HomeMy WebLinkAboutP2023-0442 - Permits��EWPOR� City of Newport Beach
O Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
y T Permit Counter Phone: (949) 718-1888
cy�r.ow"�r newportbeachca.gov/civic
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Plumbing Permit : P2023-0442
Plan Check No : 1082-2021
Work Class : Other
Issued Date : 09/22/2023
Final Date:
Permit Status: Issued
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: 2218 FRANCISCO DR Legal Case : N TR 3282 BILK LOT 44
Description : **RENEW EXPIRED PERMIT P2021-0154** PLUM/ GAS TO BBQ & FIRE PIT
Owner: GUYSER,JASON & MACAULAY
Address : 2218 FRANCISCO DR NEWPORT BEACH, CA 92660
Phone : (949) 514-5226
Applicant: PAUL ELLISON
Address: 24642 VIA RAZA LAKE FOREST, CA 92630
Phone : (949) 683-9861
Owner/Builder : GUYSER, JASON & MACAULAY
Address: 2218 FRANCISCO DR NEWPORT BEACH, CA 92660
Phone : (949) 514-5226
Contractor
Address:
Phone :
Con State Lie
Lie Expire
Bus Lie:
Bus Lie Expire:
Workers' Compensation Insurance
Carrier :
Policy No
W. C. Expire:
Code Edition : 2019 Fire Hazard Zone : NO
Type of Construction : Occupancy Groups
Building Setbacks : Front: 15, Side: 10, Side: 10, Rear: 10
Flood Zone : X
Use Zone : R-1-10000 - Single -Unit Residential (10000 indicates minimum lot area)
PROCESSED BY: a
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that f 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 items)
(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
the 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
Professions Code) or that he or she is exempt from Ileensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicantto a civil penalty of
not more than five hundred dollars ($500).
0 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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
roved 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' Stale License Law does not
apply to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
0 1 am exempt from licensure under the Contractors' State 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 legatl)
sell a structure that I have built as an owner-bwlder 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 Bus) ass and
Professions Code., Is available upon request when this appli r Is submhted or at t wing Web site http:llw .leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent --T Date 03
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed u r provisions of Chapter 9 (com ring with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER To CRIMINAL PENALTIES AND 0N1L FINES UP TO ONE HUNDRED THOUSAND DOLLARS (SiD0y000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, Me ATTORNEY's FEES.
hereby affirm under penalty of perjury one of the following declarations:
] I have and will maintain a ceri icate 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, forth
erforrnance of the work or which this permit is issued. Policy No.
have and will maintain workers' compensationinsurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
rance carrier and policy number are:
Policy Number Expiration Date
ne of Agent
certify that, in the performance of the Work for which this
, if I should become subject a workerscompeni
ialure of ADoiicaM. Q�
RUCTION LENDING AGV
hereby affirm under penalty 6torjury that there is a construction ldn_O(ng agency for the performance of the workfor which this permit Is issued'. (Section 3097, Civil Code).
ender's Name Lender's Address
y my signature below, I certify to each of the following:
I am the properly owner or authorized to act on the property owner's behalf.
I have Iaau Iris application and the information I have provided is correct,
I agree :c con'ply with all applicable city and county ordinances and slate laws relating to building construction.
I authori_4, . 6presentatives of this city or county to n r thd ie R e above-iroperty for inspection purposes.
ianalure of P.opertv Owner or Authorized Adant L _ Print Property Owner's or Authorized ADent's Name
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
:ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date b,
LTION
VFP.MIT EXPI8ED
�PE.3,47 CANCEL 0
AiT EXTEN6ED
PERM) f FINAL
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PART 61 orTITLE AO AND AGMD RULE
NOTIFICATION IS NOTAPPLICABLE TO
PROPOSED DEMOLITION
FOR OFFICE USE ONLY