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Home My WebLink AboutP2022-0355 - Permits��£`wPORT City of Newport Beach 0 em Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 cgt'°`oaH�r Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections II111111111111111111111111111111111111111111111111 Plumbing Permit : P2022-0355 Plan Check No : 1798-2019 Work Class : Other Issued Date : Inspection Area : 3 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 : 1022 WEST WIND WAY Description: PLUMB- GAS LINE TO FIRE PIT Owner: RONNILEVINSON Address : 1902 SUVA CIR COSTA MESA, CA 92626 Phone: Legal Desc : N TR 4224 BILK LOT 184 Applicant: LEWIS R W CONSTRUCTION Address: 1863 BAYPORT WAY NEWPORT BEACH, CA 92660 Phone: (714)321-4126 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction : Building Setbacks : Front: 10, 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 CONDITIONS: Contractor : LEWIS R W CONSTRUCTION Address : 1863 BAYPORT WAY NEWPORT BEACH, CA 92660 Phone: (714)321-4126 Con State Lic : 597309 Lic Expire : 06/30/2024 Bus Lic: BT00021581 Bus Lic Expire:03/31/2023 Workers' Compensation Insurance Carrier : CALIFORNIA INSURANCE COMPANY Policy No : 46864922 W. C. Expire: 12/11/2022 Fire Hazard Zone : NO Occupancy Groups: r OWNER -BUILDER DECLARATION I hereby affirm underpenaltyof 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 items) Section 7031.5, Business and Professions Cade: 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 he permit to rile 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 rrofessions Code) or that he or she is exempt from licensure 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 tot 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Wsiness 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 mprovements 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 mproved for the purpose of sale). 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 Ipply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuantto the Contractors State License Law). 1 am exempt from licensure under the Contractors' State License Law for the following reason: 3y 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 legally ;all 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:htlp:/Iw .leginfo,ca:gov/calaw.html. signature of Property Owner or Authorized Agent t _ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7000) of D Es' 3 of the Business o f si o . and my license is in full force Ind effect. License Class License No Date Contractor Signature 'VORlCERS' CDMPENSATIDN DECLARATION DARNING. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN TIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100A00), IN ADDITION TO THE :DST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SEC7ION 370f OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: 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 lance of the work for which this permit is issued. Policy No.. at 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' compensa' in carrier and policy number. are: Policy Number Date lame of Agent Phone # -1I certify that, in the pedor once of the war r hick this permmitis issued., I shall not employ any person in any manner so as to become subject to the workers` compensa ion laws of California, and agre rat, if I should become subjec the worker c pensatio _provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. dgnature of Applicant _ _ Date,Z LE.CLARATION REGARDIING CONST LIEN.DING AGENCY ^—'- hereby 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 3067, Civil Code), enders Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act o. rap owner's behalf. I have read this application and the Inform Ion have provi ed' correct. 1 agree to comply with all applicable city and ty ordinan e d state laws relating to building construction. I authorize representatives of this city or County t ter th E"ad property for inspection purposes. / Tonalure of Property Owner or Authorized AQQ L Print Prooertv Owner's or Authorized Aa8l Name % I �. �/�) a, LQ.(J 4 nata rZ /) 2— ACTION DATE BY L DEIZ OAT ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART bt OF TITLE 40 AND AQMD RULE 11403 PERMIT EXPLREO PERMIT CANCELLED P€RMfTF1NAL �� p/ �/�S ( �a�5BE5I OS NOT IS NOT APPLICABLE TO CERTIFICATE OF rllj/PR_OPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE;