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P2023-0469 - Permits
EaroRT City of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 o- r Permit Counter Phone: (949) 718-1888 c44 co RN�P newportbeachca.gov/civic Plumbing Permit Plan Check No : PC2022.3193 Work Class : Other Issued Date : 1011012023 Final Date: Permit Status: Issued Inspection Area : 6 P2023-0469 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: 1101 EBBTIDE RD Legal Desc : N TR 2202 BLK LOT 74 Description: PLUMB INSTALL PLUMBING LINE FOR FOUNTAIN Owner: EDMOND GEME Address : 24 CORPORATE PLAZA DR NEWPORT BEACH, CA 92660 Phone: Applicant: TRAVIS B BOND Address : 428 32 nd street Newport Beach, CA 92663 Phone : (949) 572-0134 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 6, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: 6-S SPECIAL CONDITIONS: Contractor : SPINNAKER DEVELOPMENT LLC Address : 428 32ND ST NEWPORT BEACH, CA 92663 Phone: (949)544-5806 Con State Lie : 985114 Lie Expire : 07/31/2025 Bus Lie: BT30029026 Bus Lie Expire:04/30/2024 Workers' Compensation Insurance Carrier : INS CO OF THE WEST Policy No : WSD5061387DD W. C. Expire: 7/1/2024 Fire Hazard Zone : NO Occupancy Groups: LDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s) otibn 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dernofhsh, or repairany structure, prior to Its Issuance, also requires the applicant for 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 fessions Code) or that he or she is exempt from licensor* 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 more than five hundred dollars ($500). I, as owner of the property,. or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, liners 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 rovemenls 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 roved for the purpose of sale), 1, 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 ly 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), J I am exempt from licensors 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 permit. I cannot 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:flwww.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent_„T„_,v___...._._._____.___._...... Oats LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o pvion 3 of the Business and Profess s el Ise 1 fu H, and effect. License Class License No Date Ci Z Contractor Signature INORKE'RS' COMPENSATION DECLARATION EARNING 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 (5100.000), IN ADDITION TO THE Can OF COMPENSATION, DAMAGES AS PROVIDED FORIN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ] 1 h ve 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 IN art m anco of the work. .for which this permit Is issued. Policy Na.. I 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' compensatior Isurance carrier and policy number are: is of Agent certify that, in the performance of the , if I should become subject to the wo lature of Applicant — Policy Number Date for which 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 ogre .cenaperrsaticm-prevjsions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �s— veby affirm tinder penalty of perjury that there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code), �ders Name Lender's Address my signature below, I certify to each of the following: I am the properly 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 With all applicable city and county ordinances and slate law relating to building construction. I authorize : ,pr,sentalives or this city or county to enter the. above -identified roperty for inspection purposes. nature of Proneriv Owner or Authorized Aaent 1 J Print Procertv Owner's or Authorized Agent s Name ACI ION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 FOR OFFICE USE ONLY '%� �,'S r PERMIT EXPIRE,n E3wI SUBMITTED ASBESTOS NOTIFICATION TO PE,tMry CANCELLED I � L.IEPA ._.... .. PrRf4TfX7FNGi] .._. m� ".i ....__ _'__ . ..._— �_t t IIAQM:D PrPr°I'"FrNAL ❑ ASSBES FOS NOT IFICATION IS NOT APPLICABLE TO � CFRTIFC4TE OF ill l�r�� POSK DEMOLITION OCCUPA4CYlS5UE1 I/ R. Sd©NAFURfit I/