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Home My WebLink AboutP2024-0131 - Permits,t�wio�r City of Newport Beach 04, 0 Community Development Department- Building Division R, � 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 cy«� =W- (r newportbeachca.gov/clve Plumbing Permit Plan Check No : Work Class: Other Issued Date : 04/01/2024 Final Date: Permit Status: Issued Inspection Area : 7 P2024-0131 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 : 6700 COAST HWY W Legal Desc : P BK 100 PG 4 PAR 1 Description: PLMB -GAS LINE TO PIZZA OVEN (EXTERIOR) Owner: TPN LP Address : 22 PELICAN POINT DR NEWPORT COAST, CA 92657 Phone: Applicant: BRADCM INC Address : 120 TUSTIN AVE STE C-901 NEWPORT BEACH, CA 92663 Phone: (949)835-5000 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Building Setbacks : Flood Zone : X Use Zone: CV - Commercial Visitor -Serving PROCESSED BY: iL Contractor: BRADCMINC Address : 120 TUSTIN AVE STE C-901 NEWPORT BEACH, CA 92663 Phone: (949)835-5000 Con State Lie : 1051431 Lie Expire : 03/31/2025 Bus Lie: BT30065516 Bus Lie Expire:06/30/2024 Workers' Compensation Insurance Carrier : TECHNOLOGY INS CO INC Policy No: TWC4265326 W. C. Expire: 6/29/2024 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 itemts) 'action 7031.5, Business and Professons Code: Any city or County that requires a permit to construct, alter. improve. demolish, or repair any structure, prior to Its issuance also requires fhe applicant for ie 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 :rofessicns Code) or that he or she is exempt from licensure 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 more than five hundred dollars ($500). 11, as owner of the property, or my employees with wages as their sale compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, :ustness 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 uttered 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 nproved for the purpose of sale). 3 I, as owner of the property, am exclusively Contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply 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). I am exempt from licensure under the Contractors' State License Law for me following reason: .y 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 permit, I cannot legally ell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of tho applicable law, Section 7C44 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:iiwwwaeginto.ra.govfcalaw,html. :ignature of Property Owner or Authorized Agent _ Date .10ENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of pergMLffat I am licensed tinder provisions of fhap�t L9 cory�ncjng with Section 7000 of € " 3 of the Business and Prof eday rce TO effect. License Class License No r� `t. Dat Contractor SignatlG�\ VORKERS' COMPENSATION DECLARATION 'ARMING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AMC) CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORli FEES. hereby affirm under penalty of perjury one of the following declarations: I 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, for the 6itprmance of the work for which this permit is issued. Policy No.. 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' carrier and policy number are: Policy Number Date le of Agent Phone # certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compen ation laws of California, and agree if I should become suESTRUCTION rs I ensatiun ovision of SeG' a 3700 f the Labor Code,: I shall forthwith comply with those provisions. {� V i1/7 ature of Applicant _ Irv.._ 4'c\\-W.�._..ta�..�.. :LARATION REBA N AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cede). ender's Name Lender's Address y my signature below, I certify to each of the following: I am file property 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 comply withall applicable city and county ordinances and slat elating to building construction. I authorize representatives of this city or county tQ.egte�t v = I ll a pro or inspection purposes. ACTION I DATE I BY PERMIT EXPIRED RERMITCANCEtEED PERMIT EXI FNOED CERTIFICATE OF r o Z OCCUPANCYISSUED, OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND ACi RULE UASBESTOS NONFICATION IS NO( APPLICABLE TO PROPOSED DEMOLITION CIGNATUfi