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HomeMy WebLinkAboutP2023-0174 - Permitscl(,44""P�6 "'City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic 11IIII11111111111111111111111111111111 III111I11111Plumbing Permit : P2023-0174 Plan Check No : PC2023-0713 Work Class : Other Issued Date : 05/18/2023 Inspection Area :8 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 : 2304 CLIFF DR Description : PLUM GAS LINE TO BBQ/FIREPIT Owner: GONTERMAN CUSTOM HOMES Address : 502 30th St NEWPORT BEACH, CA 92663 Phone: (949)697-0746 Applicant: PG LANDSCAPE Address: 424 S OLIVE ST ANAHEIM, CA 92805 Phone: (714)290-0490 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5 Flood Zone : X Use Zone : R-1 - Single -Unit Residential FROCESSFD BY: APE^!AL CONDITIONS: Legal Desc : N TR 919 BLK 4 LOT 5 Contractor: PG LANDSCAPE Address : 424 S OLIVE ST ANAHEIM, CA 92805 Phone: (714)290-0490 Con State Lie : 1055351 Lie Expire : 07/31/2023 Bus Lie: BT30080410 Bus Lie Expire:01131/2024 Workers' Compensation Insurance Carrier : 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 Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) (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 the permit to file a signed statement that he or sheds 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 ilcensure 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 (_) all of or (_) 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 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 ITIrroved for the purpose Of bale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Cade: 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). ❑ I am exempt frorn hcensure under the Contractors' State License Law for the following 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 improvements covered by this permit, 1 cannot legall, sell a structure that I have built. as an owner -builder 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 Professions Code:, is available upon request when this application Cs submitted or at the following Web site:http:ilwww,leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent ___ _ Dab_ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section P�� the Business and Prof ions Cc license is in full force and effect. License Class License No Dale ontractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,1100), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION "be OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 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 performance 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 performance of the work for which this permit is issued. My Workers' compensatioi insurance carrier and policy number are: Carrier Policy Number Expiration Dale Jim of Agent Phone Sf ce--6fy that, in the per orr7ance of the o k for which this permit is Issued, I shall not employ any person in any manner so as to become subject to the workers' c mpensation laws of California., and agre that, if I should becom sub' ct the w rk compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. (mob//jl Signature of Applicant _ __ DECLARATION REGA 1 C UCTI N LEND] CY I hereby affirm under penalty of pe hat there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code), Lenders Name Lenders Address By my signature below, I certify t0 each of the following: I am the property Owner or authorized to act on the property owner's behalf. I have read this application and the information I have provid d is correct. f I agree to comply with all applicable city and county rdinan es and state laws relating to building construction. 1 /, (1 L /z; IL I authorize representatives of this city or count to or the all v tified property for inspection purposes. v `�/� Signature of PropertyOwner Or Authorized Agent Print Property Owner's or Authorized Agent's Nam to C s ACTION DATE BY VE RATION F COMPLIANCE WITH. CODE OF FEDERAL FOR OFFICE USE ONLY y' REGULATIONS PART 51. OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED __ I SUBMITTED ASBESTOS NOTIFICATION_ TO PERMIT CANCELLED EPL�I A_ PERMIT EXTENDED ___ L1AQMD PfRMfT FINAL io /7�/� �t ASBESTOS NOT IS NOT APPLICABLE TO CERTIFICATE OF g PROPOSED DEMOLITION OCCUPANCY15SUED i SIGNATURE;