HomeMy WebLinkAboutP2023-0075 - Permits��EWPoRT City of Newport Beach
p Community Development Department- Building Division
F 100 Civic Center Drive, Newport Beach, CA 92660
U >sg Permit Counter Phone: (949) 644-3288
C9��p0.N�P Inspection Requests Phone: (949) 644-3255
newporLbeachca.gov/inspections
iIII��111111111111111111111111111111111111111111111111Plumbing Permit : P2023-0075
Plan Check No
Work Class : Other
Issued Date : 02/15/2023
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 : 1207 SOMERSET LN Legal Desc : N TR 3032 BLK LOT 5
Description: PLUMB -REPAIR 2 GAS LINES !FROM METER)
Owner:
JOSEPH MORGAN
Address :
1207 SOMERSET LN NEWPORT BEACH, CA 92660
Phone
Applicant:
ALLEN PLUMBING AND ROOTER
Address :
145 E WILSON ST, A COSTA MESA, CA 92627
Phone:
(949)294-9497
Owner/Builder:
Address :
--
Phone:
Code Edition : 2019
Type of Construction:
Contractor: - ALLEN PLUMBING AND ROOTER
Address: 145 E WILSON ST, A COSTA MESA, CA 92627
Phone : _-(949)294-9497
Con State Lic : 951423
Lic Expire08/31/2024`
Bus Lic: BT30059968
Bus Lic Expire:07131/2023
Workers' Compensation Insurance
Carrier: NO EMPLOYEES
Policy No: EXEMPT
W. C. Expire:: -
Fire Hazard Zone : NO
Occupancy Groups:
3
Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 k
Flood Zone : X >. J.
Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
tjt`�a%—Y�"
PROCESSED BY:
SPECIAL CONDITION
i. hereby off rm under penally 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)
lotion 7031:5, Business and Professions Coder 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 Piers a signed statement that he or she is licensed pursuant to tho provisions of the Contractors` State License Law (Chapter 9 (commencing with Section 7000) of: Division 3 of the Business and.
fessions Code) orthat he or she, is exempt from Ileensure and the basis for the alleged exemption, Any violation of Section 7031.5 by anyappleant for a permit subjects the Be. ioantlo,a civil penalty of
repro than five hundred dollars poo).-
I, as owner of the property, or my employees with: wages as their sale compensation, will do U all of or (_) portions: of the work, and thestructure is not intended or offered for Sale:(Sechon 7044,
0ness and Professions Code: The Ca ntractors' 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
Movements 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 not bettor
Movedfor the purpose Of sale).
I as owner of the property, am exclusively Contracting with licensed Contractors to construct the project:($action 7044, Business and Professions Code: The Contractors' State License Law does not
Sly to on nwnerof 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:
my Signature below I acknowledge that, except. for my personal residence In which I must have molded for at least one year prior to completer of the Improvements covered by this permit I cannot legally
a structure that I have built as an owner -builder if it has not boon constructed in its antiroty by licensed contractors_ I understand that a copy of the applicable law, Section 7044 oftho Business and
fessiens Code Is available upon request when this application Is submitted or at the following Web site:Http.Ilw»^waeginfo.ca.govlcalaw.litml.. -
nature of Property Owner or Authorized Agent _ Data
:EN:SED CONTRACTOR'S DECLARATION
:retry offirm under penalty of pedury.that I am licensed under provislons of Chapter 9 (commencing withSection-0} of Division 3.of the Business and.Pro ons Code, an my license is in full force
I effect. License Class- License :No Date Z Contractor 5lgnaturexi i!jj
)RKERS' COMPENSATION DECLARATION-
70
UONG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL; AND SHALL: SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE -HUNDRED THOUSAND. DOLLARS (§I ee,000), iN ADDITION TO THE
(TOP COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION S744 OF THELASPR.COAEONTEREST, ABA ATTORNEY'S PEES.
Baby affirm under penalty of perjury one ofthe following declarattpn8i
I have andwill maintain a Certificate of consenttosett-insure for workers' Compensation, Issued. by -the Director of Industrial Replicas as provided for by Section -V00 of the Labor Code, for lhr
formance of the Work forwhich this permit is Issued. Policy No.
have and will maintain workers' compensation insurance, as. requlred by Section 'MO of the Labor Code, for the performance of tha.work-(or which this permit is issued. Myworkars' compensatior
.Trance oarrlarand pollcy number are: - - - - -
Tier Policy Number Expiration Date _
of Agent Phone #
p rfify 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 agree
t ' I should become subject to theNorkers' o pro ensahon provisions of Ssclibn 3700 of the Labor Code; I shall forthwith comply wfUtfhose provisions.
nature of Applicant Ili--- Dahl 7i
CLARATION Me I -CONST 10 LENDING AGENCY `� \T
Neby affirm under penalty of perjury hot there Is a construction tending agencyfpr the performance of the for Which this permit is issued (Section 3097, Ciwl Code),.
Bier's Name - - Lenders; Andress
my Signature below, (certify to each of the following:
I am the property owner or authorized -toact on the properly owner's., behalf,
I have read this application and the information'I have provided is correct,
1 agree to comply with: all applicable city and county ordinances and slate laws: ratating.to building. construction.
I authorize representatives at this city or county to Crier jheabayegidentified property for inspection purposes.. A /r A
ACTION
DATE
BY v
DECLAIIATION OF COMPLIANCE WITH. CODE OF FEDERAL
FOR OFFICE.
REGULATIONS PART 61 OF TITLE 40 AND AOMD RU LE-
1403
I SUBM�Tf � D A."ESTOS N,DTIF CATION TD —
PERMIT EXPiREU
PERMIT CANCELLED
. EPA — —
PERMIT EXTENDED
PERMiTFINAL
J_t�-2.3
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uASBESTOSN011FICATtON.. IS NOTAPP.UCABLE TO
CERTIFICATEOF
PROPOSED Ep1nl'TION
OCCUPANCY ISSUED
SIGNATURE;