HomeMy WebLinkAboutP2023-0250 - Permits4�EWPoRr City of Newport Beach
D e Community Development Department - Building Division
n 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
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C,CIFOM1N`P newport5eachca.gov/civic
IIII�IIIIIIIII�I�IIIIII�IIIIIII II Plumbing Permit: P2023-0250
P 2 0 2 3 0 2 5 0 Plan Check No : 0773.2022
Work Class: Other
Issued Date : 07/05/2023
Final Date:
Permit Status: Issued
Inspection Area : 8
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 : 1307 SUSSEX LN Legal Desc : N TR 1896 BILK LOT 65
Description: PLUMB GAS TO BBQ (BBQ LESS THAN 42" H, MORE THAN 3' FROM P/L) "X2022-0846-
Owner : Michael & EDEN Manning
Address : 20151 SW BIRCH ST, 4105 NEWPORT BEACH, CA 92660-0773
Phone : (949) 250-4200
Applicant: WATER MILL HOMES INC
Address : 20151 SW BIRCH ST #105 NEWPORT BEACH, CA 92660
Phone : (949) 250-4200
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:
SPECIAL CONDITIONS:
t�4�eP�n��d'S'aTrtl'"s
Contractor : WATER MILL HOMES INC
Address : 20151 SW BIRCH ST #105 NEWPORT BEACH, CA 92660
Phone : (949) 250-4200
Con State Lic : 941819
Lic Expire; 01/31/2024
Bus Lic : BT30034736
Bus Lic Expire:08/31/2023
Workers' Compensation Insurance
Carrier : STATE FUND
Policy No: 9330449
W. C. Expire: 1/1/2024
Fire Hazard Zone : NO
Occupancy Groups:->>
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 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' 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 Iicensure 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).
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 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 tl was not built or
improved for the purpose of sale).
❑ 1, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The ContractorsState 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).
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. raslded For at feast one year prior completion of the improvements covered by this permit, I cannot legally
sell a structure that I have built as an owner -builder 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 submitted or at the following Web site:http:/Iwww.leginfo.ca.gov/calaw. him[.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S ' n 7 a iv' ' of the Business nd P€ofes s Code, a d my fo se eel' full fo: ce
and effect. License Class License No Con or ` nature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS D DOLLARS ISts p 1, IN AODRION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNi FEES.
affirm under penalty of perjury one of the fallowing declarations:
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
�e of the work for which this permit is issued. Polley No..
w1J mammPin 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'
ler aTJ policy number are:
ria,_ _ L Policy Number Expiration Date
me of Agent Phone # _
ce t fy that., in tha perfornlancie of th or for which this I is I sued, I shall not employ any person in any manner so as to become subject to thew rka ' comps sail n laws of California, and agral
I, if I should become r o the orkers Dom ensa aarovisio s of Section 3700 Df the Labor Code. I shall forthwith comply with those provisions. /
natur vent to
:..;RATION ''. A 1NG C fJSTRUCTION N FNC AGENCY
--rty affirm under penalty of ptury that there a onstruction fending agency for the performance of the work for which this permit is issued (Section 3097, Civil ode),
w=r= Name Lender's Address
my signature p67ova, l,:Wify to each of the following:
I am the prope, ty 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 COI,I Jly A:th all applicable city and cou ty ardinences d ate laws re g to building construction.
I authorize representatives of this cik or county the ove-i ntifie rope y for inspection purposes.
ACTION I DATE —I BY ' DEARATION OF C%NyIPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
RE ULATIONS PART 51 OF TITLE, 40 AND A4MD RULE
PERMITEXPIRED
L..I I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
_
EPA
_..____E
PERMIT EXTENDED
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PERMITF AL
CERTIFICATE OF
OCCUPANCY ISSUED
f �d
1 7
ASBESTOS N0'I'IFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
____ SIGNATURE: