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HomeMy WebLinkAboutP2023-0240 - Permits�EWP Rr City of Newport Beach Ccmn unity Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 P C x Pe^rill Counter Phone: (949) 718-1888 rw �a,,,r:���F: newportbeachca.gov/civic Plumbing Permit Plan Check No: Work Class : Other Issued Date : 06/28/2023 Inspection Area : 8 P2023-0240 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 : ' C . C BEDFORD LN, E Legal Desc : N TR 1893 BLK LOT 26 Description: PLUMB REPLACE ALT SEWER LINE AT CARPORT Owner: NEW NEW HINOKI LLC Address : 3645 LONG BEACH BLVD LONG BEACH, CA 90807 Phone: Applicant : Somphone Paul Siphengphone Address : 16609 Lisa Ave. Bellflower, CA 90706 Phone: (562)607-3789 Owner/Builder: Address Phone : Code Edition : 2022 Type of Construction : Building Setbacks: Front: 20, Side: 4, Side: 4, Rear: 0 Flood Zone : X Use Zone : RM - Multiple Residential PROCESSED BY: 1375 SPECIAL CONDITIONS: Contractor : WESTLAND PLUMBING CO Address : 16609 LISA AVENUE BELLFLOWER, CA 90706 Phone: (562)607-3789 Con State Lic : 662499 Lic Expire : 01/31/2025 Bus Lic: BT30081959 Bus Lic Expire:06/30/2024 Workers' Compensation Insurance Carrier : STATE COMPENSATION INSURANCE FUND Policy No: 9294819 W. C. Expire: 4/3/2024 Fire Hazard Zone : NO Occupancy Groups: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law forthe reason(s).indicated below by the checkmark(s) I have placed next to the appp:abie -terms) 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 appfican; Is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Low (Chapter 9 (commencing. wdh Section 7000) of Division 3 of pre 6usines ; and professions Code) or that he or she is exempt from licensure and the basis for the alleged ezomption. Any violation or Section 7031.5 by any applicant for a permit subjects the applicant to a civil per*A,o m of more than live hundred dollars ($500), 11, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale rSacrion 7044, :usinoss 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, p,ov,ded that the nprovem arils 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 if wL� not built car n roved 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 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). I am exempt from ficensure under the Contractors' State License Law for the following reason.__ ,y my signature below f 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 P Irnir, I canno, legally ell a structure that I have built as an owner -builder if it has not been constructed in itsentirety by licensed contractors. I understand that a copy of lho applicable law, Section 7044 of Coo BusT oss and 7ofessions Code, is available upon request when this application Is submitted or at the follow9ng Web site:http:llwww.leginfo.ce.gov/colow,html. 9gnatpre of Property Owner or Authorized Agent, Date .ICENSED CONTRACTOR'S DECLARATION yo hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section71"f""" Ion he Business and Elmoreee�.gN Code,. and my license is in full force nd effect. License Class License No Date 'Z 3 of tContractor Signature kf COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CK%. FINES UP TO ONE HUNDRED THOUSAND DOLLARS (1000,000), IN ADDITION TO THE PST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37" OF THE LABOR CODE, 314TEREST, 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 selEinsure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 37GO of the Labor Code, for IN erformance of the work for which this permit is issued. Policy No, 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' ranee carrier and. policy number are: Policy Number of Agent Date certify that, in the performance of the work for which this permit Is issued, I. short not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agref if I should become subol tt) the workers compensation provisions of Section 3700 of the Labor Code„ I shalt forthwith comply with those provisions. Iature of Applicant /"/�� Date-4//wi w wo wrrrvu ecnwo�n..nrvucmMaMrntrrvwM M cwrnlwrr_ wn_c Llnv Iroby 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). 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 owners behalf. I have read this application and the information I have provided Is correct. I agree to comply with all applicable city and county ordinances and state laws rotating to building construction, I authorize representatives of this city or county tog, eyt)Ayr the above -identified property for inspection purposes. ACTION PERMIT PERMIT FINAL CERTIFICATE OF DATE BY ! DECLARATION or COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND ACLMD RULE OIFKATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: