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Home My WebLink AboutP2022-0276 - Permits¢��WPoRT City of Newport Beach p Community Development Department- Building Division y Y 100 Civic Center Drive, Newport Beach, CA 92660 i Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cgl.�peµN�P newportbeachca.gov/inspections Plumbing Permit Plan Check No: Work Class : Other Issued Date : 09/27/2022 Inspection Area :4 P2022-0276 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: 22 ROCKINGHAM DR Legal,Desc : N TR 11449 BLK'LOT 44 Description: PLUM GASLINE TO BBQ Owner: JAFAR ROWHI ASSAF Contractor Address : 22 ROCKINGHAM DR NEWPORT BEACH, CA 92660 Address Phone: (949)910-5068 Phone: '. Con State Lic Applicant : JAFAR ROWHI ASSAF Lic Expire.: Address : 22 ROCKINGHAM DR NEWPORT BEACH, CA 92660 Bus Lic: Phone : (949) 910-5068 Bus Lic Expire: Workers' Compensation Insurance Owner/Builder : JAFAR ROWHI ASSAF Carrier : Address: 22 ROCKINGHAM DR NEWPORT BEACH, CA 92660 Policy No Phone : (949) 910-5068 ' W. C. Expire: Code Edition: 2019 Fire Hazard Zone : NO Type of Construction : Occupancy Groups: Building Setbacks: Front: 5, Side: 5, Side: 5, Rear 10: Flood Zone : X Use Zone : PC - Aeronutronic Ford PROCESSED BY: SPECIAL CONDITIONS: O/B FORM ATTACHED under penalty of perfury that I am exempt from the Contractore`ISlate or she is exempt from Iicensure and y the checkmark(s) I have placed next to the applicable Its,�t�r) kit any structure, prior to its Issuance; also requires the a- LSlxt for 9 (commencing with Section 7000) of Division 3 of the Businessand r any applicant for a permit subjects the applicant to civil penalty of I; 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 the structure is not intended or offered for sale (Section 7044, fness and :Professions Code: The Contractors'. State License Low does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the. rgvements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the.Owner-Bulider will have the burden of proving that it was not built or foved for the purpose of sale), ,L-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 contrac for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensors under the Contractors' State License Law for th . following reason: ny signature below I acknowledge that, except for my personal restde CO k which I must have resided for at least one year prior to completion of the improvements covered by this permit I cannot leg a structure that I have built as an owner -bull r If has not been oc truc d its.onfirory by licensed Contractors. I understand that a copy of the applicabe law, Section 7944 of the Business and fesslons Code, Is available upon request wh n s application 15 su Itte Q t the following Web site:http,//www.leg�ti)fo.co.gov/calaw.htmi. of perjury that I am licensed License License No (commencing with Section 7000) of Division 3:of the Business and. Professions Date Contractor Signature license is in full force iVORKERS' COMPENSATION DECLARATION YARNING: FAILURE TO SECURE wORHERB' COMPENSATION COVERAGE 18 UNLAWFUL, AND SHALL SUBJECT. AN EMpLOYOR TO CRIMINAL PENALTIES AND CIVIL FINES VPTO'ONE'HUNDRED THOUSAND DOLLARS (SI69:999igM ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PR0VIDED FOR IN SECTION 1796 OF THE LABOR CO0E; INTEREST, AND ATTORNEY'S FREE, hereby affirm under penalty.of parjury one of the following declarations~ "I I have and will maintain a certificate of consent to selMnsure for workers' Compensation, issued by. the Director of. Industrial Relations as provided for by Section 3700 of the Labor Code, for th larformance of the work for which this permit is issued. Policy No. _ -1I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performanceofthework for which this; permit is issued, My workers' Compensafior nsurance carrier and policy number. are', ,artier Policy Number Expiration Data dame of Agent Phone # -1I certify that, in the pad manice of the k for win If h this Kermit is Issued. I shall nafempioy anyparso" "' S' manner so as to become subject to the worker' mpensation laws oCCellfomla, and -ogre hat, if I should bee So fact to the works C mp sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1,4rieil of Applicari Da )ECLARATION•I'�L"� DI - ONSTR C 0 NO. AGENCY ,11webyaffirm u fdbf penalty of perjury that a is a most lending agenovtor the performance of the work forwhloh this. permit Is issued,(Section 3097, Civil Code), -enrim's Name • - - Lender's Address )Vnl*signature ,betow.I Certify to each of the following: i.o n the preperry Owner or authorized to act on the property owner's half. • • .I have road this 0pplicahon and the information I have rovIII is co et. rl ,..Lama Io•�Imply with all applicable city and county dinences and t relating to building construction, �,`,('//1 /n� . L authorize representalives of this city or county 6 ter the above-1 n c roperty for inspection purposes. _ , Act- � 4 a � ' RE7t8N PERMIT EXPIRED -PFRMIT:C4NGE LEEP vPERMITEXTENDED PERMIT FINAL CERTfFICATE Of OCCUPANCY ISSUED DATE I BY N RULE NOTAPPLICAaLE. TO