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Home My WebLink AboutP2022-0284 - Permits'Poq� City of Newport Beach p @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 644-3288 a Inspection Requests Phone: (949) 644-3255 cIt,, RN�P newportbeachca.govfinspections II II I I II I II I II III II I II II Plumbing Permit : P2022-0284 Plan Check No : 9 �� Work Class : Other i� q �1e P E A Issued Date : 19/l13/2022 Inspection Area : 2 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 : 40 HARBOR ISLAND Legal Desc rN TR 802 BLK LOT 36 TR 802 LOT 36 ALL -INC BET SAME & HIGH T IDE Description: PLUM: R/R TOILET & SINK/FAUCET. **GUARD SHACK** Owner: LYONS PHILLIP N TR Contractor : OPTIMA` CONSTRUCTION INC Address: 36 HARBOR IS NEWPORT BEACH, CA 92660 Address': ' 2823 FRANCIS LN COSTA MESA, CA 92626 Phone: Phone:.: (949) 3943870 Con State Lic : 1025809 Applicant : OPTIMA CONSTRUCTION INC Lic Expire : 04/30/2023 Address: 2823 FRANCIS IN COSTA MESA, CA 92626 Bus Lic BT30064120 Phone: (949)394-3870 Bus Lic'. Expire:08/31/2023 Workers' Compensation Insurance Owner/Builder: Carrier:' '- STATE COMPENSATION INSURANCE FUND Address : Policy. No : 9314690 Phone: W. C. Expire: 3/17/2023 Code Edition : 2019 - Fire Hazard Zone : NO Type of Construction : Occupancy Groups: Building Setbacks : Front: 15, Front: 15, Front: 0, Side 3 . ! Flood Zone: AE, 8 FT; X Use Zone : R-1 - Single -Unit Residential 0 ° PROCESSED BY: NO CONSTRUCTION NOISE SPECIAL CONDITIONS: HIGH DENSITY ZONE ,• 4 ON THE WEEKEND 4 ! 0 Va OWNER•BUILOER DECLARATION I hereby affirm under penalty of perjury that i am exempt from the Contractors' State License Law far the reasons) Indicated below by the checkmark(s) I have placed next to the applicable items) Section 7031.5, Business and Professions Code: Any airy or County that requires a permitto construct, alter, improve, demolish,. or repair any structure. prior to its Issuance, also requires the applicant for is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter g (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from hcensu€e and''.. the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of of more than Five hundred. dollars ($500). 11, as owner of the property, or my employees with wages as their sole Compensation, will do (_) all of or (_) portions of the wc , and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property Who, through emplo ees' 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 safe). 1 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 ply to an owner of property who builds or improves thereon, and %he contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).. I am exempt from Neensure under the Contractors' State License Law for the following reason: ly 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. ON 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 prat the following Web sim:hHp:Rwww.leginfo.ca. ovIcalaw.luml. 'ignature of Property Owner or Authorized Agent Dot .ICENSED CONTRACTOR'S DECLARATION. hereby affmn under penalty of perjury that. l am licensed under previsions of Chapter 9 (commencing with Section 7000j of ivisicn 3 of the Business and Profess) n n license is in full force nd effect License Class License No Data Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNWG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUILIECT AN EMPLOYER TO CRIMINAL PENALTR:s DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of penury one of the following declarations: 7 1 have and Will maintain a certificate of consent to self -insure for workers' Compensation, issued by the Director of in+ ee��/Kr/fo�rmance of the work for which this permit is issued. Policy No. :h haye and will maintain workers' Compensation insurance, as required by Section 3700 of the Labor Code, for the perfol Isu nIm carrier and policy number are: 'crier Policy Number to of Agent certify that, in the perfo ce o fee which this permit is issued, I shaft not employ any person in any manner so as if I should become su fact _ rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith com hereby athrm,I VVr.&nalty of` perju�them is a Construction lending agency forthe performance of the work for which this erl Name • Lenders Address CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($t00,000), IN ADDITION TO THE Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date become subject to the workers' compensation laws of California, and agra with those provisions. t ) Date! issued (Section 3097, Civil Code). I am the powner or authorized to act on the property owner's behalf. Nave read t4is application and the information I have p V'ded is dorrect, I, • ' f agree to gpgV1,y with all applicable city and coon a es and state laws relating to building construction. fff • • T juthodzd pp sentalives of this city Or won o ter owe-identi}iad property for inspection purposes. • Si .lure of P a: Owner or Authorized Anent Print Property Owner's or Authorized ant's Name Date ` AMIN ,, •" ` DATE BY THDN OF COMPLIANCE WITH CODE OF FEDERAL • e FOR OFFICE USE ONLY • a•• REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE aaa • 14aq PER ITFINAt CERTIFICATE OF �n In'at �J'��/ pp PO1ERD DEMOLITION ASBESTOS NOTIFICATIONIS NOT APPLICABLE TO OCCUPANCYISSUEO 7 "'//OjjYYY//J ry