HomeMy WebLinkAboutP2022-0264 - PermitsaeW�oRr.
City of Newport Beach
Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
U�"",-
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
II II Plumbing Permit : P2022-0264
Plan Check No : PC2022-2337
Work Class : Other
Issued Date: 09/19/2022
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: 1 HAMPSHIRE CT Legal Desc : N TR3852 BLK LOT 33
Description: PLUMB: INSTALL GAS LINES FOR FUTURE BBQ & FIRE PIT. (S2022-0195)
Owner: ROWLAND & JAIME DAY
Address : 1 HAMPSHIRE CT NEWPORT BEACH, CA
Phone: (949)795-4881
Applicant:
INSTANT POOLS LLC
Address:
116 SENCILLO PL RANCHO MISSION VIEJO, CA 92694
Phone:
(949)795-0648
Owner/Builder
Address
Phone:
Code Edition :
2019
Type of Construction :
Building Setbacks :
Front: 20, Side: 6, Side: 6, Rear: 6
Flood Zone:
X
Use Zone:
R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY: �5
A7xaI_1s.Z.7.INAYI[$QT- i
Contractor :
INSTANT POOLS LLC
Address :
116 SENCILLO PL RANCHO MISSION VIEJO, CA 92694
Phone:
(949)795-0648
Con State Lic
: 1009644
Lic Expire :
07/31/2023
Bus Lic:
BT30053469
Bus Lic Expire:12/31/2023
Workers' Compensation
Insurance
Carrier :
NO EMPLOYEES
Policy No :
EXEMPT
W. C. Expire:
Fire Hazard Zone : NO
Occupancy Groups:
O
VO VV
4'O
.♦VV
\
� V
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable Item(s)
3erlion 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
1e 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
'rofessions 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 penally of
of more than five hundred dollars ($500).
3 I, as owner of the property, or my employees with wages as their sole compensation, will do !_) all of or U portions of the work, and the structure is not Intended Droffered for sale (Section 7044,
Iusiness 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
nproverients are not intended or offered for sale. If, however, the building or improvement is sold within one yearof completion, the Owner -Builder will have the burden of proving that it was not built or
n roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to conslmct the project (Section 7044, Business and Professions Code: The Contractors' State License Lew does not
p ly 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).
1 I am exempt from licensors 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 legally
ell 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 or at the following Web site:http:tlwww.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent -� Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 )Off0il lsjpr�3'�he Business and Pr reev a is in full force
nd effect, License Class License No Dafe r Contractor Sig ure
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATON COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS U100,000), IN ADDITION TO THE
OST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 07H OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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 thi
erformance of the work for which this permit is issued. Policy No.
❑I 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' compensatior
insurance carrier and poiicy number are:
Carrier Policy Number .....Expiration Date
Nam Agent Phone fl
certify that, in the performance of the��NdID��laE-fb rob
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 agrai
that, if I should become subject t workers' core ansalion provisi Se 3700 of the Labor Code, I shall forthwith comply with Close provisions.
Signature of Applicant _ _ Data r` z-Z{,.^___
DECLARATION REGAR G ' DING AGENCY
I hereby affirm Linder penalty fury there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code),
Lenders Name Lenders Address ................
By my signature below, I certify to each of the following:
I am the propq tp owner or authorized to act on the property owner's behalf.
I have mad this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and slate laws relating to building construction. C-
I cuthor LL rep. as�ntabves of this city or county to enterth e-identi ie roperty for inspection purposes. `s
t0:12Lture of PropertyOwner or Authorized Anent
nn wnar's or Authorized Agent 's Name w 1`-' i f Date
ALriON DATE BY DECLARATION O O F FEDERAL FOR OFFICE USE ONLY
PART 61 OF TITLE 40 AND AOMD RULE
1403
"ERMlT EXPlRFO SUBMITTED $RE5T05 NOTIFICATION TO
C4L1rTCANCELLtO
. EFV'TEXT€NOEO
PCRO!%TFINAC 3--3/ 13-2 ASBSTO ES NOURCA110 AeE TO
'CPT 9CATE OF PROPOSED DEMO
OrCbPANCY 1S,SJE0 SIGNATURE:
OD
x
zLO
L 0
00
r ,•
Co N
py m �
W C V
p[
°
3 0
a
W
Z m-
s00
z
°
a
(D0
A�
o�xC6
W
W
�Qa ID
p` c
W
5CS
�1
U o
�
o
V
V -
L: Ol
(D a
U1
Y
v
E
o
i Q
z O
O
U
v
U
E-a
U-
w
O
Cn
� C
CCL
n
C
A
A
0
Y
`t
l
N
Z
�1
O
S�
uu
T