The URL can be used to link to this page

Home My WebLink AboutP2023-0185 - Permits�EWPpRT City of Newport Beach 11111111111111111111111111111111111111111111111111111111 JillPlumbing Permit : P2023-0185 p� 6 Community Development Department- Building Division P 2 0 2 3 0 1 8 5 n 1no Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0764 3 >h T Permit Counter Phone: (949) 718-1888 Work Class : Other newportbeachca.gov/civic Issued Date : 05/3112023 q<iFoa� 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 : 11 VENETO Description: PLUM GASLINE TO BBQ & FIRE PIT Owner: FIELD RICHARD TR Address : 11 VENETO NEWPORT COAST, CA 92657 Phone : Legal Desc : N TR 15078 BLK LOT 18 Applicant: BENJAMIN R MATYSZUK Address: 2 JARANO ST RANCHO MISSION VIEJO, CA 92694 Phone : (949) 689-9893 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone: X Use Zone: PC - New�portt Coast PROCESSED BY: SPECIAL CONDITIONS: Contractor : BENJAMIN R MATYSZUK Address : 2 JARANO ST RANCHO MISSION VIEJO, CA 92694 Phone : (949) 689-9893 Con State Lic : 1039697 Lic Expire : 05/31/2024 Bus Lic: BT30081542 Bus Lic Expire:05/31/2024 , q, Workers' Compensation Insurance �� ! Carrier : Policy No: EXEMPT W. C. Expire: Fire Hazard Zone : YES Occupancy Groups: ��T7SiC�I:I I hereby affirm under penalty of perjury that 1 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) 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 he permit to file a signed statement that he or sheds licensed pursuant to the, provisions of the Contractors' State License Law](Chapter g (commencing. with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of rot more than five hundred dollars ($500). jI I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portionsof the y'ork, and the structure is not intended or Offered for sale (Section 7044, Wetness 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 mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completk n, the Owner -Builder will have the burden of proving that It was not built or Tiproved for the purpose or sale). 1 I, as owner of the property, am exclusively Contracting with licensed Contractors to construct the project (Section 7044, BUS iness and Professions Code: The Contractors' State License Law does not Ipply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pur want to the Contractors' State License Law). I I am exempt from licensure under the Contractors' Slate License Law for the following reason: ty 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 legall: all a structure that I have built as an owner-bulldg(if it has not been constructed In itsentirety by licensed contractors, 1 understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request whey( this application is submitted or at the following Web site:ht€p:flwww.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date ACENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section�g000) of D sIon 3 o the Business and Prof ,ode, nd my license is in full force Ind effect License Class License No net X G, ) I, i 1 � Contractor Sit YORKERS'COMPENSATION DECLARATION v IARNINGc FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL; AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL' DST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3755 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. +hryereby affirm under penalty of perjury one of the following declarations: J I have and will maintain a certificate of consent to Self -Insure for workers' compensation, issued by the Director Of arformance of the work forwhich this permit is issued. Policy No. 11 have and wilt maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe ,surance carrier and policy number. are: anier Policy Number arse of Agent that, in the performa lI the work for which this permit is issued. I shall not employ any person in any manner so lould becof10sa s jeet ID the workers' compensation provisions of Section 370D of the Labor Code, I shall forthwith c of Applicadt !reby affirm under penah of perjury that there is/construction ferI agencyfor the performance of the work for which ider's Name Lender's Address my signature below, I certify to earn of the following: 1 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 ou ordinances and state taws relating to building construction. I authorize representatives of this city or cour tpany tefil)e above -identified property for inspection purposes. ACTION I DATE I BY PERMIT EXPIRED PERMITCANCELLEI PERMIT EXTENDED CERTIrIGATEOr (sea-.i3I D� OCCUPANCY ISSUED REGULATIONS PART 61 OF TITLF,,40 AND ADMD RU LE f,C,N ASI_I REST05 NOTIFICATION 15NOT APPLICABLE. TO PROPOSED DEMOLITION SIGNATURE: c Or lgna ureyl CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS is IN ADOMON TO THE Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is Issued. My workers' Expiration Dale to become subject to the works 'compensation laws of California, and agre ply with those provisions. Date Permit is issued (Section 3097, Civi Code), FOR OFFICE USE ONLY