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HomeMy WebLinkAboutP2023-0432 - PermitswP City of Newport Beach 111111111111 IlnIIIIIIIIIIII 1111111111 IIII,ll Plumbing Permit: P2023-0432 p y Community Development Department - Building Division P 2 0 2 3 0 4 3 2 Plan Check No : 0295-2022 100 Civic Center Drive, Newport Beach, CA 92660 Work Class: Other x Permit Counter Phone: (949) 718-1888 Issued Date: 09/13/2023 newportbeachca.gov/civic 7 _ �. Final Date: Permit Status: Issued Inspection Area: 5 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: 4601 DORCHESTER RD Legal Desc : N.TR 3519 BLK LOT 90 Description: PLUMB INSTALL GAS LINE FOR BBQ AND FIRE PIT, (X2022-0323) Owner: NPNB LLC Contractor : NICHOLSON CONSTRUCTION CO Address : 1 CORPORATE PLAZA DR STE110 NEWPORT BEACH, CA 92660 Address : 1 CORPORATE PLZ #110 NEWPORT BEACH, CA 92660 Phone : (949) 756-8393 Phone : (949) 756-8393 Con State Lic : 660295 Applicant: NICHOLSON CONSTRUCTION CO Lic Expire : 12/31/2024 Address : 1 CORPORATE PLZ #110 NEWPORT BEACH, CA 92660 Bus Lic: BT98032850 Phone: (949) 756-8393 Bus Lic Expire-0413012024 Workers' Compensation Insurance Owner/Builder: Carrier : STATE FUND Address Policy No : 9074255 Phone: W. C. Expire . 10/1/2023 Code Edition: 2022 Fire Hazard Zone `. NO Type of Construction : Occupancy Groups Building Setbacks: Front: 6, Side: 6, Side: 6, Rear: 6 Flood Zone: X R-1-6000 Single -Unit Residential 6000 indicates minimum lot area) ( - Use Zone: g o�oa tl � MIN ONO PROCESSED BY: SPECIAL CONDITIONS:' e J O OJO�O G O <) 3�C1 C. •3^ 9 O J a " J A03'G� O y ;00 3 OWNER -BUILDER t hereby affirm under"pe (Section 7031.5, Business the permit to,file a slgno+d sl Professions Code) or that not ixic3re then fom hundred; 13 �—q I 1, as owner of the pre' '' sus€mess and pr ssiori's improvements are not inteo irnproVIW for the purpose of i 1, as owner of the grope apply to an Owner of proper, D tam exempt fr° m Iicen; By my signature belovi I act sell a structure that € have b Professions Code, is availal si n tore of Property O vine i hereby:affirm. under and effect. License tARNING, FAILURE TO SECT: :caseofCork-EKSATfON ri; hereby affirm under pei 1 have and wpli ==lair erfc7rm tTCef the work at vAt =mint isurance rarrier and fio ty of perjurythat I am exempt from the Contractors` State License Law forthe reason(s). indicated below by the checkmairk(s) I have placed next to the applicable item(s) . Professions Cade, Any city of county that requires a permit to, construct, alter; or repair any -structure, prior to issuance, also requires the applicant for mane that he or she is licensed pursuant to the prov lions. of the Contractors' State Lacerise Laid (Chapter g (commencing with Section �'gt}1i) of Division 3 of the Business arid' r she is exempt from Hoensuro and fhe balls far the alle�aedexerrmpfion. Any violation of Sectidin 703`t f by any applicant for a perrhR subjeCts the appiisant to a civil p6natty at lams t��r7l}. or my employees oyees w th wages. as their sole compensation, witi do (_) aii of or U port#ori , of the work, and the structure, is not. intended or offered for sale (Section 7044, a: The Contractors' State License Law does not apply to an owner of property who, through ernptoyees' or personal effort„ builds or improves the property, provided that the I for -offered for sale. if, however, thebuilding or improvement is sold within one year of corripietion, the Own will have: the burden of proving that it`was not built or am exclusively contracting with licensed Contractors to construct the project (Section. 7044,8usfnessand Professions Vie: The Contractors' State License Law does Hilt. builds or imprtoves there n, and who contracts felt the projects with a, licensed Contractor pursuant to the Con ras t. ' stag; License Low). s under the contractors° Skate License Law fdor the reason: wledge that, except for ray personal residence its which I must have resided for at least one year prior to wmplatian of thee improvements covered by this perrrrrit, l cannot le gall) as an owner -builder if it has not been constricted in its entirety by licensed contractors. l understand that a copy of the applicable law, Section 7044 of the Business and upon: request when this appliica ion is ss_€bathed or at the following Weis site:l�€�:f�u�rr:legirtfr�. .gavtc�4a�.hfiTnf. Authorized Agent Date DECLARATION €pe tjury� that I arts licensed. under provisions of rshapter g {ctoirsrnencing with:sect;on 0 of Division 3 of the Business and Prcf4siclns.Ccde nd y license is in full force ' License Na Llate`��_ Contractor Signatures rt ON DECLARATION KERV C[SWENSATJO DOVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN ENIPLOYER TO CiltrarrsaAL PENALTIES AND CIVIL FINE$ UP ONE 'HUNDRED THOUSAND COLLARS [$10 #,40 0), its ADDIT7C3dt TO THE Q PROVIDED FOR IN aECTii°S+t 370SfF" THE LABOR cO$E, INT"ERSST, AND AT'itSf2i�.3Ers F'EFS. penury one of the following declarations;; cerlifi ate of consent to self Insure for workew compensation, issued by the Director of Industrial Relations as pro sd 3 for by Setiiora 3700 of the: Labor 0.6 for th, ich this permit is issued. Policy No, Compensation 'insurance, as required by Section 3,700 of the Labor Co€ % for the performance of the works for which dais permit is Issued. defy workers' ere:. 'artier h Policy Number ration mate ,lame of Agent Phone �t certify that in the pertsorma ce of a work for whacti this peal tHs Mel, 1 small Trot employ any person it any manner so as to become subject to the workets'compensztjon lags of Gaiifurnia, and agree fiat, if I should become spl#ect to the worke ornpensation pravis4 ryCiS of Section ;�Ttr0 of the Labor Code; I shall forthwith comply With these provisions, c� >igrsature of Applicant 1ate �— X L.ARATION REGARD r,CON a &LICTION L.EN01fiC AGENCY hereby affirm under p€natty of periur=l, that there is a construct!on lending :agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). .ender's rase Lender's, Actdr 3y my sigrratrjre b low, f cdr�tify tri each of the following rts I athe propy'T; wreIr ior.authorized to act on the property owners behalf, i have read thic opplicatiari'and the Information I have provided is correct r643-&e to on-pty v h all Applicable- city and county ordinances and state "laws relating -to building construction.. i authcuixe relZ�s�°riatit of this city coy iu e to enter the e entified property for inspection purposes. � lure of Property Owner or Authorized Agent F tint f'rcpercy C)vrner s sir Authtsrized Agent's Mettle �>b�'C \j�JS Date —�-i Ai TfC?3 is ; DATE By %ECLARATtON OF COMPLIANCE WITH CODE OF FEVERAL FOR OFFICE USE ONLY I RIEGvLATiONS PART 61 OF TITLE 40AND AWC3RULE r r 140 �*aFfi 3t�AL ) .,ASOES-FO'-;NOTIFlr-ATt tISaIOTAPPLtC eLE TO G954,i�t`cATEO ��� `� l PROPOSEDf3E ALIT€G?t