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Home My WebLink AboutP2024-0043 - Permits��EWr Rr City of Newport Beach p Community Development Department- Building Division r { 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 Oy<iF00.N�P newportbeachca.gov/civic Plumbing Permit Plan Check No : PC2022-2933 Work Class : Other Issued Date : 02/12/2024 Final Date: Permit Status: Issued Inspection Area : 2 P2024-0043 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 : 124 APOLENA AVE Legal Desc : A TR BALBOA ISLAND SEC 3 BLK 6 LOT 18 Description: PLUMB- GAS LINE W/ 2 STUBS Owner: ARDR REALTY LLC Address : 318 AMETHYST AVE NEWPORT BEACH, CA 92662 Phone: (949) 433-1424 Applicant: JACK LION Address : 219 MARINE AVE, A NEWPORT BEACH, CA 92662 Phone : (559) 917-3155 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5 Flood Zone : AO 1; X Use Zone: R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: X s". d 1 Contractor : WATERPOINTE CUSTOM HOME BUILDERS Address : PO BOX 34B, A NEWPORT BEACH, CA 92662 Phone: (949)644-8900 Con State Lic : 947494 Lic Expire: 05/31/2024 Bus Lic : BT30036114 Bus Lic Expire:05/31/2024 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 1952335 W. C. Expire: 5/1/2024 Fire Hazard Zone : NO Occupancy Groups: 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 item(sl Section 7031.5, Business and Pmfeeslona Code: Any city or County that requires a permit to construct, after, Improve, demolish, or repair any structure, prior to its Issuanee, also requires the appl1Cant for 1a 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 'rofess'lons 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 for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, wseess 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 rimovements 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 nproved for the purpose of sale). 11, 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 poly to an owner of property who builds or improves thereon, and who contracts for the projects with a. licensed Contractor pursuantto the Contractors' State License Law). 3 1 am exempt from licensure under the Contractors' State License Law for the following reason: iy my signature below I acknowledge that, except. for my personal residence in which I must have fesidedfor at least one year prior to completion of the improvements covered by this permit 1 cannot legally ell a structure that I have built as an owner -builder if it has not boon Constructed in itsentirety by licensed contractors. I understand that a copy of tlao applicable law, Section 7044 of the Business and 'refessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leg(nfo.ca.govlculaw.html. tignalure of Property Owner or Authorized Agent _ Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of D'€€vision 3 of the Business and Profe si� s Code. a d my license is In full force nd effect. License Class License No t Ae `l /I i 2 /'L Contractor Signature VORKERS' COMPENSATION DECLARATION !ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE Hunvleo THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 4I 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 IN er ormance 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 of Agent Date ]I 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' compensation laws of California, and tat, if I should become $ u ject to the worker ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. :fgnature of Applicant,,, _-_...._. ..._. ,.w Dat ��t zl� rECLARATtON REGA O CONSTRUCTION LENDING 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 30 Civil Code). Order's Name Lender's Address ,y my signature below, I certify to each of the following I am the property owner or authorized to act on the property owners 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 state laws. relating to building construction. I authorize representatives of this city or county to enter the aboveJdentified jWopgrty for inspection purposes. 9i gnalure of Property Owner or Authorized Agent `' Print Propert ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FFAARAL REGULATIONS PART Fl OF TITLE 40 AND ACIMD RULE PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA _.... .... .__..__. _ ..... .._.__ __ _..__ ...... _ PER NIT EXTENDED i QMD_ PLRMIT FINAL i-CIASBESTOS NOIIfICAT10N IS NO'f APPLICABLE TO CERTIFICATE OF y—I( Qt�{'�j PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE; FOR OFFICE USE ONLY �C 1;- t ',e 2/(2