HomeMy WebLinkAboutP2022-0359 - PermitsCity of Newport Beach ����t.```"""'''��� III 1111111111111111111111111111111111111111111jj
Community Development Department- g Division P 2 0 2 2 0 3 5 9
100 Civic Center Drive, Newport Beach, CA`92( 6r�/"in
Permit Counter Phone: (949) 644-3288 0 V8A
Inspection Requests Phone: (949) 644-3255 !�
newportbeachca.gov/inspections ,"'®
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Plumbing Permit
Plan Check No :
Work Class : Other
Issued Date :
Inspection Area : 5
P2022-0359
fir: Wj
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAS SPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDA I DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 230 POPPY AVE Legal Desc : N TR 673 BLK A LOT 24
Description: PLUMB -WATER HEATER REPLACEMENT
Owner:
AHMAD HABIBI
Address :
230 POPPY AVE CORONA DEL MAR, CA 92625
Phone:
(301)580-8444
Applicant :
AHMAD HABIBI
Address :
230 POPPY AVE CORONA DEL MAR, CA 92625
Phone:
(301)580-8444
Owner/Builder: AHMAD HABIBI
Address:
230 POPPY AVE CORONA DEL MAR, CA 92625
Phone:
(301)580-8444
Code Edition
: 2019
Type of Construction
:
Building Setbacks : Front: 10, Front: 1, Side: 3, Side: 3
Flood Zone
: X
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY: O '
SPECIAL CONDITIONS:
Contractor
Address
Phone:
Con State Lic
Lic Expire
Bus Lic:
Bus Lic Expire:
Workers' Compensation Insurance
Carrier :
Policy No
W. C. Expire:
Fire Hazard Zone: NO
Occupancy Groups :
OWNER -BUILDER DECLARATION
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(s)
($action 71 Business and Professions Codel Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior I 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).
❑ 1, as owner of the property,. or my employees with wages as their sole compensation. will do (_) all of or (_) portions of 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 Ihatthe
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 II was not built or
7roved for the purpose of sale).
I, s 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
ap tD 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).
Exempt from licensure under the Contractors' State License Law for the following reason.
By my ignature below I acknowledge that, except for my personal residence in which I must haveresided for at least one year prior to completion of the improvements covered by this permit, I cannot legalit
ructure 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 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:htlp:I/Wu '.leginfo.ca.goWcelaw,html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am I#tensed under provisions of Chapter 9 (commencing with Secti7000) o Division 3 of the Business and Pro s ' ode a K a in full force
and effect. License Class License No Dat Contractor Signature
WORKERS" COMPENSATION DECLARATION.
NANNING: 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 (SI00.0001, IN ADDITION TO THE
COST OF COMPENSATION, DALIAGE3 AS PROVIDED FOR IN SECTION 370 OF THE LABOR COOS, INTEREST, AND ATTOANEY'S FEES.
hereby affirm under penalty 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
`ormance of the workfor which this permit Is issued. Policy No,
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade., for the performance of the work for which this permit is issued. My workers' compensa
irance carrier and policy number are:
of Agent
rtify that, in the perfo manor
I should becomes ct fo
ure of Aoulicallt /! i
Policy Number Expiration Date
work for a Is permit. is issued., I shall not employ any person in any Planner so as to become subject to the workers' compensation laws of California, and
Rtegrs' o , anon provisions of Section 3700 of the Labor Code., I shall forthwith comply withthose provisions.
Date .,
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 3097, Civil Cade).
enders Name Lenders Address
y my signature below, I certify to each of the following:
I am the property owner or authorized to Oct on the preP.owner's behalf.
1 have read this application and the informatio"'fmm,�vd, is correct.I agree to comply with all applicable city and a to Sting to building construction.I authodze representatives of this city or taunpetty for inspection purposes,,,/�./�gnature of Property Owner or Authorized Agent_ 1 Print Property Owner's or Authorized Adoni's Name Yrl %1 M>� ?t�
DATE BY 'I WCLARATION OF COMPbANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
I REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
PERMITEXPIRED
i ❑ Sud ITiJ)ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
Ell
PERMIT EXTENOEO
PERMITFINAL
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2 QL ASSES'FOS NOTIFICATION IS NOT APPLICABLE TO
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