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Home My WebLink AboutP2022-0266 - Permitsa�WPoR� City of Newport Beach II II I I II I II I II II I III II II p� @ Community Development Department- Building Division Plumbing Permit: P2O22-0266 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: ,I. Permit Counter Phone: (949) 644-3288 Work Class : Other a,* Inspection Requests Phone: (949) 644-3255 Issued Date : 1/2022 newportbeachca.gov/inspections f7' r' Inspection Area : 1 V. 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 : 118 44TH ST Legal. Desc : A TR RIVER SECTION BLK 43 LOT 8 Description: PLUMB: REPLACE WATER HEATER ' Owner: Elmer Lavertu Contractor :. GREEN GLOBE PLUMBING Address : 6910 Galatina Place Rancho Cucamonga, CA 91701 Address : 2619 SANTA ANA AVE, L COSTA MESA, CA 92627 Phone: (951)205-6131 Phone: (949) 8733393 Con State Lic : 965547 Applicant : GREEN GLOBE PLUMBING Lic Expire i 09/30/2023 Address : 2619 SANTA ANA AVE, L COSTA MESA, CA 92627 Bus Lic: BT30079740 Phone: (949)873-3393 Bus Lic Expire:09/30/2023 Workers' Compensation Insurance Owner/Builder : Carrier : EVEREST PREMIER INSURANCE COMPANY Address : Policy No: 7600022812211 Phone : W. C. Expire;: 11/4/2022 Code Edition i 2019 Fire Hazard Zone : NO Type of Construction : Occupancy Groups Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5. Flood Zone: X : Use Zone: R-2-Two-Unit Residential � ��1�� o�`-� �°' NZTFIo CTIO PROCESSED BY: SPECIAL CONDITIONS: HIGH DENSITY ZONE ON THE WEEKEND °aaa 3 agga° a ° - • J qa Gq ° q bo•aco � q Cqy q aati� OWNER -BUILDER DECLARATION I hereby affirm under penal€y of perjury that I am exempt from the ContractorsState License taw for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) Section 7031.5, Business arW 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 ie permit to file a signed statement that he or sheis 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 licensum andthe 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 L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 proper, provided that the • prove ments are not intended or offered for sale. If,: however, the building or improvement is sold within on year of completion, the Owner -Builder will have the burden of proving that it was not built or •proved 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 ly 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).. 1 I am exempt from licensure, under the Contractors' State License Law for 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 legail) ell a structure that I have built as an owner -builder if it has not beenconstructed in its entirety by licensed contracla IS. I understand that a copy of the applicable law, Section 7044 at the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web sits:hRp:ll w .leginfo.ca.govtcalaw.h€ml. signature of Properly Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby of inn under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions � ]'yens in full force Ind effect. License Class License No Date 1 -2 Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANO DOLLARS ($100,000), IN ADDITION TO THE AST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 37H OF THE LABOR CODE, INTEMST. AND ATTORNEY'$ FEE& hereby affirm under penalty of perjury one of the following declarations: J 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 rerformance of the work for which this permit is issued. Policy No. 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' compensatior Insurance carrier and policy number are: Camier Policy Number Expiration Date Name of Agent Phone If [I€ 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 laws of California, and agmi that, If should become subject to the worke ensatio visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date DECLARATION REGARDING CON OTION LEND€NG AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency tar the performance of the work for which this permit is issued (Section 3097, Civil Code). Lenders V91TIe , Lenders Address By my signettaYbelow. I certify to each of the following: : • • • ; I am the llrgp4ty owner or authorized to act on the property owner's behalf. • • I have`nm&aiiis application and the information I have provided is Correct • I agree tocomply with all appiieable city and county ordinances and stet r fng to building Construction. �� ` • • I authorii;e reinesentatives of this city or County to enter the abo ed erty for inspection purposes. n+r 5 �GJn'/Gf j • 'nature MPro e;v Owner or Authorized. Agent Print Property Owner's or Authorized Agent's Name Date ALTION . • OATS BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ...... REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE ..• �•• 1403 I _ EFRVI7 EXPIRED I U1 SUBMITTED ASBESTOS NOTIFICATION TO ` ?FSI&J1i F1MAP'••` • fg' Z.j �q ASBE5T0S NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF 1i PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: