HomeMy WebLinkAboutP2024-0010 - PermitsEW?�RT, City of Newport Beach
O� Community Development Department- Building Division
'( n 100 Civic Center Drive, Newport Beach, CA 92660
> M = Permit Counter Phone: (949) 718-1888
cy� conN�r newportbeachca.gov/civic
4
Plumbing Permit : P2024-0010
Plan Check No : PC2024-0029
Work Class : Other
Issued Date ; 01/05/2024
Final Date:
Permit Status: Issued
Inspection Area : 6
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: 3815 SANDUNE LN Legal Desc : N TR 6425 BLK LOT 70
Description : PLUMB INSTALL GAS LINE FOR BBQ AND FIRE PIT
Owner: BLAUSTEIN DON J TR
Address : 3815 SANDUNE LN CORONA DEL MAR, CA 92625
Phone:
Applicant: ALTERA LANDSCAPE
Address : 34145 PACIFIC COAST HWY #172 DANA POINT, CA 92629
Phone : (866) 872-2611
Owner/Builder:
Address
Phone:
Code Edition : 2022
Type of Construction :
Building Setbacks : Front: 10, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY: W
SPECIAL CONDITIONS:
Contractor : ALTERA LANDSCAPE
Address :
34145 PACIFIC COAST HWY #172 DANA POINT, CA 92629
Phone :
(866) 872-2611
Con State Lic
: 893827
Lic Expire :
04/30/2025
Bus Lic:
BT30078844
Bus Lic Expire:
01/31/2025
Workers' Compensation Insurance
Carrier :
ECHNOLOGY INSURANCE COMPANY INC
Policy No:
TWC4343678
W. C. Expire:
11/7/2024
Fire Hazard Zone : NO
Occupancy Groups :
OWNER -BUILDER DECLAKA I IGry
I. hereby affirm under penalty of perjury that 1. 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 itaIli )
(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' Stato License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Businoss and
Professions Code) or that he or she is exempt from licensureand the basis for the alleged exemption, Any violation of Section 7031.5 by any applicant fora 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 L) 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
Improved for the purpose of sale).
❑ I, as owner of the properly, am exclusively contractingwith licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License. Law does not
ra.�rply 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),
LJ t. 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 ponnft, 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:/lwww.leginfo.ca.gov/calavr.htmh Date.
Signature of property Owner or Authorized Agent
(LICENSED CONTRACTOR'S DECLARATION
i hereby affirm under penalty of pedury that I am licensed under provisions of Chapter 9 (commencing 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
WORKERS' COMPENSATION DECLARATION
ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (St00,00tl), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR GOOE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
1 have 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, forth
pert Once of the work for which this permit is issued, Policy No.
�a and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for theperformance of the work for which this permit is issued. My workers' Compor tie
insurance caviar and policy number are;
CArder _. Policy Number Expiration Date
is of Agent
certify that, in the performance of the work
if I should became subjectJo;$9e workers
of
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 agree
ation provisions of Section 3700 of file Labor Code, I Shall forthwith comply with those provisions.
'-P Date____,
IECLARATIQN KbIoAKUJN LHN. 1rtVCIIVN r,clxum
hereby affirm under pen of perjury thatthere is a con tion lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code).
ender Name _ Lender's Address
ly my signaturs blibw. I certify to each of the following:
I am the properly owner or authorized to act on the properly owner's behalf.
I nave read this application and the information I have provided is correct.
I agree tc cco+;) with all applicable city and county ordinances a d state laws relating to building construction.
S authorize representatives of this city or county to an Doffs arty for inspection purposes.
li rr aiure of PrODeriy Owner or Authorized Agent Print Property Owner's or Authorized Agent's Norma
Date
AC-, ION
DGCtARATION OF PLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGUhAT[ONSPART 61 OFTITLE 40 AND AQMDRULE
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