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Home My WebLink AboutP2023-0282 - Permits�gwPORr City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 71 B-1888 e- Cq� Ft 0.N�P newportbeachca.gov/civic iiiiiiiiiii II Plumbing Permit Plan Check No : PC2023-176B Work Class : Other Issued Date : 0712112023 Final Date: Permit Status: Issued Inspection Area : 5 P2023-0282 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 : 6 TIDELINE BLUFF Legal Desc : N TR 16424 BILK LOT 15 Description: PLUM INSTALL GAS LINE TO (N) FIREPIT AND BBQ. (S2023-0156) Owner: BERNARD & KRISTEN SMOKOWSKI Address: 6 TIDELINE BLF NEWPORT COAST, CA 92657 Phone: (714)920-7424 Applicant: SARAH BLATARIC Address: 31 TESSERA AV LAKE FOREST, CA 92610 Phone: (949)408-8676 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Flood Zone : X Use Zone: PC - Newport Coast PROCESSED BY: SPECIAL CONDITIONS: Contractor : BRETT STEELE Address: 4921 E LEEDS ORANGE, CA 92867 Phone : (714) 496-1427 Con State Lie : 923975 Lie Expire : 10/31/2024 Bus Lie: BT30042152 Bus Lie Expire:02/28/2024 Workers' Compensation Insurance Carrier : EXEMPT- NO EMPLOYEES Policy No : EXEMPT W. C. Expire: Fire Hazard Zone : NO Occupancy Groups: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perury that I am exempt from the Contractors' State License Lawlor the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s) 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' State License Law (Chapter9 (commencing with Section 7000) of Division 3 of the Business and professions Code) or that he or she is exempt from llcensure andthe basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of at more than five hundred dollars ($500). 1 1, 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 notintended or offered for sale (Section 7044, '.usiness 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 nprovements 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 reproved for the purpose of sale). 3 I, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ppiy to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuantto the Contractors' State License Law). I I am exempt from licensure under the Contractors' State License Law for the following reason: p 9 ;y my signature below I acknowledge that, except for my personal resident, in which I must have resided for at least one year prior to completion of the improvements covered by this permit. I cannot legally all 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 'rofessions Code, isavailable upon request when this application Is submitted or at the following Web site:http:tfwww.leginfo.oa.govicalaw.html, signature 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) f Division 3 of the Business and Prof, ' s , and my license is In full force no effect. License Class License No Date Contractor Signature VORl4ERS' COMPENSATION DECLARATION !ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL; AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AHD CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IStasAOOI, IN ADDITION TO THE OST Of COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37H OF THE LABOR CODE, INTEREST, 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 self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for 'ormance 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' compensa trance carrier and policy number are: Policy Number e)of Agent _ Date I e6nify 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 agrel Sat, if I should become su fee o the rkers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iignature of Applicant __, Date1.,L/a,.C,��,�-_ iECLARATION RE:GA IN NS TION LENDING ACaENCY 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), Enders Name Lender's Address ly 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 thi, application and the information I have provided is correct. I agree to col,)p V with all applicable city and c my o dinances and state laws relating to building construction. 13J horize Iaprea. i.tatives of this city or Gaunt n e-identified property far inspection purposes.��)�/7 � iicnature of Prccarty Owner or Authorized Aae i Print Property Owner's or Authorized AgenCS Name VA .1CT[ON I DATE III %DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY y ' REGULATIONS PART 51 OF TITLE. 40 AND AOMD RULE 1403 PERMIT EXPIRED i -- j L11 SuRmiTTFD ASBESTOS NOTIFICATION TO t—®CPA ....._ PER......' MITCANCELCEO i PERMIT EXTENDEDII.O AgM FEPoATT F NAL y' Z„ •2i_Z � j�SBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTVFfCATE OF PROPOSED DEMOLITION CCCIJPAI"CY tSSU[D SIGNATURE: