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HomeMy WebLinkAboutP2022-0185 - Permits�EWPORr City of Newport Beach Community Development Department - Building Division �y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 U Inspection Requests Phone: (949) 644-3255 cq<ico a"`r newportbeachca.gov/inspections II III II II I II Plumbing Permit : P2022-0185 Plan Check No : PC2022-1864�'� Work Class : Other Issued Date : 07/27/2022 < , Inspection Area :6 .Pt 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 i Job Address : 3601 SEABREEZE LN Description: GAS LINE FOR BBQ & FIREPIT Owner: LITTAUER STEPHEN L TR Address : 909 TILLER WAY CORONA DEL MAR, CA 92625 Phone: Legal Desc : N TR 6228 BLK LOT 30 Applicant: LANDCRAFTERS INC Address: 29512 ANA MARIA LANE LAGUNA NIGUEL, CA 92677 Phone : (949) 249-1086 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks : Front: 6, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: Contractor : LANDCRAFTERS INC Address : 29512 ANA MARIA LANE LAGUNA NIGUEL, CA 9: 677, Phone : (949) 249-1086 Con State Lic : 754071 , Lic Expire : 09/30/2022 Bus Lic: BT30039467 Bus Lic Expire:05/31/2023 Workers' Compensation Insurance Carrier: AMERICAN+ZURICH+INSURANCE+COMPANY Policy No : WC5897031 W. C. Expire: 12/1/2022 Fire Sprinklers : NO Fire Hazard Zone: Y OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable ftemO) 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 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 ($500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure Is not intended Or offered for sale (Section 7044, Usmess 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 nprovemenls 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 buill. or nproved 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 ly to an owner of property who builds or improves thereon, and %fio contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 51 am exempt from licensure under the Contractors'Sake License Law for the following reason: ty my signature below I acknowledge that, exceptfor 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 legafly sell a structure that I have built as an ownerobuildar if It has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Irofessions Code, is available upon request when this application is submitted or at the following Web site:http:11www.leginle_ca.gowcalaw.html. signature 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 7 ) I sfon 3 of the Business and Professio and y licen In full force end effect. Lic^rs � Class License No Date ZZ— Contractor Signature NORKERS' CCI.1?ENSATION'DECLARATION T PV'V 7: FNLUCE IC L'<1URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS SS100,000), IN ADDITION TO THE :DST 0, COMPE+SA roN, DAMAGES AS PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE., INTEREST, AND ATTORNEYS FEES. hersby affirm under penalty of perjury oneof the following declarations: 1 have and 'vill mrinlain 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 i holmance of Inn wo,k for which this permit Is issued. Policy No. 9 have and .vill rlwi itain 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' compensatiol nsurar^e Damn, and policy number are: tamer Poll Number Expiration Date dame cf Agent Phone # -11 rprfify that, in 01e p orma of t wor or to is permit is issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agre haL, if I should bacor„r vb' C o th wor s' co p satlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Appllcant_ Date/ 7 )ECLARATION REG N S TION LENDING AGENCY hereby affirm under penal 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). _enders Name _. Lender's Address — 3y my signature below, I certify to each of the following. I am the property owner or authorized to acton the property owner's behalf. I have read this application and the information awe provi"isectI agree Io comply with all applicable city an ount o nlating to building construction, -`� `� 7/�I authorize representatives of this city or c my to terthearty for Inspection purposes. /// 3i nature of Pro ertOwner or Authorized A nt Print Pro art Owner's or Authorized Agent's Name '�1 Date ACTION DATE B ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I REGULATIONS PART 61 OF TITLE, 40 AND AQMD RULE 1403 PERMIT EXPIRED I I SUBMITTFD ASBESTOS NOTIFICATION TO PERMIT CANCELLED € EPA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall —- be In place prior to approval to fill pool/spa & shall remain in place & be maintained for the PERMITEYTEIYDED j AOMD PERMIT FINAL ? I{� I EIA5BES70S N017FICATION IS NOT APPLICABLE TO life o e pool. CERTIFICATE OF -g'.Z% IiI LM�� PROPOSED DEMOLITION OCCUPAPICYI55UED ( SIGNATURE: ___