HomeMy WebLinkAboutP2023-0539 - Permits�aErIPoR�
City of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 718-1888
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newportbeachca.gov/civic
III��������I�II��I�IIII��IIII���III��I�I�II�IIIII�III III Plumbing Permit: P2023-0539
P 2 9 2 3 8 5 3 9 Plan Check No :
Work Class : Other
Issued Date : 11/29/2023
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
Description:
543 FULLERTON AVE
Legal Desc : A TR FIRST ADD TO NEWPORT HEIGHTS BLK 38 LOT 14
PLUMB REPLACE TANKLESS WATER HEATER AND GAS TO METER
Owner: NICHOLAS FOLES
Address : 543 FULLERTON AVE NEWPORT BEACH, CA 92663
Phone :
Applicant: BEN MEDINA
Address: 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362
Phone : (818) 735-7876
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction :
Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5
Flood Zone : X
Use Zone: R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor : THE WATER HEATER COMPANY
Address : 808 CALLE PLANO CAMARILLO, CA 93012
Phone : (833) 403-0603
Con State Lic : 1045699
Lic Expire : 10/31/2024
Bus Lic: BT30082862
Bus Lic Expire;10/31/2024 ,
Workers' Compensation Insurance ,
Carrier: INDEMNITY INSURANCE COMPANY OF NORTH AMERiCA
Policy No: C56202080
W. C. Expire: 10/1/2024
Fire Hazard Zone : NO
Occupancy Groups:
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury the[ I am exempt from. the Contractors' State License Law for the reasorlW indicated below by the checkmark(s) I have placed next to the applicthe able Items)
:Section 7031.5, Business and Professions Code` Any city or county that requires a permit to construct, after, improve, dernaGsh, Or rep 9 ir any structure,
c ng Prior to its 1 70a0) Issuance, alsorequires
Division 3es the Business for
B
:he pension to Isle e signed statement or She s eE he or shots e nnsad and
the b to the provisions of the Contractors'StateLicense ti ( P ( applicant for permit subjects (lie applicant to a civil penalty of-
vroiessfons Code) or that he of she is exempt from Ilcensure and.lhe bash forth-, alleged exemption Any violation of Section 7031.5 by any a.pp p 1
rot more (hat, five hundred dollars (5500).
❑ 1, as -,Winer of the properly:. or my employees with Wages as their sole compensation, will dh (_) all of property
(_) portions. h In emit, and the structure Is not intended nr GHeratl 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.properly„ provided that the
Improvements are not intended or offered for sale. It, 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 salei.
❑ I, as owner of the properly, all, exclusively Contracfing with licensed Contractors to Construct the project (Section 7044, Business and Professions Code: The Contractors` State License Low does not
apply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuantto the ContractorsState License Law),
0 4 am exempt from Iic:ensure under the Contractors' State License Law for the following reason'. _ -ye --._co -. 0 t
...._-.,-. _ ,.._.-1
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 that
completion the Improvements Section
7 by lof the
I cannot legally
sell a structure that I hava built as an ovrnor-bwldcr if it has not boon. constructed in its entdroty by licensed contractors. I understand that a copy of the applicable law, Section-i 04v4 0l lho Business and
Profession-, Code, Is. avaMl )Ie uponrequest when this. application is submitted or at the following Web site:litlp:Ilww'tv,IaginfO.Ca.gov(calav+..ntml. _ Date _
Signature of Property owner or Authorized Agent-----
�LICENSED CONTRACTOR'S DECLARATION
hereby affirm mr'e o^nalty of perjury that I am licensed under provisions of Chapter 9 (commending with Seclio 7000 1 sio the Boone' and Professio a,.and my license is in full force
and efiteci. License Class License No Date CGnirac Signature
'.'1'CP,;,Z S' C0MPI`NSATION DECLARATION.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNG THOUSAND DOLLARS (5!°°,OpOi,'IN ADDITION TO THE
cos r O,+ cOMPENSAIi DAMAGES As PROVIp ED FOR IN SECTION J'706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
irbo I heaffirm under penalty of perjury one of the following declarations:
quad by ante Director of industrial Relations as providid for by �Section 3700 of the Labor Cody, for Ih
J ' haw n and w;1 mat, lain a cortiffoote of consent to self -insure for workpri3' compensation, is
n. lforrnanceof th ) A=ork forwhich [ties permll Is issued. Pellcy No, __. ^m„>
M k ncwNri
and will maintain workers' compensation insurance, as
carrier ar„ }.policy number are',
IS or Agent _
cert'fy that, in th? Ilerformanco of tna
if I should become subject to the No
required by Section 3700 of the Labor Code, for the performance of the words for which this permit its issued, y wor. ers
Policy Number
Date
irk W which this permit is issued, I Shall not employ any person in any Mannar so as to become subject to the work rs'` compensatlonlrlaws
'of Gat forma, andagrei
>ffs' compens revisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.ahG I%
TION LENDING AGENCY �.--
there Is a construction lending agenoyfor the performance of the work for which this permit is issued. (Section 3097, Civil Code).
ides s Name Lender's Address _..
_ __ i
rily siynatual b cartify t0 ea i) of the foipvyingl
I am Ih0 property owner or authorized to act on the property owner's behalt,
I have read this application and the information I have provided is correct.
I agree to comply with ail applicable city an county ordinances a d state laws
1 authorize repro sentalives of the, cl county to enter the eve-Idehlifie
to building construction.
Ir inspection purposes,
ilgnature of Property Owner of Huuwr aa,+ yam D
ACTION I DATE CiY } D ON OF CCMPllANCE VdiT FI CODE OP FIDEI
CULATION5 PART 61 OFTITLE 10 AND AUMD RLIIE
PERMW EMI ED
1 1-I I Sl19MITTEO A$BESTOS?JCO71FICATION TO.
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FOR OFFICE USE ONLY