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Home My WebLink AboutP2022-0238 - Permitsaa�WPoR' City of Newport Beach II II I I II Community Development Department- Building Division .;� 100 Civic Center Drive, Newport Beach, CA 92660 i Permit Counter Phone: (949) 644-3288 o-. Inspection Requests Phone: (949) 644-3255 °g4Fon"`r newportbeachca.gov/inspections I II I II II I III I II Plumbing Permit : P2O22-0238 Plan Check No : PC2022-2176 Work Class : Other Issued Date : a/29/2022 Inspection Areea : 6 o Av�-- 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: 6 SUNDIAL Legal Desc : N TR 16461 BILK LOT 45 Description: SFR - GAS LINE FOR PIZZA OVEN AND FIRE PIT. (XR2022-2332) Owner: COLBY WEAVER Contractor : URBAN LANDSCAPE MAINTENANCE INC Address : 6 SUNDIAL NEWPORT COAST, CA 92657 Address : 895 DOVE ST 3RD FLR NEWPORT BEACH, CA 02660 ° Phone : Phone : (949) 637-8767 Con State Lie : 962251 Applicant: PAUL ELLISON Lie Expire : 06/30/2023 Address : 24642 VIA RAZA LAKE FOREST, CA 92630 Bus Lie: BT30079582 Phone: (949) 683-9861 Bus Lie Expire:08/31/2023 Workers' Compensation Insurance " Owner/Builder : Carrier : TECHNOLOGY INSURANCE COMPANY INC Address : Policy No : TWC4105863 Phone: W. C. Expire: 6/3/2023 , Code Edition : 2019 Fire Hazard Zone: Y Type of Construction : Occupancy Groups Building Setbacks : Flood Zone : X Use Zone : PC - Newport Coast PROCESSED BY: OWNER -BUILDER DECLARATION I hereby affirm 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 ftem(s) 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 is permit to file a signed statement that he or she is licensed pursuant to the pmvislons 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 licensors 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 Hof more than five hundred dollars ($50D). 7 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 or offered for sale (Section 7044, Usiness 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 uprovements 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 bull) or uproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale 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 licensure under the Contractors' Stale 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 all 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 'rofesslons Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govjcelHw.htmi. lilinature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 f Di sion 3 of the Business and Prof, lion bd ,and y it a Is In full force nd effect. Liccrr_ ;lass License No Date Z_ Contractor Signature VORKERS' CZW,PENSATION DECLARATION A.7: II: K: 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 (SID0.000), IN ADDITION TO THE DST OF COMPEhSA, ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. namov affirm under penalty of perjury one or the following declarations: and will mdnlain 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 Ice of thn wo•k for which this permit is issued. Policy No, and w:8 mai,ilain 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' oompensa -carrier, rd policy number are: Policy Number Date lame cf Agent Phone q 11 sPrrtfy that, in the p rforma f th kelohithis permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation taws of Califomla, and agree tat. ifi should becoro sub' to Uta ersalion provisions of Section 3700 of the Labor Code, I shall forthwfli comply with those provisions. igre lure of Applicant_ iECLARATION REGA to LENDING AGENCY hereby affirm under penalty of perjury that there is a Construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). enders Name _ Lender's Address _ y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf, i have read This application and the information 1 provided is cc reel. I agree to comply with ails of this ci cdy and c only encas late la r relating to building construction. I authorize representatives of this city or coo y t er the a-Iden " properly for Inspection purposes. imiRtura of PmnRNV Owner or Author!? erl Anent Print Pronerb, Ownar'c or Authnrued Annoys Namn •G �� Dat ACTION DATE ' eV \ ( DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 1 REGULATIONS PART Fl OFTITLE 40 AND AQMO RULE 1403 P€RMIr FXPIFIED SUBMITTED ASBESTOS NOTIFICATION TO All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to Fill pool/spa & shall remain In place & be maintained for the life of the pool. r'€RmitrcArrc€eii=a - - ': - O EPA - - -_ --- PFRMf7iX_MN6E_1T_ _ p PF.RMITFINAL L/ i ASBESTO5 ,,1101 WCATION IS NOT APPLICABLE TO Zo-2S CERTIFICATE OF 1 OPPOSEDDEMOLITION OCCUPANCY ISSUED SIGNATURE: