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HomeMy WebLinkAboutP2023-0449 - PermitsW,r,', City of Newport Beach I11111III 111111111111p11111111111p11111111111111111 Plumbing Permit : P2023-0449 Community Development Department - Building Division P 2 0 2 3 0 4 4 9 Plan Check No : PC2023.2396 �., 100 Civic Center Drive, Newport Beach, CA 92680 Work Class : Other Permit Counter Phone: (949) 718-1888 Issued Date : 09/29/2023 �r newportbeachca.gov/civic Final Date: 01 --- Permit Status: Issued Inspection Area : 3 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NC 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 : 1736 ANTIGUA WAY Legal Desc : N TR 4224 BILK LOT 284 Description : PLUMB (N) GAS LINE FOR BBQ AND FIRE PIT (S2023-0206) Owner: JASON DOWNING Address : 1736 ANTIGUA WAY NEWPORT BEACH, CA 92660 Phone : (714) 696-3028 Applicant: PAUL ELLISON Address : 24642 VIA RAZA LAKE FOREST, CA 92630 Phone : (949) 683-9861 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 6, Front: 12, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: 61 SPECIAL CONDITIONS: Contractor : MERIDIAN CUSTOM POOLS INC Address : 23905 CLINTON KEITH RD 186-114 WILDOMAR, CA 92595 Phone : (800) 616-7946 Con State Lie : 775011 Lie Expire : 02/29/2024 Bus Lie : BT30076346 Bus Lie Expire:08/31/2024 Workers' Compensation Insurance Carrier: NO EMPLOYEES Policy No : EXEMPT W. C. Expire: Fire Hazard Zone : NO Occupancy Groups : OWNER -BUILDER DECLARATION 1 hereby affirm under panalty of perjury that I am exempt from the ContractorsState License Law for the reason(s) indicated below by the checkmarked I have placed next to the applicable items) Section 7031.5. Business and Professions Code: Any airy or county that requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for TO permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and rofessions Code) or that he or she is exempt from licensors and the 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 L as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, UISMOSE 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. It, 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 nproved for the purpose of sale), I, as owner of the property, am exclusively contractingwith licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not p ty 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). I am exempt from lleensure under the Contractors' State License Law for the following reason _ ly 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} ell a structure that I have built as an owner -builder if it has not been constructed In its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and Irofessions Code, is available upon request when this application is submitted or at the following Web site:http:ifwww,loginfo.co.gov/calaw.html. �lgnature of Property Owner or Authorized Agent Date .ICENSEO CONTRACTOR'S DECLARATION horsey affion under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700)f is IT If of the Business and Prate 1 C € rid re �.f(se is. in full force and effect, License Class License No Date Contractor Signatur VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO. ONE HUNDRED THOUSAND DOLLARS 0100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37N OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: J 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 lb wrformance of the work for which this permit is Issued. Policy No. -1I 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' oompensatiol 7surance carrier and policy number are: :ar far Policy Number Expiration Date _ 4p 1ii e of Agars Phone it -f.�rr/ilyartily That, in the411INNSY't" of t w for ch this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensati n laws of California, and agre at if I should becomso ors pens" provisions of Section 3700 of the Labor Code I shall forthwith comply with those provisions. �, lignature of Applican__ Date_� L3)ECLARATION REG CTION LENG AGENCYhereby affrm under hat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). .tinder's Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property 's behalf_ I have read tkia application and the inf0rmahon I ave pro ' ed co t I agree la cor'Iplr with all applicable city an ount a s a late laws relating to building construction. O 7 I a i.honze rep. ser tatives of this city or unty tie. e a. e-Ge 'tied property for inspection purposes. � /2q signature of Pro a t Owner or Authorized a Print Property Owner's or Authorized Agent's Name Data AC, ION DATE t"Alli-. DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY i RTC ULAT10N5 PART 61 OF TITLE 40 AND AQNID RULE _ 1403 PERRrt+Y tXP7RE0 jj I SUBMITTED ASBESTOS NOTIFICATION TO PERfNY7 ANCfI.IE:% ! 1 UCgp F€hMIT INAL 3//r/ZI.T (__I ASBESTOS NOT IFICAHONIS'NOTAPPUCABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPxtJCVISS:IED$____..._....._...._........:.._SIGNATUREI