HomeMy WebLinkAboutP2023-0486 - PermitsJYI�'i
City of Newport Beach
Communit Develo ment De artment- Buildin Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 718-1888
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newportbeachca.gov/civic
Plumbing Permit
Plan Check No :
Work Class : Other
Issued Date : 10/23/2023
Final Date:
Permit Status: Issued
Inspection Area : 8
P2023-0486
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 : 735 ST JAMES RD Legal Desc : N TR 1218 BILK LOT 17
Description: PLUMB REMOVE (2) STANDARD WATER HEATERS AND REPLACE WITH TAN KLESS
Owner: BERNARDETTE JEAN TR THE B J MCCANN 2019 TR MCCANN
Address : 735 SAINT JAMES RD NEWPORT BEACH, CA 92663
Phone : (949) 642-2320
Applicant : BEN MEDINA
Address : 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362
Phone : (818) 735-7876
Owner/Builder :
Address
Phone :
Code Edition : 2022
Type of Construction :
Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY
SPECIAL CONDITIONS:
Contractor : THE WATER HEATER COMPANY
Address : 808 CALLE PLANO CAMARILLO, CA 93012
Phone : (833) 403-0603
Con State Lic : 1045699
Lic Expire : 10/31/2024
Bus Lic : BT30082862
Bus Lic Expire:10/31/2024
Workers' Compensation Insurance
Carrier :
Policy No : C56202080
W. C. Expire : 10/1/2024
Fire Hazard Zone : NO
Occupancy Groups:
OWNER -BUILDER DECLARATION
I hereby Afton under penally ul perjury that I am exempt from the ContractorsSlate License Law for the reason(s) indicaled below by lire checkmark(s) I have placed next to the applicable item(s)
Section 7031.5, Business end Professions Code. Any city or County that requires a permit tD construct, after, improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for
ie permit to file a signed slatemont 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
vofessions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Secton 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
of 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 not intended or offered for sale (Section 7044,
,us ness 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
nprovemants are not intended or offered for safe. If, however, the building or improvement is said 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).
3 1, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
pply to an ownerof 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 licensore under the Contractors' State License Law for the following reason
y 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 legall,
oG a structure that I have built asan owner-bulldar 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
'rofess ons Code., is available upon request when this application is submitted or at the following Web site:http:/IwA'w.leginfo.ca.govlcalaw.htmI
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 S D'v i of the Business a Profs de, and my license is in full force
no effect License Class License No D e Contra Si store
JORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNOR OUSANO OOLLARS tSI00000), IN ADDRION TO THE
DST Of COMPENSATION, DAMAGES As PROVIDED FORM SECTION S706 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
brrmance of the work for which this permit Is issued. Policy No. _
and will ,nainY in 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:
of Agent
unify that, in the performance of the work for
if I she become subject to the worker
Mora ai Apdijcantl---�
Policy Number Expiration Date
this permit is issued., I shall not employ any person in any manner so as to become subject to the worker ' compensation laws of California, and agre
Allen provisions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions.
InrA-GENCY
hereby a rfirm under penalty of perjury th s a construction lending agency for the performance of the work for which this permit is issued. (Section 3097, Civil Code),
ender s Name _ _. Lender's Address
3; nr' sig•ialure bs'ow, each of the following.
I am the props; t, owi.er or authorized to act on the property owner's behalf.
I nave read this application and the information I have provided is correct..
I agree to coml•ly w'l]h'. all applicable city and county ordi Woes and state laws relating t construction.
I authorize representatives o(this ci ..aunty to ender the a-idenfifie y for inspection purposes.
3iynaWre of PropertyOwner or Aulhori gent Print Property Owner's Dr Authorized Ai t' arse gki
ACTION DATE BY DF - N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
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PERivtiT FINAL (�� CASBtSTOSNOTIFICATION15NUf APPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCY 155UED SIGNATURE:
Date