HomeMy WebLinkAboutP2023-0024 - PermitsC��gWP04,T City of Newport Beach 111p1111111111111111p1111111111111111111111111111111Plumbing Permit : P2O23-0024
e Community Development Department- Building Division P 2 0 2 3 0 0 2 4
F n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
Permit Counter Phone: (949) 644-3288 Work Class : Other
cq�'Fon" �P Inspection Requests Phone: (949) 644-3255 Issued Date : 01/17/2023
newportbeachca.gov/inspections ,._, ._ _. Inspection Area : 7
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: 3121 W COAST HWY, 86 Legal Desc :
Description: PLUMB: R/R WATER HEATER @ CLOSET
Owner: ALTAY GOKBILGIN
Address : 3531 EBOE ST IRVINE, CA 92606
Phone:
Applicant: NEWPORT CUSTOM BUILDERS
Address : 220 NICE LN 4103 NEWPORT BEACH, CA 92663
Phone : (949) 244-9166
Owner/Builder :
Address
Phone :
Code Edition : 2022
Type of Construction
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor : NEWPORT CUSTOM BUILDERS
Address : 220 NICE LN #103 NEWPORT BEACH, CA 92663
Phone: (949)244-9166
Con State Lic : 855209
Lic Expire : 03/31/2023
Bus Lic: BT30059094
Bus Lic Expire:05/3112023
Workers' Compensation Insurance
Carrier :
Policy No:
W. C. Expire:
Fire Hazard Zone : NO
Occupancy Groups : U,R-2
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contraclors'Slate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s)
faction 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
is permit to Its 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
rofessions 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 fora permit subjects the applicant to a civil penalty of
of mere than five hundred dollars ($500).
7 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness 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
nprovements 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
n roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct Hie project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
9ply 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 licensors under the Contractors' State License Law for the folioti+nng reason'.
y my signature below ). 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 legail)
all a structure that I have built as an owner-buildor 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
rofessions Code, is available upon request when this application is submitted or at the following Web site:htip:tlw .leginfo.oa.govtcalaw.html.
ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) Division 3 of the Business and Profes ,(i de, n my license is in full force
nd effect. License Class License No Date i Contractor Signature
WORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED TH SAND DOLLARS ($100,000), IN AODmoN TO THE
OST OF COMPENSATION, DAMAGES AS PROv oED FOR IN SECTION 3706 OF THE LASOR CODE, INTEREST, ANO ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
have 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
3rmance of the work for which this permit is issued. Policy No.
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' compenss
lance carrier and policy number are:
Policy Number Expiration Date
Of Agent Phone #,
L3 certify that, in the performance of the o k for which this permit is issued, I shail not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
that, if I should become s at t he r ars' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. ) ]
Signature of Applicant _� Date
DECLARATION RE D! CO STRUCTION LENDING AGENCY T J
I hereby affirm under pens of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lenders Name Lender's Address
By my signature below, I certify to Peon of the following:
I am the property owner ur authorized to act on the property owner's behalf.
I have read this application an, th., in:ornnation I have provided is correct.
I agree to comply with all applicable city and county ordinancesnand state laws retailing to building construction.
I authorize represgnlah'v;.s of this city or county me th ve-identified property for inspection purposes.
Si nature of Property Owner or Au,horized Agent Print Property Owner's or Authorized Agents Name 5 L t/A, &7 GAvf) . Date I
ACTION T DATE BY 06ECLAPATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
t REGULATIONS PART SI OFTITLE40ANDAQIvtO RULE.
i 1409
PERMI r EXPIRED I ISUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED _FA
PERMIT EXTENDED L AQMD..........
PERMl7 FINA`�� I / ASSES rOS NOT IFICATION IS NOT APPLICABLE TO
CERTIFICATEOF �.�Z7 //"� PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE.