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Home My WebLink AboutP2022-0146 - Permitse �vuPORT City of Newport Beach p 6 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 U = Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections II I I II I II I II III IIII II Plumbing Permit : P2022-0146 Plan Check No : 1561-2022 Work Class : Other Issued Date : 08/24/2022 Inspection Area : 4 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 : 2615 BAMBOO ST Description: PLMB - GAS LINE FOR 2 FIRE BOWLS Owner: KEVIN GRAMIAN Address : 2615 BAMBOO ST NEWPORT BEACH, CA 92660 Phone: Applicant: P6/R- l tovs Address Phone : Owner/Builder : Address Phone: Code Edition : Type of Construction Legal Desc : N TR 4892 BLK LOT 60 Building Setbacks : Front: 10, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY Contractor : POOL ICONS INC CTrl Address : 15935 DEL PRADO DR HACIENDA HEIGHTS, CA 91745 Phone : (562) 455-8883 Con State Lie: 479446 Lie Expire : 10/31/2023 Bus Lie: BT30077496 Bus Lie Expire:12/31/2022 Workers' Compensation Insurance Carrier: STATE FUND Policy No: 9268030 W. C. Expire: 1/1612023 Fire Hazard Zone: N Occupancy Groups: I hereby affirm under penally of perjury that t am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkrnark(s) I have placed next to the applicable ftemjs) 9ectlon 70315, Business and Professions Code: Any city or county that requires a permit to construoh after, improve, demolish, or repair any structure, prior to AD Issuance, also requires the applicaA` ur to pormlt 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 'rofessions Code) or that he or she is exempt from lleensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit Subjects the applicant to a civil penalty of OF more than five hundred dollars ($500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) ail of or L_) 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 nprovemenis 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 nyproved for the purpose of sate). .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 P,ply 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). ..l I am exempt front licensure under the Contractors' Stale License Law (or the following reason! ly 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 legall) ell a structure that I nave built as an owner-buiidar 1f it has not been constructed in its entirety by licensed contractors. I understand that a copy of tho applicable law. Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:ftwww.leginfp.ca.gov/calaw.html. signature of Property Owner or Authorized Agent s Date .iCENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ) of rvisidn 3 of the Business and Prates, i es ,and my Iicen e's'fn full force no effect. License Class License No Dat _ ZY- 2 7-Contractor Signature ' COMPENSATION DECLARATION FANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND. SHALL SUBJECT AN EMPLOYER TO C. DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES, hereby affirm under penalty of perjury one of the following declarations: RIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNO D TN USAND DOLLARS (5100,000), IN ADDITION TO THE 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 Fprmance of the work for which this permit is issued. Palley No, and will maintain workers' compensationinsurance, 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: _ Number Expiration Date lama of Agent Phone # 11 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 taws of California, and agre mat.. if I should become subject to the w cars com enewdon provision of Section 3700 of the Labor Code, I shall forthwith comply win those provisions. n ^� Rgnatum or Applicant_ __ ZZ )ECL.ARATION REGAR CONSTRUCTION LENDING AGENCY hereby affirm under ponaity perjury that there is a construction ten Ind�ncy for the performance of the work for which this permit is issued (Section 30g7, Civil Code). tinder's Name Lender's Address ly 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. 1 agree to comply with all applicable city and county ordinances and stale laws relating to building construction. I authorize representatives of this city or county to enttU the ahpnve-id tip' d property for Inspection purposes. /�� /,�/f Q (� �o iionature of PrODOPIN Owner or Authorized Aoent_ �t/�� _11_1 /��/% Print Property Owner's or Authorized Agent's Namef X VO,VLe, <�L N `t r i ei-C Z Date Lr 1- Z Z ACTION DATE ( BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL ( REGULATIONS PART St OF TITLE 40 ANDAQMD RULE 1403 FOR OFFICE USE ONLY PE?MIT EXPI&EO 01 SUBMITTED ASBESTOS NOTIFICATION TO NH required alarms, latches gates and fences which serve as part of a pool/spa Darner, shall PERMIT CANCELLED DEPA p€RMriExtENDEO PERM(T RNAI. �AgMQ y / ASBESTOS NOtIfiCATION k5 NOY APPLICABLE TO � 3 bp in place prior to approval to fill pool/spa &cshall remain in place & be maintained for the Ilfe of the pool. CENTIFICA)LE of 1 PROPOSED DEMOLITION OCCUPANCY (SSUEO SIGNATURE: