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Home My WebLink AboutP2023-0447 - PermitszEWPCR� City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 fe. �z; Permit Counter Phone: (949) 71B-1888 C,4, newportbeachca.gov/civic 11111111p1111111111111111111111111111lit 11111 Plumbing Permit : P2023-0447 P 2 0 2 3 0 4 4 7 Plan Check No : Work Class: Other Issued Date : cl Final Date: Permit Statu: lz.%ep 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 : 215 MILFORD DR Description : PLMB - GAS LINE TO FIREPIT Owner: ANDREW BOYUM Address : 215 MILFORD DR NEWPORT BEACH, CA 92625 Phone: Legal Desc : N TR 3357 BILK LOT 166 Applicant: PRIMEWEST PLUMBING Address: 31878 OBISPO ST STE 118343 SAN, JUAN CAPISTRANO, CA 92675 Phone: (949)880-6221 Owner/Builder : Address Phone : Code Edition : 2022 Type of Construction : Building Setbacks Flood Zone Use Zone : PROCESSED BY SPECIAL CONDITIONS: Front: 6, Side: 6, Side: 6, Rear: 6 R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) ,a, Contractor: PRIMEWEST PLUMBING Address : 31878 OBISPO ST STE 118343 SAN JUAN CAPISTRANO, CA Phone: (949)880-6221 Con State Lic : 1087885 Lic Expire : 03/31/2024 Bus Lic: BT30079101 Bus Lic Expire:06/30/2024 Workers' Compensation Insurance Carrier: STATE FUND Policy No : 9314729 W. C. Expire: 9/19/2024 Fire Hazard Zone : YES Occupancy Groups : •CPTP.Ida=I>flfl�wl�iFl��IS�.7�lL�TiI I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable Reims) Section 70311.5.. 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 to permit to file a signed statement that he or she is licensed pursuant to the provisionsof the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofassions Code) or that he or she is exempt from licensure and the basis for the alleged exemption, Any violation of Section 7C31.5 by any applicant forapermit subjects the applicant to a civil penalty of of more than five hundred dollars (5500). ] 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, usiness 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 nprovements 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 nproved for the purpose of sale). 3 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply 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). 3 1 am exempt from hrensure under the Contrectors' Stale License Law for the following reason y 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 I cannot legall) ell 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 'rofessions Code., is available upon request when this application is submitted or at the following Web site:http:llwww.leginfo.ca.govlcalaw.html, ignalure of Property Owner or Authorized Agent _ Date .10ENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the,Business and Profasstio, s Code, and my license is in full force nd effect- License Class License No '/Date (jam 7,Q z 7 1 bntractor Signatur WORKERS' COMPENSATION DECLARATION �` �\ 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED SAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED POR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNE'rS FEES. hereby affirm under penalty of perjury one of the following declarations: I bave� nd 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 prrty�rfce of the work for which this permit Is issued. Policy No. _ 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' carrier and policy number are: a of Agent ertify that, in the p�iub ricence hof the work for if I shoul�d becaorrfn,('0 ,subject t the workers ature ofA�lic Policy Number Date ermitis issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. hereby affirm udder pe-,Tryof perjury that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 ender's Name Lender's Address ly 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 and state laws relating to building construction. E authorize representatives of this city orcounty to,,entefF the above-i�lified property fc[ inspectlan purposes. of Property Owner or Did a 101'—! _9..._2- Civil Code). /X;/o% Matn l-211�^ ACTION DATE BY Z_ 1Y7 LARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY S REGULATIONS PART 67. OF TITLE. 40 AND AO,MD RULE 1403 PERMIT EXPIRED PERMIT EXTEP.OEJ PCRrAfl ANAL CERTIFICATE OF OCCUPANCYISSUED I SiIRMITTFD ASBFSTOS NOTIFICATION UASBESI'OS NOTIFICATION 15 NOiAPPLICABLE To Ifs` i PROPOSED DEMOLITION SIGNATURE: