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