HomeMy WebLinkAboutP2022-0235 - Permits�EWPorT City of Newport Beach IIII I I III II I II III III II II Plumbing Permit : P2022-0235
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'Community Development Department- Building Division100 Civic Center Drive, Newport Beach, CA 92660Plan Check NoPermit Counter Phone: (949) 644-3288 Work Class : Other
Inspection Requests Phone: (949) 644-3255 Issued Date : 06/2912022
newportbeachca.gov/inspections 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 : 453 VIA LIDO SOUD Legal Desc : N TR 907 BLK LOT 460 TR 907 LOT 460 AND NWLY 20 FT LOT 459
Description: PLUMB - R/R SEWER LINE FROM BATHROOM & KITCHEN
Owner: KLINGENSMITH PATRICIA B TR ALLEN & P B
Address : 453 VIA LIDO SOLD NEWPORT BEACH, CA 92663
Phone:
Applicant: SERVICE CHAMPIONS HTG
Address : 3150 E BIRCH BREA, CA 92821
Phone : (714) 777-7777
Owner/Builder :
Address
Phone :
Code Edition : 2019
Type of Construction :
Building Setbacks : Front: 4, Front: 0, Side: 4, Side: 4
Flood Zone: X
Use Zone : RM - Multiple Residential
PROCESSED BY: p `
Contractor : SERVICE CHAMPIONS HTG
Address :
3150 E BIRCH BREA, CA 92821
Phone :
(714) 777-7777
Con State Lie
: 799170
Lie Expire :
10/31/2023
Bus Lie :
RM8WC00054221
Bus Lie Expire:04/01/2023
Workers' Compensation
Insurance
Carrier :
EVEREST PREMIER INS CO
Policy No :
RMBWC00054221
W. C. Expire:
4/1/2023
Fire Hazard Zone : N
Occupancy Groups :
A1'-Z) '�i� ���
OWNER -BUILDER DECLARATION
I hereby affirm 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 items)
(Section 703L5. Business and Professions Code: Any city or county that requires a permit Io construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the 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 lieensure 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 ($500).
11 I, 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 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
improvements 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
Ireproved for the purpose of sale).
LeitI, 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 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 exernpt from licensure under the Contractors' Slate License Law for the following reason: .lotion_...__ ._.pred by_.._.s permit,
_._..
By 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 permitI cannot legali7
sell a structure that I have built ns 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
°rofesslons Code, is available upon request when this application Is submitted or at the following Web site:http:l/www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent-,, Date
LICENSED CONTRACTOR'S DECLARATION �—_
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 D{vts n 3 of the Business and Pro7E55 license is in full force
and effect. License Class License No Date Detractor Signature
NORKERS' COMPENSATION DECLARATION /%
YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S000,000I, 1N ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES,
hereby affirm under penalty of perjury one of the following declarations:
I haveand will maintain a certificate of consent to sell -insure for workers' compensation. issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
grmance of the work for which this permit is issued. Policy No.
I ave 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' compensatior
ns ante carder and policy number are:
Policy Number
of Agent
Date
certify that,.. in the performance of the work f r which this perm ' issued, I shall not employ any person in any manner so as to become subject to the workers'
If I should become subje'I to the • • compensat 'one of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
nature of Applicant 11
hereby affirm under ps erjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Civil Code).
antlers Name _ Lender's Address
y my signaturecerti below, 1 fy to each of the following:
I am the property owner or authorized to act on the properly owner's behalf.
I have read this application and the information ! have pro ' correct.
I agree to comply with all applicable city and county Ord i fancy nd state laws relating to buil nstruclion.
I authorize representatives of this tit or count to nter t e-identified or Inspection purposes. j I/ �sf ,�/I
ignalure of Property Owner or Authorized Agaatt _.. Print Property Owner's or Authorized Anent's Nar, f/ % A d /�'/Y
ACTION
DATE f By TION OF COMPLIANCE WITH CODE OF FEDEI
REGULATIONS PART Bl OF TITLE. 40 AND AQMD RULE
]403
mwmll EXPfRED
I_SUAMITTFD ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
PfRM{T EXTENDED
—}—�—EPA
i 1JAQMO
PERMIT FINAL.
ASBESTOSN4 TIFICATIONISNOTAPPt:'CABLE TO
CERTIFICATE OF
PROPOSED DEMOLITION
OCCUPANCY ISSUED
SIGNATURE:
FOR OFFICE USE ONLY
laws of Cali£omia, and
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
oe in place Prior to approval to fill pool/spa & shall remain in place & be maintained for the
life Df the pool.