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Home My WebLink AboutP2024-0093 - Permitswow>oR_ City of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 }b �' Permit Counter Phone: (949) 718-1688 newportbeachca.gov/civic iiiiiiiiiii II Plumbing Permit Plan Check No : PC2024.0487 Work Class : Other Issued Date : 03/11/2024 Final Date: Permit Status: Issued Inspection Area : 2 P2024-0093 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 : 105 VIA LIDO SCUD Legal Desc : N TR 907 BLK LOT 877 TRACT NO 907 LOT 877 & 878 AN Description : PLMB - RELOCATE POOL PUMP Owner: FLUTER RUSSELL E TR Contractor : MICHAEL A EVANS INC Address: 2025 W BALBOA BLVD NEWPORT BEACH, CA 92663 Address : 9197 NADINE RIVER FOUNTAIN VALLEY, CA 92708 Phone: (949)466-9468 Phone: (714)963-9809 Con State Lie : 498867 Applicant: MICHAEL A EVANS INC Address: 9197 NADINE RIVER FOUNTAIN VALLEY, CA 92708 Phone: (714)963-9809 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Building Setbacks : Front: 10, Front: 4, Side: 4, Side: 4 Flood Zone: AE, 8 FT; X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: Z4P Lie Expire : 09/3012024 Bus Lie: BT30082598 Bus Lie Expire:09/30/2024 Workers' Compensation Insurance Carrier: NO EMPLOYEES Policy No: EXEMPT W. C. Expire: Fire Hazard Zone : NO Occupancy Groups: OWNER -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 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 sheds 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 llcensu o, 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). ❑ 1, as owner of the property,or my employees with wages as their sole compensation. will do L) all of or (_) portions of the work, and the structure Is not intended or offered for sale (Section 7044, Business and Professions Code: The ContractorsState License Law does not apply to an owner of property Who, through employees" Or personal effort, builds or improves theproperty, provided that the improvements are not intended or offered for sale. If, however, the building or impfoeement is sold within one year of completion, the Owner -Builder will have the burden of proving that It was not WILL or improved forthe purpose of sale). ❑ I, as owner of the properly, 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 ",he builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).. 11 By my signature below I. acknowledge that, except for my personal residence in which I m reason: _ 1 am exempt from licensure under the Contractors' State License Law for She t _ hich I must have resided for at feast one year prior to completion of the Improvements covered by this permit, I cannot legally sell a structure that I have built asan 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:(/www.leginto.ca.gDvlcalaw.h4ml, Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) Qf Division 3 of the Business and Profes icense is in full force and effect. License Class License No -Date �-I I - �-t-/ Contractor Signature '-(iC WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUaJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (1100.0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declaratlons: El I have and will maintain a certificate of consent to self -insure for workers' compensation, issued oy the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the ,performance of the work for which this permit is issued. Policy No.. 01 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' eompensatior insurance carrier and policy number. are: Policy Number Date ne of Agent Hnone IF i certify that, in the performance of the work for which this permit is issued, f shall not employ any person in any manner so as to become subject to the workers' compensator laws of California, and agree , if I should become s Iect to a workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply Wvth those provisions iature of Applicant ...... .. -Date - 7i !reby affirm under penalty of perJ•••..ury that there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code) ,der's Name _ Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized t0 act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply withall applicable city and county ordinances and state laws relaiing to building construction. I authorize representatives of this city or county toGpter the /bo,,ye-i riffied property for Inspection purposes. iahua r ,{ rof Prnnery Owner or Authorized ADant. ✓Z!_4 e ( Print Property Owner'S or Authorized Aback S Nama ACTION DATE ( BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL 1 FOR OFFICE USE ONLY I REGULATIONS PART 61 OF TITLE 40, AQMD RULE PERMIT EXPIRED ) L J I SUBMITTED ASBESTOS N_ OTI FICATION TO PERMIT CANCELLtD r [PA PERMITFINAL �/_pN.f.--- I UASBES FOS NOTIFICATION IS NO7 APPLICABLE TO CERTIFICATE OF V '1 PROPOSED DEMOLITION OCCUPANCYISSUED I '( SIGNATURE: 3-j(-ate