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Home My WebLink AboutP2023-0224 - Permits�E`>VPORT City of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 C,C�iOM1N\P newportbeachca.gov/civic 1111�1111 111111111111111111111111111111111111 11111111� 11Plumbing Permit : P2O23-o224 Plan Check No : 1737-2021 Work Class: Qthpr Issued Date: V M 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 : 307 GOLDENROD AVE Legal Desc : A TR CORONA DEL MAR BLK 233 LOT 5 CORONA DEL MAR BLK 233 LOT 5 NELY 10FT AND LOT Description: PLUM GAS LINE TO FIRE PIT AND BBQ Owner: 307 GOLDENROD PARTNERS LLC Address: 307 GOLDENROD AVE CORONA DEL MAR, CA 92625 Phone: Applicant: BUILDING WORX INC Address: 1025 SENTINEL DR, 100 LA VERNE, CA 91750 Phone: (626) 385-6582 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction : Building Setbacks : Front: 15, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone: R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Contractor : BUILDING WORX INC Address : 1025 SENTINEL DR, 100 LA VERNE, CA 91750 Phone: (626)385-6582 Con State Lie: 901795 Lie Expire : 08/31/2024 Bus Lie: BT30040115 Bus Lie Expire:07/31/2023 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9318993 W. C. Expire: 6/1/2024 Fire Hazard Zone : NO Occupancy Groups: OWNER -BUILDER DECLARATION i hereby affirm under penalty of perjury that I am exempt from the Comractors' Slate License Law for the reason(s). indicated below by the checkmark(s) 1 have placed next to the applicable item(s) (Section 7031.5. Business and Professions Code: Any city or county that requires a peril to construct, alter, improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for the permit to Ole 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 ficensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the-applicaritto a civil penalty of not more than rive hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portionsof 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. It, 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-nyproved for the purpose of sale). L.1 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 ly 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). I am exempt from ficensure under the Contractors' State License Law for the following reason By my signature below I acknowledge that, except for my personal residence In which 1 must have melded for at least one year prior to completion of the Improvements covered by this permit, I cannot Iegalll sell a structure that I have built as an owner -builder if it has not been constructed in itsentirety by licensed conireclom. I understand that a copy of the applicable few, Section 7044 of the Business and Professions Code, is available upon request when this application Is Submitted or at the following Web site:http•:/fwww.leginfo.ce.gov/cslaw.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 Sect"PEMALTIeS the Business and Of ions ode, and my li e ' In fr 11 force and effect. License ClassNLicense Na OContractor Signs e WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIRIES UP TO ONE HUNDRE USAND DOLLARS( 001, I ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: -11 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 Dl rformanceof the work for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of theLabor Code, for the performance of the work for which this permit is Issued. My workers' carrier and policy number are: is of Agent If I should been jaat the rkork for m n this certify that, in the art ma a of i e w ' ers' c an atioi ndure of Applicant Number Expiration Date Phone N •ued, I shall not employ any person in any manner so as to become subject to the workers' of 9#,,11 0 3700 of the Labor Code, I shall forthwith comply with those provisions. hereby affirm under penalty of perjury that there Is a construction lending agencyfor{fie performance of the work for which this permit Is issued (Section 3097, .enders Name tender's Address iy 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 with all applicable city and co oty r noes an state I " elating to building construction. 1 authorize representatives of this city or county r the bov miff d pro Fly for inspection purposes. Signature of Property,Owner or Authorized A enl Print Property Owner's or Authorized Agent's Name ACTION DATE 6Y L I OMPU NCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RE0 IONS PART 6t OF TITLE 40 AND AOMD RUL€ PERMIFEXPIRED i i I LTI SJBM1TFJDAS6cSTJS NOTIFICATION TO PERMIT EXTENDED P£AMIT FINA! CERTIFICATE Or 'y _�qMD AtM\.Csl �l- A59E5T05 NOTIFICATION IS NOT APPLICABLE TO PROPOzED DEMOLITION OCCUPANCY ISSUED SIHNATURE: laws of California, and U,. A- 3