, 9F5T05 NOTIFICATION TO PFPrvlir CANCELIE& I LI1, PA-- PFRMITFXi'FNOFD__j4 _ LIAOMD _ ___ PLRMlT FINAL � b /7_ ❑ASBtSfUS Ng71 FICATION IS N07 ApPLICA6lti TO CERTIFICATE OE ', Z �} t PROPOSED DE'NOUTION OCCUPANCY l55UE0 V//// E[ SIGNATURE