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Home My WebLink AboutP2023-0553 - Permits0Q.. 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 P 2 0 2 3 0 5 5 3�� II Plumbing Permit Plan Check No : 2349.2021 Work Class : Other Issued Date : 12/06/2023 Final Date: Permit Status: Issued Inspection Area: 8 P2023-0553 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: 1459 GALAXY DR Legal Desc : N TR 4224 BILK LOT 257 Description: PLUMB GAS TO BBC AND FIREPIT (UNDER 42" H, MORE THAN T FROM THE P/L) Owner: VON DER AHE GEOFFREY W TR Address : 1459 GALAXY DR NEWPORT BEACH, CA 92660 Phone: Applicant; MILO CONSTRUCTION Address: 101 VIA MONTE PICAYO SAN CLEMENTE, CA 92673 Phone: (949)290-6429 Owner/Builder : Address Phone: Code Edition: 2022 Type of Construction : Building Setbacks : Front: 15, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY SPECIAL CONDITI.ONS. Contractor : MILO CONSTRUCTION Address : 101 VIA MONTE PICAYO SAN CLEMENTE, CA 92673, Phone : (949) 290-6429 Con State Lic : 871429 Lic Expire : 03/31/2024 Bus Lic : BT30038762 Bus Lic Expire:03/31/2024 Workers' Compensation Insurance - • , , Carrier : EXEMPT , Policy No : NO EMPLOYEES 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 item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter. improve, demi or repair any structure, prior to its issuance, also requires the applicant for the pormut 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 ficensure 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 riot more than five hundred dollars ($500). ❑ 1, as owner of the property,or my employees with wages as their sole compensation, will do (_) all of or (J portions of the work, and the structure is notintended 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 employeesor 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 improved for the purpose of sale), El 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 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). ❑ 1 am exempt from ficensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall, sell a structure that I have built asan 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 is submitted or at the following Web site:http:tfwww.teginfo.ca.govlcalaw.html,. Signature of Property Owner or Authorized Agent -, .... _.,.... _____ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectipn 7000) of Division 3 of the Busln as and Profes ens Code nd n "cerise is In full force and effect. License Class License No Dd K — b zI Contr3c/(Or Signature WORKERS' COMPENSATION DECLARATION ✓/�� l O` NARNING: FAILURE'(' ^E_'1.^.E WORR.ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDREDTHOUSAND DOLLARS (S100AilUj, IN ADDRION TO THE COST OF COMPENSATION, DA44AGES AS PROVIDED FOR IN SECTION 3706 OF THE LASOR CODE, INTEREST, AND ATTORNEYS FEES.. h E-cty s7Plrm under penalty of perjury one of the tollowing declarations: ha,,e 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 canar,ce of the work for which this permit is. issued. Policy No. havr and will maints;n 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' compensa rancq carrier one policy number are: of Agent ul.ity that, in the performance of the work for if I sb wid bezorn.: subject tthe orkq' )lure oApp',/ant \_ Policy Number Expiration Date Phone III this er It. is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and atior pr visions of Section 3700 of the Labor Code, I shall forth'roilh comply with those provisions. IZ, fa•Z hereby affirm under penalty of perjlury that there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address y my signature below, I certify to 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 provided is correct. I agree to comply with all applicable city and county ordinances end st laws Totaling to building construction. I authorize representatives of this city or county to ert�er the ab�vp-ide tied property for inspection purposes in: fi,'. „f a �o.l„ n,,,,, " A„r,,.r,�o.l n�.,o„r I ,,,CCC P. 1 o.,,, h, n,.,,,e. ,., n„u,,,.;.es A. ,. nnlb../ r�1 1 Gt� ivl 2 b. ACTION DATE B9 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 51 OF TITLE 40 AND AOMD RULE 1403 FOR OFFICE USE ONLY PERMITEXPIRED SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED _ t_i E_PA OMD_ ._...._.._... NAL ...BESTOS NUIIHCATIUN IS NUf APPLICABLE TU ASiGNATI CERTVFiCATEOF 1. " OSE.D DEMOLITION OCCUPANCY ISSUED {Y1