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Home My WebLink AboutP2023-0244 - Permits�EWPpRT City of Newport Beach II II II IIII I IIII II III IIIIIIIIIII IIIIII II COMB Permit : P2023-0244 Community Development Department -Building Division P 2 0 2 3 0 2 4 4 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: yam. Permit Counter Phone: (949) 718-1888 Issued Date : 07/03/2023 a newportbeachca.gov/civic Final Date: CgGiFp RN�P Combination Type - Permit Status: Expired Work Class - Simple Inspection Area : PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LAT - THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY APES A NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address: 2215 GOLDEN CIR Legal Desc : t��} Description: REMOVE AND REPLACE WATER HEATER (50 GAL) SAME LOC ONyI�N&ARAGEo,0 �" Owner: HAUSER DIANE H TR HAUSER FAMILY TR Contracto SERV 6 HAMP�&J S HTG Akhitect Address : 2215 GOLDEN CIR Addre 31lVREF V Address NEWPORT BEACH, CA 92660 '' �4 1^4^, CAt 21 phone';_ Phone: rone : li 777 Con State Lic :9 O(C�' State Li Lic ire: 10/31/2Q Applicant : BEN MEDINA Bui Lic: a BTO0 105 Engineer Address: 31225 LA BAYA DR Bus Ll x0 31/2024 Address WESTLAKE VILLAGE, CA 913 Phone: (818) 735-7876 2 kt� Copapensation InsuranceJ;orie ' ERESIER INSURANCE CO Carr Owner/Builder : HAUSER DIA TR HAU FAMIL of No C 54231 Designer Address : 2215 GOLDEN Expir8 12 . °� al Address NEWPORT ACH, CA 60�'' �a x2 Phone: Pho : Code Edition : 2 tre Sprinklers NO �i0C ctii aluation Type of Construction ' Q Fite Hazard Zone : �O ed/ w/TI sq. ft. Bldg : 0 Occupancy Groups : R ,� � No of Units : 1 � �. ion sq. ft. Bldg Bldg Height: ` ? �No of Stories: ded/New sq, ft. Garage: 0 -, TOTAL sq. ft. : 0 Building Setbacks Flood Zone: � &� Use Zone 401 �dl PROCESSED BY: ?t SPECIAL CONDITIONS: y�� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) ction 7031.5. 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 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 fessions 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 fora permit subjects the applicant to a civil penalty of more than five hundred dollars ($500). J ],as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and thf usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employeespr nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion 01 nproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7 usiness and P poly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed C ctor pursuant to the I am exempt from licensum under the Contractors' Slate License Law for the following reason: y my signature below I acknowledge that, except for my personal residence in which I must have reside rat lea toe a year oho( to ell a structure that I have built as an owner -builder it it has not been constructed in its entirety, by tic d contraFlp�1undeyy��.�.�,,,,tLLt'��ClQhat a 'rofessions Code, is available upon request when this application is submitted or at the followin eb site:htt�QlyRvwJe ' fd+s133.Z�ov/calaw. signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION `\ ` o O structure is not intended or offered for sale (Section 7044, Gonal effort, builds or improves the property, provided that the uilder will have the burden of proving that it was not built or Code: The Contractors State License Law does not s' State License Law). hereby affirm under penalty of perjury that I am licensed under provisions of Ch 9 (commencing with SGN7000) of Divis' 3 of the Business and nd effect. License Class License No � O ate Contractor Siana :RS' COMPENSATION DECLARATION FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS :OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 0 hereby affirm under penalty of perjury one of the followi clan I have and will maintain a certificate of cons o self-insu ierformance of the work for which this permit' sued. PAljpy ya :1I have and will maintain workers' Corel itiv6s, as nsurance carrier and policy number are: .-1 1 J` 4th Policy ne of Agent certify that, in the performance of the work for , if I should become subject to the workers' co iature of Applicant AND SHALLSdbUECT AN EMPLOYER TO C%Mi PENALTIES AND CML FINES UP TO ONE HUNDRED i COD EREST, AN1 ITTORNEY'S FEESlJ compensation. Issned by the Director of Industrial Relations as of the Lab'O&Codaor the performance of is issued I shall not employ any person in ionsf Section 3700 of the Labor Code, I rely affirm under penalty of perjury that there is a constrddtiOn:lending agency for the performance of the Wirk for which this Ider s Name '�.r—.a Lenders Address my signature below. I certify to each of the followiflg I am the property owner or authorized to act on the roperty`ow er's behalf. I have read this application and the information I ha provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating, to building cori I authorize representatives of this city or county to enter the above -identified property for inspection pulps nature of Property Owner or Authorized Agent .... Print Paebertv ACTION PERMIT EXPIRED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUEO DATE I BY OF COfvIRUANCE VIT PART fit OF TITLE 40 1403 LJ ASBESTOS NOTIFICATION ITNOT APPLICABLE TO PROPOSED DEMOLITION USE ONLY Name rents covered by this permit, I cannot law, Section 7044 of the Business and Date Code, and my license is in full force provid(or by Seor F � a rc � i � Ich this permit is I' AS I to�wer=c BID AleLd,)_ A IAcr , LIARS ($100,000(, IN ADDrrION TO THE 3700 of the Labor Code, for tht sued. My workers' compensation qa Ition laws of California, and agree Date