HomeMy WebLinkAboutP2023-0048 - Permits¢��WPORr City of Newport Beach
community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
yh T Permit Counter Phone: (949) 644-3288
Cq�/�F(ORN�P Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
II jj Plumbing Permit : P2023-0048
Plan Check No /e.gO?�.Z,ZO3
Work Class : Other
Issued Date : 01/30/2023
Inspection Area :3
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 : 306 PIRATE RD Legal Desc : N TR 1220 BILK LOT 70
Description: GAS LINE TO FIREPIT AND BBQ (S2023-0024)
Owner:
TIMOTHY HAWKE
Address :
2433 POMONA RD CORONA, CA 92878
Phone:
Applicant :
STEELE BRET/STEELE POOLS
Address :
4921 E LEEDS ORANGE, CA 92867
Phone:
(714)496-1427
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:
Contractor : STEELE BRET/STEELE POOLS
Address:
4921 E LEEDS ORANGE, CA 92867
Phone :
(714) 496-1427
Con State Lic
: 923975
Lic Expire :
10/31/2024
Bus Lic:
BT30042152
Bus Lic Expire:02/28/2023
Workers' Compensation
Insurance
Carrier :
EXEMPT
Policy No:
EXEMPT
W. C. Expire:
Fire Hazard Zone : NO
Occupancy Groups:
SPECIAL CONDITIONS:
r `
DECLARATION
I hereby affirm 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 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
:he 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 licensure 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).
❑ 1, "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
hnproved 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
apply 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 am exempt from licensure under the Contractors' Slate 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 year prior to completion Of the Improvements covered by this permit, I cannot legalP
sell a structure that 1 have built asan owner-buildor 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
Professions Code, Is available upon request when this application is submittedor at the following Web site:http:llwww.leginfo.ca.gov/calaw.html..
Signature of Property Owner or Authorized Agent Date _
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section TOW) of ivisi n 3 of the Business and Profession aan�ny��nBe is in full area
and effect, License Class License No Date f .� Z Contractor Signature (/�1 V/ 1 !!/ \
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO I ECJ6E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS t$100.0001, IN ADDITION TO THE
COST OF COMPENSATION OAMAGESAS PROVIDED FOR IN SECTION 37" OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
herr-hy affirm under penalty of perjury one of the following declarations:
have and will mafntEm a certificate of consent to self -insure for workers' compensation, issuedby the Director of Industrial Relations as provided for by Section 3700 Of the Labor Code, for
irmanre of the work for which this permit is issued. Policy No.
have and will ,naintain 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
ranee tarrier aar5 poPcy number are:
Policy Number
of Ayent
Date
cs•t4y anal, 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
if I should become =6""R
ors compensali n provisions of Section 3700 of the Labor Code,. I shall forthwith comply with: those provisions.
:o.tu e of Applicant.,,� -,-. 0 O
C_kIATION Rt:GARUCTIO NDIING AGENCY
areby affirm unaer penalty of perjury that there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Cade).
ides 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 owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ard' aces a tato laws relating to building construction.
I authorize representatives of this city or county to s �`yw,'��"e eve -Id property for inspection purposes. / s
nature of Property Owner or Authorized Agent E \ i iPrint Property Owner's or Authorized Agent's Name(,ea l 2.<}-1 9L/4-/ .42 /
ACTION DATE I BY 16f ARATIION OF COM6LIANCE WITH COOEOFFEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQN` D RULE
PERMIT EXPIRED
PER MITCANCELL ED
fJ I SUBMITTED ASBESTOS NOTIFICATION TO
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PERMITEXTENDED
PERMIT FINAC
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1l ASBESTOS NOT IFICAiIDN I5 N0('APPLICABLE TO
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OCCUPANCY ISSUED
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--'V _ PROPOSED DEMOLITION
AA -T&V SIGNATURE: