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Home My WebLink AboutP2023-0517 - Permitswrof, City of Newport Beach p. �`- Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 .D , �'. Permit Counter Phone: (949) 718-1888 _> G, scow r 1_„ newportbeachca.gov/civic 11111111111111111111111111111111111111IIIIIIIIIIIp JillPlumbing Permit: P2023-0517 P 2 0 2 3 0 5 1 7 Plan Check No : 0379.2021 Work Class : Other Issued Date : 11/14/2023 Final Date: Permit Status: Issued Inspection Area : 2 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: 941 VIA LIDO SOLD Legal Desc : N TR 907 BLK LOT 323 Description : PLUM - GAS LINE FOR BBQ & FIRE PIT (2) Owner: ANDREW GABRIEL Address : 419 EVENING STAR LN NEWPORT BEACH, CA 92660 Phone: Applicant: LEGACY CUSTOM HOMES INC Address : 3990 WESTERLY PL, 150 NEWPORT BEACH, CA 92660 Phone : (949) 887-4750 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks: Front: 4, Front: 10, Side: 4, Side: 4 Flood Zone: AE, 8 FT; X Use Zone: R-1 - Single -Unit Residential PROCESSED BY SPECIAL CONDITIONS: Contractor : LEGACY CUSTOM HOMES INC Address: 3990 WESTERLY PL, 150 NEWPORT BEACH, CA 92660 Phone: (949)887-4750 Con State Lic : 986194 Lic Expire : 08/31/2025 Bus Lic: BT30045036 Bus Lic Expire:10/31/2024 Workers' Compensation Insurance Carrier : CYPRESS INS CO Policy No : LEWC321951 W. C. Expire: 12/2/2023 Fire Hazard Zone : NO Occupancy Groups: I hereby affirm under penalty of perjury that 1 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 item19, (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, 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 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 not more than five hundred dollars ($500). L as owner of the property,or my employees with wages as their sole compensation, will do (_) all of or (J portions of the work, and the structure is notintended 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). .0 I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project. (Section 7044, 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 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 legally 'sell a structure that I have built as an owner-buildor if it has not been constructed in its entirely 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:fi wv.leginfo.ca.govlcalaw,html.. '.Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Dy'vision 3 of the Business and Profession e, and icense Is I orce and effect. License Class License No Date /Z1 4/Z Z Contractor Signature / WORKERS' COMPENSATION DECLARATION WARNING; 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 1$100.0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANO ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 Cade, for Tr and -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 Expiration Date of Agent certify that, in the performance of the work for _. ich this permit is .. ad, I shall not employ any person in any menner so as to become subject to the workers' compensation laws of California, and agree L if I should become subject to> i orke mpensatlon w4wions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. nature of APPleant___ _� _ Pale,(�/„ CLARATION R 3GCON3TROCTION LE - NG AGENCY areby affirm under penalty of perjury that there is, construction lending agency for the performance of the work for which this permit Is Issued (Section 3097, Civil Code), ider's Name Lender's Address 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 thisapplication and the information I have provided is correct. I agree to comply with all applicable city and county ordin ces aLate laws relating to building construction. I authorize_ representatives of this city or county to en r the ab and -1 tlife operty for inspection purposes. nature of PrODerty Owner or Authorized Aoent /i Print Prooertv Owner's or Authorized Agent's Name -1A�f LL Il,ti; (,U _.._ _. _.-- Date _1, /dZ_ ACTION ( DATE BY-- DECLARATION OF COMPLIANCE WITH CODE OFFEDERAL FOR OFFICE USE ONLY RMULATIONS PART f,i OF TITLE 40 AlD AOMD RIME PERMITEXPIRE7 j W I SUBMITTEDASBFSTOS NOTIFICATION TO PERMIT &WR Ett YD PERMITEXTENT L1AgMp j�—�L.-yI _ PERMIT FINAL �'� ASBkS'FOS NOTIFICATION IS NOT APPLICABLE TO �A--7_ CERTIFICATE OF y.�/F { PROPOSED DEMOLITION OCCUPANCY ISSUED