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P2023-0305 - Permits
�EWPORT City of Newport Beach 10 m Community Development Department- Building Division .. > n 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 `cq<onN�P newportbeachca.gov/civic 11111111111111111111111111111111111111111111p111jjj 111 Plumbing Permit : P2023-0305 P 2 0 2 3 0 3 0 5 Plan Check No : Work Class : Other Issued Date : 08/15/2023 Final Date: Permit Status: Issued Inspection Area :7 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 : 2735 COAST HWY W Legal Desc : N Th. 919 BLK LOT H TR 919 LOT H SELY 100 FT NWLY 3 Description : PLUM CHANGE OUT (3) TANKLESS WATER HEATERS "RUSTY PELICAN" Owner: TIM CARR GROUP Address : 136 ROCHESTER STREET COSTA MESA, CA 92627 Phone: (949)631-9999 Applicant: MINUTEMAN PLUMBING AND DRAIN SERVICES Address: 11562 TRASK AVE GARDEN GROVE, CA 92843 Phone: (714)590-3800 Owner/Builder Address Phone : Code Edition : 2022 Type of Construction : Building Setbacks : Flood Zone : AE, B FT; X; X Use Zone: MU-W1 - Mixed -Use Water PROCESSED BY: I V/ SPECIAL CONDITIONS: Contractor : MINUTEMAN PLUMBING AND DRAIN SERVICES Address : 11562 TRASK AVE GARDEN GROVE, CA 92843 Phone: (714)590-3800 Con State Lic : 480290 Lic Expire : 10/31/2023 Bus Lic : BT30082156 Bus Lic Expire:07/31/2024 Workers' Compensation Insurance Carrier: COREPOINTE INSURANCE Policy No: CPW1000908 W. C. Expire: 12/1/2023 Fire Hazard Zone: NO Occupancy Groups: OWNER -BUILDER I hereby afllnn under penalty 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 itent(a) {Section 7031.5, Bueiness and Professions Code: Any city or courr y that requires a permit to construct, alter. improve, demolish, or repair any structure, prior to its Issuance, also requires file 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 Ilcensure 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 not more than five hundred dollars (5500). ❑ t, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Profession^, Code: The Contrac!orsState License Law does not apply to an owner of property who, through employees' or personal of ort, hullds 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 wlil have the burden of proving that it was not quit or improved for the purpose of sate). ❑ 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 apply to an owner of eroperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 aryl exempt from Gcensure under the Contractors' State License Law for the following reason By my signature. below I acknowledge that, except for my personal residence in which I must have resided for at least one yoar prior to completion of the Improvements covered by this permit. I cannot legally soil a structure that I have built as an owner-huildar if it has not been constructad in its entirely 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:htlp:!lwww.leginfo.ca.govlcalaw.html. Signature of Property 0wnor or Authorized Agent .._,......._._ .................._,_..,.___.,_.. —_.,.. Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 Di ie 3 of the Business and Pr es ' 01GO n licer�,�e�tis In full force effect. License Class License No Date -D 0- and Contractor Signalur 3(iL4� b' WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL S48JEC7 AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100.900), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION JIM OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 Ih Vaormence of the work for which this permit is issued Policy No __ z_ve 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' compensetiol insurance carrier and policy number are: Carrier Policy Number Expiration Dale Name of Agent Phone f# _ ©1 certify that., in the performance 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 agre Ilia(, if I should become subl to the w s' coin I l atlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant ' _-- _.... .. .,. . .,_._..._ _...._._......__. Dat� ,�` _�..c? ..:.....,%. ..._. DECLARATION P L . DING AG F..NCY 1 I hereby affirm under F nelty of perjury that there Is a cons Uudicn lending agency for the performance of the work for which this permit Is issued. (Section 3097, Civil Code). Lender's Name __._ _.._____..__..._. L.ender's By my signature below, I certify to each Of the follownlg. I art the property owner or authorized to ant on the properly owner's behalf. I have read this application and the information I have provided re correct., l agree to comply with all applicable city and c I ordinanc nd state laws relating to building construction. I authorize representatives of this city or coup. io a e roperty for inspection purposes. Signature of Property Owner or Authorized A ent Prr11l Pre art Owner's or Authorized Agents Name S ` D lS ACTION DATE BY DE_LAR:ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY j REGULATIONS PART 61. OF TITLE 40 AND AQMD RUl F i rnp3 PERMIT EXPIRED L1t� SUBMITTED ASRFETOS NOTIFICATION TO PERMITCANCE M6 LJLPA PERA9IT ENTFNDED ❑AQb1C PERMII PAIAL � � ❑lSBLSI'JSND IHCATICIIv ISNOt- APPLICABLL TO CERTIFICATE OF 7 PRO OSFD DEMOLITION OCCUPANCY ISSUED SIGNATU REi