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Home My WebLink AboutP2023-0498 - PermitsQ �EwapR o `a a F c 6 +� i^ o-. CgClFe 0.N�P City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 n ewportbeachca. gov/civi c IIIII11111111111111111111111111111111111111 III11111111 Plumbing Permit Plan Check No : PC2023.0199 Work Class : Other Issued Date : 1013012023 Final Date: Permit Status: Issued Inspection Area :8 P2023-0498 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: 621 DONALD PL Legal Desc : N TR 10156 BLK LOT 2 Description: PLUM GASLINE TO FIRE PIT *REPLACE EXPIRED P2023-0118* Owner: BRENNAN KEVIN P TR K & L Contractor : P R CONSTRUCTION INC Address : 621 DONALD PL NEWPORT BEACH, CA 92663 Address : 1995 BATAVIA ST ORANGE, CA 92865 Phone: Phone: (714)637-7848 Con State Lic : 673267 Applicant: ROSALES POOL & SPA CONSTRUCTION Lic Expire : 03/31/2025 Address: 12643 DOLLY COURT EASTVALE, CA 92880 Bus Lic: BT30076183 Phone: (714) 296-0644 Bus Lic Expire:08/31/2024 Workers' Compensation Insurance Owner/Builder : Carrier : EVEREST NATIONAL INS CO Address: Policy No: CA10002583221 �.,. Phone: W. C. Expire: 1/1/2024 Code Edition : 2019 Fire Hazard Zone : NO Type of Construction : Occupancy Groups Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: OWN ER -BUILDER 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, slier, ImprDve, demolish, or repair any structure, prior to Its issuance, also requires aie applicant for io 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 of the Business and professions Code) or that he or she is exempt from Ilcensure and the basis for the alleged exemption. Any violation of Section 7081,5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 7 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, .usiness and Professions Code: The Contractors' State License Law does not apply to an owner of properly who, through employees' or personal effort, builds or improves the property, provided thatthe nprovements 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 ntpfoved for the purpose of sale). .,1 1, as owner of the properly, am exclusively Contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The ContractorsStale License Law does not ppfy to an owner of property who builds or improves thereon, and who contracts rot the projects with a licensed Contractor pursuantto the Contractors' Slate License Law). 3 1 am exempt from licensure 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 ccvarad by this permit, I cannot Iegalll ell a structure that I have built assan owner -builder if it has not boon constructod in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 7ofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginto.oa.gov/c8lavi.html. . gnature of Property Owner or Authorized Agent .ICENSED CONS NA' TOR'S DECLARATION , ^� ftereby affirm under oenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti 7 O) f the BUSInes an f'r si e, a d �' ense is in full force nd eff 2 LiCOM Cl N License No D Contractor Si lute IlORK�RS' COMPENSATION DECLARATION O '.'.RNIC FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ND CrV L FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENS?TPDN, DAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. Lereby affirm under penalty of perjury one of the following declarations: ) ' `ore and will I,nio,ain 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 fir, edoWrmFnce of tho work for which this permit is issued. Policy No, �L and will maintain workers' compensation insurance, as race r('dd �bey1Y/S��e-��-)cTfion 3700 off ttthe(J,(La/bar Code, for the performance of the work for which thi/s/peZ Is issued. My workers' Compensation i� rn d__ Policy Numbe�" 23 1 / V rF1 Z�� Expiration Date Z Lf Agent _ _ _ Phone # _ �GT JI certify that., ha pert' nce a ich permit Is Issued, shall not employ any person in any manner so as to become subject to the worke ' compensation la s of California, and ogre tat, if I shourREIG subject t ers' pe n provisions of Section 3700 of the Labor Code,. I shall forthwith comply with (hose provisions. ignalura of\ ��y/'/I��_ _ _ _ D ��ECLARR RU 710HY LE��AGENCY .-. . ..—.— —___..,.,.,..-_,.,_._„._.,.,.,,_..,_._.____.___________. hereby affirm under penalty of perjury that there is a construction lending agencyfor the performance of the work for which this permit is issued. (Section 33J., Ci it de). enders Name Lender's Address y my signature below, I. certify to each of the following. I ant the property owner or authorized to act on the property owner's behalf. I have read this application and the information dso is correct. I agree to comply with all applea ei COIL c a state laws relating to building construction. iAoAnt's �'I auChorize represeniativas of Chi y c nt rth. bo entitled property for inspection purpK//a .K�ionature of Property Owner or Aut! r d A t/l Print Prooertv Owner's or AuthoriNam 11�Y l gate / ACTION GATE j I aY DECLARATION OF j REGULATIONS PART 61 OFTNTLE AOAND AQMA RULE CE WITH CODE OF RAL � FOR OFFICE USE ONLY 1403 P£RA477' EXPIRED P£RMIT£XTENDED PERMIT FlrJA1 CERTIFICATE OF OCCUPANCY ISSUED L-J ASBESfOS NoriHC.ATION 15 NO4 APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: