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HomeMy WebLinkAboutP2023-0323 - PermitsaEWPORr City of Newport Beach p e Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 cq[rFORN�P newportbeachce.gov/civic piiiipiiiii II Plumbing Permit Plan Check No : PC2023.1897 Work Class : Other Issued Date : OB/24/2023 Final Date: Permit Status: Issued Inspection Area : 2 P2023-0323 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 : 100 VIA WAZIERS Description: PLMB - GAS LINE TO FIREPLACE Owner: DENEHER FAMILIY TRUST Address : 100 VIA WAZIERS NEWPORT BEACH, CA 92663 Phone: (949)795-1171 Legal Desc : N TR 907 BLK LOT 363 TR 907 LOT 363(AND SWLY1/2 L Applicant: MILLENNIUM CONSTRUCTION Address: 2901 W COAST HIGHWAY NEWPORT BEACH, CA 92663 Phone : (949) 258-4366 Owner/Builder : Address Phone : Code Edition : 2022 Type of Construction : Building Setbacks : Front: 4, Front: 0, Front: 1.5, Side: 4 Flood Zone: X Use Zone : R-1 - Single -Unit Residential PROCESSED BY, r SPECIAL CONDITIONS: Contractor: MILLENNIUM CONSTRUCTION Address : 2901 W COAST HIGHWAY NEWPORT BEACH, CA 92663 Phone : (949) 258-4366 Can State Lic : 804132 Lic Expire : 10/31/2023 Bus Lic: BT30080150 Bus Lic Expire:08/31/2023 Workers' Compensation Insurance Carrier : COMPWEST INS CO Policy No: CWWCP100063383 W. C. Expire: 7/1/2024 Fire Hazard Zone : NO Occupancy Groups : OWNER -BUILDER DECLARATION 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 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 not more than five hundred dollars ($500). ❑ I, as owner of the property,. or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended 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 employees' or 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-Builderwill have the burden of proving that it was not built or improved for the purpose of sale). ❑ 1, 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 apply 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), ❑ I am exempt from licensure under the Contractors' State License Law for the following reason: By 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 'loll a structure that I have built as an owner -builder if it has not been constructed in its onlirety 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:ilwww.leginfo.ca.govlcalaw,html. Signature of Property Owner or Authorized Agent _ Date ''.LICENSED CONTRACTOR'S DECLARATION !I hereby affirm under penalty Of per.LL� that I am licensed under provisions Cha er (commencing with Section 70 ) of D'vision 3 of the Business and Professio ode, and y license is in full force and effect. License Class �( License No Date Date Contractor Signature WORKERS' COMPENSATION ECLARATION WARNING_ FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR HOUSAND DOLLARS (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 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 the performance 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� io of Agent _ certify that., in the p, if I should become lature of Applicant _ Policy Number Date Ice of the Work for which this permitis issued., I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree to the workers'.compen,sation provisions of Section 3700 of the Labor Code, I shall forthwith comply whit those provisions. DateY ("'y.ZI ____, -4 :�2? nueToiirrl r,r I c Llr nr_e etry belly affirm underbed fly of perjury that there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097 Idef s Name ((// _ Lender's Address 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 lances and to laws relating to building construction. I authorize representatives of this city or county to t the above tified property for Inspection purposes. / :nature of Prooerty Owner or Mthotaw ADan' 1 ((( ✓ Print Property Owner's or Authorized Agent's Name L / e Civil Code). ACTION DATE BY / /"IECLI EATPON OF COMPLIANCE WITH CODE OF FEDERAL RFCU1 ATIONS PART 61 OF TITLE. 40 AMC) AOMO RULE 1403 FOR OFFICE USE ONLY PERM17fXPIRED J ISURN11TTF.D ASBESTOS NOTIFICATION TO PERMITCANCELLED tICP.', ....._ ...._..... .....__._ PEAMIT EXTENDED _—_ _ i JAO viD PERMIT FINAL LL ❑ASBLSrOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATEOF /2///. 0 P@OPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE