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Home My WebLink AboutP2022-0325 - PermitsCity of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ? Permit Counter Phone: (949) 644-3288 a.. Inspection Requests Phone: (949) 644-3255 Cq�IFORN�P newportbeachca.gov/inspections II IIII I III II Plumbing Permit : P2022-0325 Plan Work Class k 0219-2021 Other Issued Date: 11/09/2022 Inspection Area : 1 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: 324-L—ST — -- Description: PLUM GASLINE TO BBQ Owner: BRADLEY RUPPERT Address : 324 L ST NEWPORT BEACH, CA 92661 Phone: --- Legal -Desc-:-N-T-R-51-8-BLK-M-L-OT 1 Applicant: APEX ESTATE CONS Address : 18183 EUCLID ST FOUNTAIN VALLEY, CA 92708 Phone: (949)412-0712 Owner/Builder: Address Phone: Code Edition : 2019 Type of Construction : Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 0 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Contractor : APEX ESTATE CONS Address : 18183 EUCLID ST FOUNTAIN VALLEY, CA 92708 Phone : (949) 412-0712 Con State Lie : 895619 Lie Expire : 04/30/2023 Bus Lie: BT30070497 Bus Lie Expire: 01/31/2023 Workers' Compensation Insurance Carrier: CLEAR+SPRING+PROPERTY+AND+CASUALTY+COMPANY Policy No: CWC00472100 W. C. Expire: 1/31/2023 Fire Hazard Zone : NO Occupancy Groups: `3 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the ContractorsSlate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031-5, Business and Professions Rode: Any city or county that requires a permit to construct, alter, Improve, demolish, or repair any structure, pdorto its Issuance, also requires the applicant for the 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 Professions Code) or that he or She is exempt from licensure and the basis for the alleged exomption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1; as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portlans of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 .improvements 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 improved 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' State License Law does not apply 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 kcensure under the Contracters' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, 1 cannot legally self 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 Professions Code, Is available upon request when this application is submitted or at the following Web site:htip:/(www.leginfo.ca.gov/calaw,html. Signature of Property Owner or Authorized Agent Date. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section DO) of Division 3 of the Business and Pro sions A rid my license is to full force and effect. License Class License No Date i "- Contractor Signatur ' WORKERS' COMPENSATION DECLARATION WARNING: 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 1S100.0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR COOP, INTEREST, AND ATTORNEYS FEES. I 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 the phi pmnance of the work for which this permit is issued. Policy No, 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' comer and policy numb rare: ` C � eCA S rj i%'i Policy Number C W ` O Lj � Z I ,O Expiration Date 1 — ?)— 2 .? Agent certify that, in the perfo a. 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, if I should bee subj to the worKaIs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. nature of Applicant Di CLARATION REGARpt G C N LENDING AGENCY neby 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 vil Code). ider's Name _ _ Lender's Address 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 I hav provided is correct. I agree to comply With all applicable city and cou ty rdinances and state laws relating to building construction. 1 ,(� I authorize representatives of this city or county to nier th = le �o y-for-inspection purposes.._ . ___. _ .,_ `l leJn ✓Yv� �L�I_ ilL %X j `j _ i ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE Or FEDERAL FOR OFFICE USE ONLY I REGULATIONS PART 61 OF TITLE. 40 AND AQMD RULE 1403 PERMir EXPIRED 10I SUBMI—.FD t51E5TO5 NOTIFICATION TO PERMIT EXTENDED jgglyrp PLRMIr FINAL L/ ❑ASBFS fOSNOTIF" TION 15 NOT APPLICABLE TO CERSIFICATE OF v PROPOSED DEMOLITION OCCUPANCY ISSUED j gUNAlURZa 2