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HomeMy WebLinkAboutP2022-0385 - Permits�kWPORT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Plumbing Permit: PZO22-0385 Community Development Department- Building Division P 2 0 2 2 0 3 8 s 0 m too Civic Center Drive, Newport Beach; CA 92660 Plan Check No : PC2022-3214 a O yh Permit Counter Phone: (949) 644-3288 Y Work Class : Other Inspection Requests Phone: (949) 644-3255 Issued Date : 0111012023 «FOR newportbeachca.gov/inspections i �' -"`` . ' '^vi ° j - Inspection Area : 3 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 : 2090 TUSTIN AVE Legal Desc : A TR NEWPORT HEIGHTS BLK LOT 247 NEWPORT HEIGHTS LOT 247 NEL Y 70 FT SWLY 210 FT Description: PLUM GASLINE TO BBQ & FIRE PIT Owner: JAMES LEARNED Contractor : TIMELESS POOLS INC Address : 2090 TUSTIN AVE NEWPORT BEACH, CA Address : 660 DUNDEE CT BREA, CA 92821 Phone : (714) 745-6984 Phone: (714) 618-3326 Con State Lie : 1019202 Applicant: PAUL ELLISON Lie Expire : 08/31/2023 Address : 24642 VIA RAZA LAKE FOREST, CA 92630 Bus Lie: BT30071641 Phone: (949)683-9861 Bus Lie Expire:04/30/2021 Workers' Compensation Insurance Owner/Builder : Carrier : STATE COMPENSATION INSURANCE FUND Address : Policy No : 9206353 Phone: W. C. Expire: 3/10/2023 Code Edition : 2019 Fire Hazard Zone : NO Type of Construction : Occupancy Groups Building Setbacks : Front: 15, Side: 10, Side: 10, Rear: 10 , Flood Zone : X Use Zone : R-1-11-10000 - Single -Unit Residential (10000 indicates minimum lot area) PROCESSED BY: ... SPECIAL CONDITIONS: I hereby affirm under penalty of paljury that I am exempt from the Contractors' State License Law for the reason(s) Indicated below by the chackmark(s) I have placed next to the applicable item(s) (Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structdre, prior to its issuance, also requires the applicant for the 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 Professions Code) or that he or she is exempt from lieensure 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 improves the property, provided that the Improvements are not intended or offered for safe. 11, however, the building or improvement is sold within one year or completion, the Owner -Builder will have the burden of proving that it was not built or Improved for the purpose of sale). [11, 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 apply 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). LJ I am exempt from ecensure under the Contractors' State License Law for the foltowing 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 improvr sell a structure that I have built as an owner -builder if it has not beenconstructed in its entirely by licensed contractors. I understand that a copy of the applicable Professions Code, is available upon request when this application is submitted or at the following Web site:htipJ/www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of D' ision 3 of the Business and PrJ�f( and effect. License Class License No Date O Contractor Signatlhc _ WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AMID ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: law, Section and is in full force DOLLARS (ff00.0001, IN ADDITION TO ave 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 / mrance of the work for which this permit is issued. Policy No. Vhar�"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` compensatiocarrier antl policy number are: Policy Number Expiration Date Jame of Agent Phone If -1I certify that, in the perfor once of he wo r his permit is issued, I shall not employ any person in any manner so as to become subject to the workers' comR nsation laws of California, and agre hat, if I should become su ject t e woe co ration provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant _ Date % 1 ) �� XCLARATION RFrARD C ON LENDING AGENCY hereby affim� under penfllt of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3C97, Civil Code). _ende's Name nder's Address 3y my slgnetve helow. I certify to each of the following: I am the property owner or authorized to act on rop&rre I have read liIs application and the Inionnati i h I agree to cdmRly Aifh all applscable city an up ordiating to building construction.`Icuthorize represintatives of this city o ca entererty for inspection purposes.iiqnatureof Pre4" Owner orAuthorzed A enPrint Property Owner's or Authorized Agent's No Date L /f ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT E'XPIRcO - ( j LRBMITTEDASBESTOS NOTIFICATION TO PERM'TCANCFLLEO. I FPA PEIT FINAL OLZUPANCy ISSUED �' IN, �� PRC POSED EMOLITION ION IS NOT APPLICABLE TO