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HomeMy WebLinkAboutP2022-0273 - Permits�EWPORT City of Newport Beach II II I I II I II I I IIII II Community Development Department - BuildingDivisioo Plumbing Permit 1 DO Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 644-3288 Work Class : Other Inspection Requests Phone: (949) 644-3255 Issued Date : °gciroa��P newportbeachca.gov/inspections Inspection Area : 1 P2022-0273 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 : 424 SEVILLE AVE Legal Desc : N TR 948 BLK LOT 35 TR 948 LOT 35(AND S1/4 LOT 34 Description : PLUMB - INSTALL SEWER CLEAN OUT Owner: CALKINS STEVEN DERRICK TR CALKINS LIVING TR Address : 34721 CALLE RAMONA CAPISTRANO BEACH, CA 92624 Phone: Applicant : STEVEN BRERETON Address : 3037 GARFIELD AVE COSTA MESA, CA 92626 Phone: (949)310-9116 Owner/Builder Address Phone: Code Edition : 2019 Type of Construction : Building Setbacks : Front: 6, Side: 4, Side: 4, Rear: 0 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Contractor : STEVEN BRERETON Address : 3037 GARFIELD AVE COSTA MESA, CA 92626 Phone: (949)310-9116 Con State Lie : 1053764 Lie Expire : 05/31/2023 Bus Lie : BT30077713 Bus Lie Expire:01/31/2023 Workers' Compensation Insurance Carrier : NO EMPLOYEES Policy No : EXEMPT W. C. Expire : Fire Hazard Zone : NO Occupancy Groups: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the ContractorsState License Law for the reason(s) indicate below by the checkmark(s) I have placed next to the applicable items) ction 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 Ilse 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 ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do I all of or (_) portions of the mass and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through am -ovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of complet ,oved for the purpose of sale). 1, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, BL ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pt J I am exempt from licensors under the Contractors' State License Law for the following reason ly my signature below I. acknowledge that, except for my personal residence In which I must have resided for at least one y Oil a structure that I have built as an owner -builder if It has not been constructed in its entirety by licensed contractors. I urn 'rofessfons Code, Is available upon request When this application is submitted or at the following Web site: http:L'wvwr.legmf lgnature of Property Owner or Authorized Agent _,__ ACENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti nd effect. License Class License No Don 0 ) of s, and the structure Is not intended or offered for sale (Section 7044, ees' or personal effort, builds or improves the property, provided thatihe the Owner -Builder will have Ilia burden of proving that It was not built or and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law). to completion of the improvements covered by this permit, I cannot that a copy of the applicable law, Section 7044 of the Business and Business and license Is In full force VORKERS' COMPENSATION DECLARATION 1A 1 (/ v 1ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIESAND CIVIL FINES UP TO ONE HUND ED THOUSAND DOLLARS (S)00,000), IN ADDITION TO THE OST OF COMPENSAT€ON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOS, INTEREST, AND ATTORNEY'$ FEES, hereby 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 mi trstrial Relations as provided for by Section 3700 of the Labor Code, for th erformance of the work for which this permit is issued. Policy No., ]I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perfa mance of the work for which this permit is issued. My workers' compensabol isurance carrier and policy number are: of Agent II that., in the p 1 should become of Applicant -K I / 1) Policy Number Dale work for which this permit is Issued. I shall not employ any person in any manner so fs to become subject to the workers' Compensation laws of California, and Ik�rs compensation provisions of Section 3700 of the Labor Code,. I shall forthwith c ply With those provisions. CLARATION REGAI�PIR( CONSTRUCTION LENDING AGENCY Ireby affirm under penalty of perjury that there is a construction fending agency for the performance of the work for which ider's Name Lender's Address my signature below, I certify to each of the following: I am lire 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 or In��I s and state laws relating to building construction. I authorize representatives of this city or county o t r I(t9w ove-Identified properly for inspection purposes. nature of Property Owner or Authorized P t 2 Print PrODenv Owner's or Aut permit Is issued (Section 3097, Ci I Code). ACTION DATE Br / V DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY V REGULATIONS PART 51 OF TITLE 40 AND AQMD RLILF 1403 P€RANT EXPIRED 1 Ei)RMITTFD ASBESTOS NOTIFICATION TO PERMIT CANCff.LSp [r-PA PERMITFINAL rJf U[t❑ASBESTOSNOTIFIC.IT[ON15NOTAPPLICABLL TO CERTIFICATEOF ( ll i/� PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: 5-ki,XA i &erg