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Home My WebLink AboutP2022-0319 - PermitseWPOR City of Newport Beach C� „' j p Community Development Department - Building Division > y. 100 Civic Center Drive, Newport Beach, CA 92660 >� Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 °9ciF�nN�"' newportbeachca.gov/inspections Plumbing Permit : P2022-0319 Plan Check No : 2526-2021 Work Class : Other Issued Date : 11/0112022 Inspection Area: a 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 : 502 VIA LIDO NORD Legal Desc : Description: PLUM: INSTALL GAS LINE FOR FIRE PIT & BBQ. (X2021-2895) Owner: SNELL MARK A TR M A & T Address : 2865 S RABBIT BRUSH LN JACKSON, WY 83001 Phone: Applicant : PATTERSON CUSTOM HOMES Address : 15 CORPORATE PLAZA, STE 150 NEWPORT BEACH, CA 92660 Phone: (949) 723-1800 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction Building Setbacks Flood Zone: Use Zone : PROCESSED BY: 65 SPECIAL CONDITIONS: HIGH DENSITY ZONE Contractor: PATTERSON CUSTOM HOMES Address : 15 CORPORATE PLAZA, STE 150 NEWPORT BEACH, CA 92660 Phone : (949) 723-1800 Con State Lie : 802367 Lie Expire : 07/31/2024 Bus Lie: BT02110534 Bus Lie Expire:09/30/2023 Workers' Compensation Insurance Carrier: STATE FUND Policy No : 9065406 W. C. Expire: 8/1/2023 Fire Hazard Zone : NO Occupancy Groups: NO OONSTRtjOTION NOISE ON THE WEEKEND OWNER -BUILDER I hereby affirm under penalty of perjury that I am exempt from the ContractorsState License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) 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 provisions of the Contractors' Stale 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 of more than five hundred dollars ($500). 7 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, Wsiness 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 nprovemenls 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 nproved 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 poly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law). 7 1 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 Iegalll ell a structure that 1 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:l/wv✓w.leginfo.ca.govlcalaw.html. Iignature 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 7000) of Division 3 of the Business and Profess) s Cod , and my license is in full force nd effect. License Class License No Date // /�r7 Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED OUSAND DOLLARS ($100,000(, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 th erformance 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' carrier and policy number are: 1e of Agent certify that. in the performance of if I should become subjlyCt to the of Applicant Policy Number Date 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 agre 9tpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Doke__ I 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). Lenders Name Lenders Address By my signature below: I ce•fify to each of the following: I Pm the property owns, or authorized to act on the property owner's behalf. I have read this apphcatoon and the information I have provided is correct. I agree to comply with all applicable city and county ordinances a stale laws relating to building construction. i aull,orize representatives of this city or county to ter the abo - oparty for inspection purposes. Si nawre of Proper,y Owner or Authorized Agent Print Pro- Owner's or Authorized Agent's Name ✓L� f Date )( i ACTION DATE BY DECLARATION lO COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITCANCELLED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED U I SUBMITTED ASBESTOS NOTIFICATION TO U ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: