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Home My WebLink AboutP2023-0251 - Permits��WPoR, City of Newport Beach 11IIIIIII IIIIilllllllllllllllllllllllll111111111111l jj O� ,@ Community Development Department- Building Division P 2 9 2 3 8 2 5 1 F bhhh 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 c- C4CicORN�P newportbeachca.gov/civic Plumbing Permit Plan Check No : Work Class : Other Issued Date : 0710512023 Final Date: Permit Status: Issued Inspection Area : 2 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WO Job Address : 316 APOLENA AVE Legal Desc : A TR BALBOA ISLAND SEC 3 BILK 17 LOT 9 Description: PLUMB INSTALL GAS LINE FOR EXT FIRE TABLE FEATURE. Owner: KIRK LAST Address : 26482 SILVER SADDLE LN LAGUNA HILLS, CA 92653 Phone: (949)422-0154 Applicant : KIRK LAST Address : 26482 SILVER SADDLE LN LAGUNA HILLS, CA 92653 Phone: (949)422-0154 Owner/Builder : KIRK LAST Address: 26482 SILVER SADDLE LN LAGUNA HILLS, CA 92653 Phone: (949)422-0154 Code Edition : 2022 Type of Construction : Building Setbacks : Front: 8, Side: 3, Side: 3, Rear: 5 Flood Zone : AO 1; X Use Zone: R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: 'Bos SPECIAL CONDITIONS: Contractor Address Phone: Con State Lie Lie Expire Bus Lie: Bus Lie Expire: Workers' Compensation Carrier : Policy No W. C. Expire: Fire Hazard Zone : N Occupancy Groups: U P2023-0251 AIRS FROM ORIGINAL ISSUANCE DATE ON SUNDAY AND HOLIDAYS IN ALL AREAS rance OWNER -BUILDER I hereby affirm under penalty of perjury that I 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 the 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 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 C_) portionsof the work, and the structure is notintended or offered for sale (Section 7044, Business and Professions Cade: 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 improve ants are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or im ed for the purpose of sale). I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not /101 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 from licensure under the Contractors' Stale Liceffie.Lae the ng reason:_�_By my signature below I acknowledge that, except. for my parscaih must have. resided for at least one year prior Ib completion Of the improvements covered by this permit, I Cannot legal) sett a structure that I have built as en owner -builder if it ha of to 1 entirety by licensed contractors.l understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request When this plic o ollowing Web site:http:/A�.leg�inio.�.gov/calaw.htmf. Signature of Property Owner or Authorized Agent _ ,_,,, —_— Date _�....L! LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full farce and effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING, 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 (SIDe.000), IN ADDITION TO THE :DST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 IN erformance of the work for which this permit is issued. Policy No.. -11 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' compensation hsurance carrier and policy number are: ;amen Policy Number. Expiration Date lam Agent Phone N certify that in the performance e k for I this permit Is issued, i shall not employ any parson in any manner so as to became subject to the workers' compensation laws of California, and agree hat, if I should become subje a rs' n ation provisions of Section 3700 of the Labor Code, I shall forthwith comply Will those provisions. IgnatureofApplicant .^ .-, - V ^" Date��//�"____- ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). idlers Name Lander's Address my signature bs.ca, , certify to each of the following: I a, n the property um.er or authorized to act on the property owner's behalf. I have read d,s application and the information I have provided is corr I acre., to comply with all applicable city and county ordir nce n ws relating to building construction. { authonze repra;Lr.talwes of this city or county to thew -id fed property for inspection purposes. Owner's or Authorized Acent s Name ACTION DATE BY J ,DEaLARATFON OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY j REGULATIONS PART61 OFTITLE. 40 AND AOMD RULE j PLRh47"E4'PIRED - PERMITCAN6ELLE5 I SUBMITTED ASBESTOS NOTIFICATION TO _ _ EPA PLRMITFnTENOfG_ wD _ PERMIT FINAL CERTIRCATEOr OCCUPANCY ISSUED /I`/Zi`I D%'�— ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: