HomeMy WebLinkAboutP2023-0246 - PermitsC4,�"'i),i
City of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permlt Counter Phone: (949) 718-18BB
newportbeachca.gov/civic
111111111111111111111111111111111111111111111111111111Plumbing Permit
Plan Check No:
Work Class : Other
issued Date : 07/0512023
Inspection Area : 2
P2023-0246
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: 333 GRAND CANAL Legal Desc : A TR BALBOA ISLAND SEC 4 BLK 14 LOT 22 BALBOA ISLAND SEC 4 L OT 22 BLK 14 N1/2
Description: PLUMB ALT WATERLINE AND CAP (E). SEWER/ LINE REPAIR.
Owner:
ROBERT BATES
Address :
333 GRAND CANAL NEWPORT BEACH, CA 92662
Phone:
(949)278-4838
Applicant:
Curtis Miles
Address :
32562 Via Los Santos San Juan Capistrano, CA 92675
Phone :
(949) 524-2362
Owner/Builder:
Address
Phone :
Code Edition : 2022
Type of Construction :
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY:
SPECIAL CONDITIONS:
Front: 8, Side: 3, Side: 3, Rear: 5
X
R-BI - Two -Unit Residential, Balboa Island
Contractor: PRIMEWEST PLUMBING
Address :
31878 OBISPO ST STE 118343 SAN JUAN CAPISTRANO, CA 92675
Phone :
(949) 880-6221
Con State Lie
: 1087885
Lie Expire :
03/31/2024
Bus Lie;
BT30079101
Bus Lie Expire:07/30/2Q24
Workers' Compensation Insurance
Carrier: STATE+COMPENSATION+INSURANCE+FUND
Policy No : 9314729
W. C. Expire: 9/19/2023
Fire Hazard Zone : NO
Occupancy Groups:
NO CONS ON WORK'
ON SATURDAyo
OWNER -BUILDER DECLARATION -
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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
the permit t0 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).
11 I, 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,
Business and Professions Cade: 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-Suilderwill have the burden of proving that It was not built or
rim--�roved for the purpose of sale).
F,.f 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 pursuant to the Contractors' State License Law).
I 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 legall:
sell a structure that I have built as an owner-buiidsr If it has not been constructed in its entirely 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 submitted or at the following Web site:htip:llww^w.leginfo.ca.govlcalaw.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 previsions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profess' he C de, and my lice in full force
7
and effect. License Class License No Date �'S ' 002Contractor Signature f
WORKERS' COMPENSATION DECLARATION.
NANNING. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER To CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADDMON TO THE
COST OF COMPENSATION, DAMAOES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY-3 FEES.
hereby affirm under penalty of perjury one of the following declarations:
and will maintain a certificate of consent to sell -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
a of the work for which this permit Is Issued. Policy No.
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'
carrier and policy number are:
is of Agent _
certify that, in the
if I should bacon
Iature of ADDlicar
Policy Number
Date
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
he workers' compensation provisions of Section 3700 of the Labor Code,. 1 shall forthwith comply with those provisions.
Date ; 's 73
hereby affirm underity of rfury that there is a construction lending agency for the performance of the work For which this permit Is issued (Section 3697, Civil Code).
ender — s Name Lender's Address
y my signature bald I certify to each of the following:
I &n, :ha property o:v:v:r or authorized to act on the property owner's behalf.
I have read ihh application and the information i have provided is correct.
I cgrsc to comply with all applicable city and county or 'nances and state laws relating to building construction.
I authorize repfeFearatives of this city or county t a above -identified property for inspection purposes. ��i ,I„ (///
.aa'.ure of Proo edy nr•,ner or Authorized Agent `( Print Property Owner's or Authorized Auent's Name l.T /��
--
ACTION ' DATE BY i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
I REGULATIONS PART St OF TITLE 40 AND AOMD RULE
1403
PLRMIT E)7ENOfi~ I-ik��___
OMD
PERPAfT FINAL ASBE5rOS NOTIFICATION 15 NOTAPPLICABLE TO
CERTiFiCAPE OF �ll PROPOSED DEMOLITION
OCCUPANCYI55VE0 ✓j `� 51GNATURE