HomeMy WebLinkAboutP2022-0268 - Permitsa'�wroRT City of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
? Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
Cq<�FQµN�P newportbeachca.gov/inspections
Plumbing Permit
Plan Check No:
Work Class : Other
Issued Date: 09/22/2022
Inspection Area : 6
P2022-0268
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: 811 GARDENIA WAY Legal Desc :
N TR 12245 BLK LOT 35
Description: PLUM GASLINE TO FIRE PIT
Owner: KEITH HARRIS
Contractor :- EMERGE.: LANDSCAPE INC
Address: 811 GARDENIA WAY CORONA DEL MAR, CA 92625
Address: .. 1408 WEST.LASTER AVE ANAHEIM, CA 92802
Phone:
Phone: (714),606-4669
Con State Lic: 1053305
Applicant: EMERGE LANDSCAPE INC
Lic Expire 05/31/2023
Address : 1408 WEST LASTER AVE ANAHEIM, CA 92802 -'-
Bus Lic : II' BT30079757
Phone: (714) 606-4669
Bus Lic Expire:09/30/2023
Workers' Compensation Insurance
Owner/Builder ;
Carrier :
Address :
'. Policy No: 9249815:
Phone:
W. C. Expire.:4/2712023
Code Edition : 2019
Fire Hazard Zone : NO
Type of Construction :
Occupancy Groups
Building Setbacks: Front: 5, Side: 4, Rear: 10
Flood Zone: X
Use Zone : PC - Jasmine Park
PROCESSED BY:
SPECIAL CONDITIONS
I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s): I have placed next to the -applicable. item(s)
action 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
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Gontmctore State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
,feesions Code) or that he or she is exempt from Ifoensure 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
more than five hundred. dollars ($590),.
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 or offered for sale (Section 7044,
;iness 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
)rovements are not intended or Offered for sale. if, however, the building or improvement issoldwithin one year of completion, the Owner -Builder will have the burden of proving that it was notbuilt or
)roved for the purpose of sale).,
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.
Ay 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).
i am- exempt from licensure under the Contractors' State License Law for the following reason:
year prior to _ ... ... . .
and
i C6NiRACTOR'S DECLARATION In under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 0) isi f the Business and Prate' ns Code, A�Ens,ll force
License Class License: No Do Z-t Contractor Signature
i' COMPENSATION DECLARATION
ti
.URETOSECURE WORKERS' COMPENSATION COVERADE. IS UNLAWFUL AND SHALL SUBJECT. AN EMPLOYER TO CRITNNAL PENALTIES AND CWIL FINES UP TO ONE HUNDRED T OUSAND DOLLARS t810e,000t; IN ADDITION TO THE
IENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR COPE, INTEREST. AND ATTORNEY's Fess.
hereby affirm under penalty of perjury one of the following declarations:
"I I have and will maintain a certificate of consent tosetf.lhsura for workers compensation, issued by. the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, forth
Grformance of the work forwhich this permit Is issued. Policy No.
eve 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 compensatfoi
7surance Carrier and policy number are:
;airier Policy Number Expiration Date
Jame of Agent. Phone #
:1I certify that; in the performance of the work for which this permit is Issued, J shall not employ any person in any manner so as to become, subject to the workers' oompensati n laws of California, and agre
hat, d I should becom su 'act to the workers' compensation pro sions of 700 of the Labor Cade,. I shall forthwith comply with those provisions.
signature of Applicant Da
)ECLARATtON RE I CONSTRl3C710N LEND.' AGE GY
hereby affirm under nalty o that there is a construction lending agency for the performance of the work: for which this permit is issued :(Section 30 7, Civil Cade).
.enders Name.. _ - - Lenders. Address
iy my signature below, I certify to each of the following:
I am the property, owner or authorized to act on the property owners behalf.
I have read this application and the information I have provided is correct
I agree to comply w%Nrall applicable city and c ty ordinances and state laws retail e-bulding construction,
I authorize representatives of this city or aoun�o enter the aliro Baden' roperty for inspection purposes.
BY
PERMIT FINAL
CERT01tATf OF
OCCUPANCY ISSUED L
1403
RULE
NOTWICATION 15 NOT APPLICABLE. TO