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HomeMy WebLinkAboutP2022-0225 - Permits�gvaC, City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive Newport Beach, CA 92660 Permit Counter Phone (949) 644-3288 U Inspection Requests Phone: (949) 644-3255 newportheachca.govlinspections Plumbing Permit : P2022-0225 Plan Check No : 0085-2021 Work Class : Other Issued Date : OB12312022 Inspection Area : 3 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 : 20171 BAY VIEW AVE Legal Desc : N TR1507 BILK LOT 9 Description: DETLA 8 REVISION: ADD GAS LINE FOR FUTURE EXT BBQ ISLAND. (X2021-0081) Owner: FARAH FARHAD TIRE FARAH SEP TR Address : 3366 FUCHSIA ST COSTA MESA, CA 92626 Phone: Applicant : FARAH FARHAD TIRE FARAH SEP TR Address : 3366 FUCHSIA ST COSTA MESA, CA 92626 Phone: owner/Builder: FARAH FARHAD TRF FARAH SEP TR. Address: 3366 FUCHSIA ST COSTA MESA, CA 92626 Phone: Code Edition : 2019 Type of Construction : Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 25 Flood Zone : X Use Zone : SP-7 - Santa Ana Heights Specific Plan PROCESSED BY: Contractor Address Phone: Con State Lie Lie Expire Bus Lie ; Bus Lie Expire: Workers' Compensation Insurance Carrier: Policy No W. C. Expire Fire Hazard Zone : N Occupancy Groups: OWNER -BUILDER ❑ECLARATION. I hereby affirm under penalty of perjury that I'. am exempt from the Contractors' State License Law for Lhe reason(s) Indicated below by the checkrnark(s) I have placed next to the applicable @enl(s) (Section 7031.5, Business and PFofe5aOrI8 Code: Any city or county that requires a permit to construe(, alter, Improve, demolish, or repair any structure, prior tells Issuance; also requires the applicant for the permit to fle a signed slatoment Ihet tie or she is Iicersod 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 licensors and the basis for the alleged exemption. Any violation or Section 7031.5 by applicant for a permit' subjects the applicant to a civil penalty of not more than five hundred dollars (S500), 1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure Is not Intended or offered for sale (Section 7044, Business and Proressions Code; The Contractors' State License Law does not apply to an cvyner of property whq through employees' or personal effort, builds or Improves the properly; provided Ihal the 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 it was not built or Improved 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' Stale License Law does not apply to an owner of property who bulids or improves: thereon, and who contractsforthe projects with a licensed Contractor pursuant to the Contractors' State License. Law), © I am exerltpl from icensure under the Contractors' Stale License Law for the following reason: ------tone year _ prior to prov --- -this-- ot leg.. By my signature below I acknowlBUga that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered bythis permit, I cannot legall• sell a structure that I have built as an owner -builder if It has hot been constructed in its entirety by licensed contractors. t understand that a copy of the. applicable law, Section 7044 of the'5usiness and Professions Code, Is available upon request when this a alion Is submltte aL Ina following Weld site, liltp:lfw,vw,leginfo.ee.gov/calow.�html. �p Signature or Property Owner or AuthorizedAgent;:,_'—' ,�, Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Seddon 7000) of Division 3 of the Business and Profes tons Code, and my license is in fill farce and effect. License Class License No a [ctox-Signature--� NORKERS' COMPENSATION DECLARATION T NARNING: FAILURE r0 SECURE WORKERS' COMPENSA7ION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER To CRIMINAL. PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1S1b0,0001, IN ADDITION TO THE e05T OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706.OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, ^ hereby affirm under penalty of perjury one of the following declarations: -1 1 have and will maintain a certificate of consent to self -insure for workers' Compensation, Issued by the Director of Indusfrtal. Relations as provided for by Section 3700 of hie Labor Code, for in Jerformance or the work for which [his permit Is issued, Policy No. have andwill 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' ranee carrier and policy number are: Policy . Number a of Agent Dale 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 Califom[e, and agre ra ,. if I should become subj - the worker rr,mr,<,;.jlon provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions, }� I,ynalure o(Appifoanl x.,_- Dale/ � _3 - 3< DECLARATION R6GARCING-L-1rMC1ING AGENCY �^ hereby alfirrn 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 Code). emivra Name _ Lender's Address y my signature be'cw, I certify to Bean of the following, 19.n the properly owner or authorized to act on the property owner's behalf, I have read',h€s I+Frlicalton and the information I have provided is correct.. I agree to cr,mply with all applicable city and county ordinances and slate laws relating to building construction, I authorizp representatives of this city or coulr the Shrive-inenllFled property for Inspection purposes. Y ACTION DATE By DECLARATION OF COM E WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLEa0 ANN AQ1 RULE 14W VEPIV '7 kXl'+(NFU PERMIT CANCO LFL, PEPNIIT FMENOED PEPINAI. OERr(FtPitFILATE OF OCCUPANCYISSUFO FICATION TO U�ASBESTOSNOT FICATIONISNOT APPLICABLE TO 'PROPOSED DEMOLITION SIGNATURE: Name 7L t-P./Z-e- IN All required alarms, latches, gates and fences which serve as part of a pooll'spa barrier, shall be In place prior to approval to fill pool/spa &shall remain In place & be maintained for the life of the pool.