HomeMy WebLinkAboutP2023-0063 - Permits�cvE`s'PoRr City of Newport Beach
p - @ Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Cq<�tOM1N�P Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
11111111111111111111111111111111111111111111111111 11111 Plumbing Permit : P2O23-oos3
Plan Check No : 1139-2021
Work Class : Other
Issued Date : 02/06/2023
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: 205 AMETHYST AVE Legal Desc : A TR BALBOA ISLAND SEC 3 BILK 19 LOT 26
Description: PLUM GASUNE TO FIRE PIT
Owner:
BOHLINGER PETER Y TR
Address :
1140 HIGHLAND AVE MANHATTAN BEACH, CA 90266
Phone:
Applicant:
BRYCESANTANIELLO
Address :
3419 VIA LIDO UNIT 115 NEWPORT BEACH, CA 92663
Phone:
(714)600-3719
Owner/Builder
:
Address
Phone:
Code Edition : 2019
Type of Construction :
Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone : R-BI - Two -Unit Residential, Balboa Island
PROCESSED BY
SPECIAL CONDITIONS:
Contractor :
BRYCE SANTANIELLO
Address :
3419 VIA LIDO UNIT 115 NEWPORT BEACH, CA 92663
Phone :
(714)600-3719
Con State Lic
: 1070607
Lic Expire :
11/30/2024
Bus Lic :
BT30078093
Bus Lic Expire:02/2812023
Workers' Compensation
Insurance
Carrier :
Policy No :
EXEMPT'
W. C. Expire:
Fire Hazard Zone : NO
Occupancy Groups:
vl <<'
OWNER -BUILDER DECLARATION
I hereby aftiml under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s)
coon 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
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
fassions Code) or that he or she is exempt from Iicensure 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
more than five hundred dollars. ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
mess 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
rovements 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
roved for the purpose of sale).
1, 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
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).
J I am exempt from Iicensure 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 legailt
,ell a structure that I have built as an owner-buildor if it has not been constructed in itsentirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 of tha Business and
'rofesslons Code, is available upon request when this applicationis submitted or at the following Web site:http:tlwww.leginfo.ca.govlcalaw.html.
Signature of Property Owner or Authorized Agent I Date
.ICENSED CONTRACTOR'S DECLARATION PEDOUSAND
herebyaffirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Secg 7 Op o y/�Iypi�i/3on3 of the Business antl e,a fj$100.000),
is in full farce
and effect. License Class License No Dat � \7LJ'Contractor SignatVORKERS'COMPENSATION DECLARATION
1ARNING: FAILURE TO SECUREWORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUN DOLLARIN ADDITION TO THE
:OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, ANO ATTORNEY'S FEES.
�hllereby affirm under penalty of perjury one of the following declarations:
.r 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 th
�orformance of the work for which this permit Is issued. Policy No.
-1I 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' compensatiol
5surance carrier and policy number are:
;anier Policy Number Expiration Date
KAgent Phone Ny that, in the performance of th p r r which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws alifomia, and agre
hould be in Sul e • or compensation rov' ' f Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applican ` Dat 2�
tECLARATION RE - 06NSTTRRUCTICON LENDING AGENCY
hereby affirm ul nalt of penury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3D9 , Ci 'I Code).
ender s Name Lender's Address
3y my signature U011i 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 have provided is 900ect.
I agree to comply with all applicable city and eou ordinan nd state laws relating to building construction.
I authorize representatives of this city or count ove-identife property for inspection purposes.
3i nature of Property Owner or Authorized A an - - Print Property Owner's or Authorized Ag
ACTION DATE LARATION OF COMPLIANCE WITH CODE OF FFOERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITCANCELLED
PERMIT EMENDED
CERTIFICATE OF
OCCUPANCYISSUEO
0& 1
L..t A5BISTOS NOIIFlCA:T1gN I5 NOTAPPLICABt;E TC!
PROPOSED DEMOLITION