HomeMy WebLinkAboutP2022-0379 - Permits�EWPoRT City of Newport Beach
Community Development Department- Building Division
n 100 Civic Center Drive, Newport Beach, CA 92660
U T Permit Counter Phone: (949) 644-3288
cq<iFeaN�r Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
111111111111111111111111111111111111111111111111111 111� 11Plumbing Permit : P2022-0379
Plan Check No:
Work Class : Other
Issued Date : 12115/2022
Inspection Area : 5
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: 4515 ORRINGTON RD
Description: PLUMB- GAS LINE TO BBQ
Owner: ZIEMBA LAWRENCE M TR
Address: 520 FLINTDALE RD HOUSTON, TX 77024
Phone:
Legal Desc : N TR 3357 BLK LOT 76
Applicant:
SC HOMES INC
Address:
3194E AIRPORT LOOP DR COSTA MESA, CA 92626
Phone:
(949)723-4243
Owner/Builder
:
Address
Phone:
Code Edition : 2019
Type of Construction :
Building Setbacks : Front: 6, Front: 30, Side: 6, Side: 6
Flood Zone : X
Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor : S C HOMES INC
Address : 3194E AIRPORT LOOP DR COSTA MESA, CA 92626
Phone: (949)723-4243
Con State Lic : 828216
Lic Expire: 12/31/2023
Bus Lic : BT30002421
Bus Lic Expire:02/2812023
Workers' Compensation Insurance o
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No: 1763760 _
W. C. Expire: 1/7/2023
Fire Hazard Zone : NO -
Occupancy Groups: U,R-3
oa���
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) 1 have placed next to the applicable item(s)
Section 7031.6, 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
is 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
7ofessions 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).
11, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
tusiness 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
nprovemenls 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
n roved for the purpose of sale).
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
poly to anowner 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
sy my signature below I. acknowledge that, exceptfor my personal residence In which I must have resided for at feast one year prior to temptation of the improvements covered by this permit,_I cannot legally
all a structure that I have built as an owner -builder if it has not boon constructed in its ontirety by licensed Contractors. I undorstand that a copy of theapplicable law. Section 7044 of the Business and
7ofessions Code, Is available upon request when this application Is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Dale
,ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license ie,1n lull force
nd effect. License Class License No - - Date A Z \< --Z--, Contractor Signatu€e _===�, ----z ---------- \�
WORKERS' COMPENSATION DECLARATION
!ARNING: FALURETO SEC'1RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADDITION TO THE
OST OE 70MPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm Lndei psnalty 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 th
Va. nonce of the work for which this permit is issued. Policy No.
a1 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' compensatiol
,surencer carrier and policy number are:
Policy Number
of Agent
Date
Arlif r that, in ,he 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 agre
if I should beccme .,ubject to the workers' compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions.
wlu,e of App'-can -I.� i Date_
hereby arm 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).
enders 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 above -id a n I roperty for inspection purposes. - 2
ACTION I DATE I BY DECLARATION or REGULATIONS PART 061 OF TITLE ITLE 4CE 0 AN AQMO RULEITH CODE or R At FOR OFFICE USE ONLY
NOTIFICATION
PERMITF114AL ED -'2 =Mr1D NOTIFICATION Is NOT APPLICABLE TO
P£RMIi'FWAL lir(!CERTIFICATEOF PROPOSED DEMOLITION
OCCUPANCYJSSUED SIGNATURE: