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Home My WebLink AboutP2024-0130 - PermitsCity of Newport Beach Community Development Department -Building Division m J > 100 Civic Center Drive, Newport Beach, CA 92660 y<=, x Perrnit Counter Phone: (949) 718-1888 r newportbeachca.gov/civic Plumbing Permit Plan Check No : Work Class : Other Issued Date : 04/01/2024 Final Date: Permit Status: Issued Inspection Area : 7 P2024-0130 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 -WATER SUPPLY & WASTE LINE IN KITCHEN 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: CIE Contractor: BRADCM INC 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 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 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 Professions Code) or that he or she is exempt from licensare 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). ❑ I, 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 property, am exclusively contracting with licensed Contractors to construct the project (Section 70444, Business and Professions Code: The Contractors' State License Law does not apply 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 ma 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 permit, I cannot legal soli a structure that I have built as an owner-buildar 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 Businoss and Professions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.co.gov/calaw.html.. Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of partyy that I am licensed under provision iencing with Section D f D' e 3 of the Business and Prof SB0 2 'c is' f I and effect. License Classes J Licensa No �LJ-i I i'_J1 Dat Contractor Signature NORKERS' COMPENSATION DECLARATION MRNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDJTHOUSANU DOLLARS ($100,000), IN ADDITION TO THE '.DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 thi e r nce of the work. for which this permit is issued. Policy No. I ve and will maimain 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' compensatior Is ance carrier and policy number are: :arner Policy Number Expiration Date lame of Agent Phone # 11 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' compensaC in ItIs of California, and agree rat, if I should become subject 6 compen atlo f-Section 3 00 of the Labor Code, I shall forthwith comply with those provisions, signature of Applicant _Date IECLARATION RE -J b ' COW 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 Code). ender's Name Lenders Address ly my signature below, I certify to each of the following: I am the 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 s to I ws relating to building construction. I authorize representatives of this city or county Rb er t if�far inspection purposes. ACTION DATE BY L/` DECLARATION OF COMPLIANCE WrlT CODE OF FEDERAL FOR OFFICE USE ONLY v \ REGULATIONS PART 61 OF TITLE 40 AND Al RULE 1403 PERMIT EXXREO _ _ _ ^ _ � I SUBMITTED ASBESTOS NOTI FICAT)ON TO PERMIT CANCEttE0 LE'P. PERMITFINAL JIL�q�/ j UA58tST05 NOTIFICATION IS NOT APPLICABLE TO CERTIFfCATE OF _ - / i PROPOSEDDEMOLITION OCCUPANCY ISSUED iI SIGNATUR=: