HomeMy WebLinkAboutP2022-0262 - Permits04�-
City of Newport Beach IIcCommunity Development Department- Building DivisionPlumbing Permit:PZOZZ�OZVZ
100 Civic Center Drive, Newport Beach, CA 92660Plan Check No
Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255Work Class :Other
newportbeachca.gov/inspections 0 e <' ='. awl>w ! - Issued Date: 09/16/2022
Inspection Area : 1
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 : 120 43RD ST, 112 Legal. Desc
: A TR RIVER SECTION BILK 42 LOT 9
Description: PLUM: REPLACE 1" GAS LINE FROM METER TO HOUSE
Owner: JACK KAYAJANIAN
Contractor: RCA CONSTRUCTION
Address : 1806 SANTIAGO DR NEWPORT BEACH, CA 92660
Address : '39582 CEDARWOOD DR. MURRIETA, CA 92563
Phone :
Phone: (951) 318 831.1
Con -State Lic : 895979
Applicant : RCA CONSTRUCTION
Lic Expire i. 05/31/2023
Address : 39582 CEDARWOOD DR. MURRIETA, CA 92563
Bus Lie : BT30079717
Phone: (951) 318-8311
Bus Lic Expire:09/30/2023
Workers' Compensation Insurance
Owner/Builder :
Carrier: EXEMPT
Address :
Policy No: EXEMPT
Phone:
W. C. Expire:
Codc Edition : 2019 -
Fire Hazard Zone : NO
.
Type of Construction :
Occupancy Groups
Building Setbacks : Front: 10, Side: 3, Side: 3, Rear 5,
Flood Zone: X
Use Zone : R-2 - Two -Unit Residential
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PROCESSED 8Y:
SPECIAL CONDITIONS:
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OWNER -BUILDER DECLARATION -,
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law far the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) w
(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 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
not more than five hundred dollars ($500).
ri I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended oroffered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner at property who, through emploees' 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 -Builder will have the burden of proving thatit was not built or
im roved for the purpose of safe).
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
ffty to an owner at property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law),
I� I am exempt from iicensure 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 legal
sell a structure that I have built as an owner -builder if it has not beenconstructed 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:fiwww.leginfo.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 o C r (commencing with Section 7000)of Division 3 of the Business and Profess ipr� Cade, an my license is in full force
and effect License Class I% License IN Date —I F _22 Contractor Signauu
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNB. PINES UPTO ONE HUNDRED THOUSAND DOLLARS uI00,000), IN ADDITION TO TH
COST OF COMPENSATION, DAMAO" AS PROVIDED FOR IN SECTION 37" OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
I hereby affirm under penalty of perjury one of the fallowing declarations:
❑ 1 have and will maintain a certificate of consentto self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, fort
performance of the work for which this permit is issued. Policy No.
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"
ranee carrier and policy number are:
Policy Number
Date
e' of Agent —Pnone if
Gritty that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
If I should become subject tq the workers' pion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. q
alureor Aaolicant;X- d/•/II r/macJt___/J_ Date%
areby affirm under penalty of perjury that there is a construction lending agency forthe performance of the work for which this permitis issued (Section 3097, Civil Code)
Iders Name Lender's Address
my signature below, I certify to each of the following,
I am the ftt¢Rarty owner or authorized to act on the property owner's behalf.
I have rf%VJWS 5pplication and the information I have provided is correct.
I•agree to comply with all applicable city and county ordinances and state taws relating to building construction. ^
•i:autho rule reareSentsfives of this city or county to eg!9II the above-ld '
ifjed prpperty for Inspection purposes. ,
A[SION DATE BY DECLARATION OF COMPLIANCE. WITH CODE OF FEDERAL FOR OFFICE USE ONLY
• • •.. • •. REGULATIONS PART fit OF TITLE 40 AND AQMD RULE
° • 1403
• PERMIT EXPiterri . I U I SUBMITTED ASBESTOS NOTIFICATION TO
FINAL• ••: I a� 2� J4� UASBESTOS NOTIFICATION (SNOT APPLICABLE TO
SATE OF •• ° PROPOSED DEMOLITION
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