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Home My WebLink AboutP2022-0229 - PermitsEWPc, City of Newport Beach Community Development Department- Building Division _ 100 Civic Center Drive, Newport Beach, CA 92660 a Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Cq</FORN`P newportbeachca.gov/inspections Plumbing Permit Plan Check No: Work Class : Other Issued Date : 08/24/2022 Inspection Area: I P2022-0229 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 : 423 31 ST ST Legal Desc : A TR LANCASTERS ADD BLK 431 LOT 16 Description: PLUMB - 2 GAS LINES (DRYER, 1 NEW METER) Owner: BRASELLE MERIAM TR Contractors GEERS PLUMBING INC Address : 536 POPLAR ST LAGUNA BEACH, CA 92651 ' Address : - 222 EAST ADAMS AVENUE HUNTINGTON BEACH, CA 92648 Phone: Phone: (714)5361449 Con State Lie : 711505. Applicant: GEERS PLUMBING INC Address : 222 EAST ADAMS AVENUE HUNTINGTON BEACH, CA 92648 -Lie Expire: 04/30/2023 Bus Lie: BT30079550 OR Phone: (714)536-1449 Bus Lie Expire:08/31/2023 Workers' Compensation Insurance Owner/Builder : Carrier : OAK RIVER INS CO Address : : Policy No: GEWC221453 - Phone: ' W. C. Expire: 8/1/2023 Code Edition : 2019 Fire Hazard Zone : N Type of Construction : Occupancy; Groups Building Setbacks Flood Zone: X Use Zone: MU-CV115TH ST - Mixed -Use Cannery Village and 15thStreet PROCESSED BY: LY , •PA PS "a h®8 �• by 6Y T33 q LU �Ua U �v9 T I hereby affirm under penalty of perjury that t amexempt from the Contractors- State License Law for the reasons) indicated below by the cheekmark(s) I have placed next to the applicable Item(a) _ 3ectlon 7031,6.. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior toitsIssuance, also requires the applicant le in permit to file a signed statement that heor she is licensed pursuant to the provisions of the Contraetorsr 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 kdensure 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 '.. 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 U portions of the work'; and the structure is not intended or Offered for sale (Section 7044, usiness 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 that the nprovements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-8uitder will have the burden of proving that It not built or mroved for the purpose of sale). 11, as owner of the property, am exclusively contracting With licensed Contractors to construct the project (Section 7044, Business and Professions Gods: The Contractors' State License Law does not 5ply 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). I am exempt from lioensure under the Contractors'Slate License Law forthe 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 legally ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted orat the following Web site:http:livww.leginfo.ca.govie law.htmi. signature of Property Owner or Authorized Agent Date .IGENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that i am licensed under provisions of Chapter9 (commencing with Section? OO) D I ion 3 of the Business and Professions Code, a _XJ se is in full force nd effect. License Class License No Da� Contractor SignatureN WORKERS' COMPENSATION DECLARATION ✓\ 'ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL., AND. SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONEHUNDREDTHOUSAND O S tatsa.aoal'. IN ADDITION TO THE OST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3M OF THE LABOR CODE, INTEREST,: AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of they following declarations: I I have and will maintain a certificate of consent to self -insure for workers' compensation, Issued by the DirectorofIndustrial Relations as provided for by Section 3700 of the Labor Code; for flu e rmance of the work for which this permit is issued. Policy No, ave and will maintain workers' compensation insurance. as required by Section 3700 of the Labor Code, for they performance of they work for which this permit is issued. My workers compensatior s nce carrier and policy number are: Brier Policy Number Expiration Date lame of Agent. Phone # 1I certiry that, in the performance of the or w It permit issued, I shall not employ any person in any manner spas. to become subject to the workers`Oompensation. taws of California, and agrer Cat, if I should become subject to the Wo p nation provisions of Section 3700 of the Labor Code; I shall forthwith comply with those provisions. ignalure of Applicant Date iECLARATION REGA I "CONS T CTIO LENDING AGENCY hereby affirm under penalty of perjury that t re is a construction lending agency for the performance of the work for which this permit is, Issued (Section 30 'vil Code). enders Name. Lender's Address ',y my signature below, 1 Oertlfy to eeOh' the foltowing: I am the property owner or authorized to act on the: property Owner's behalf. I have read this application and the information I have provided incorrect. I agree to comply with all applicable city and County ordinances and to laws. relating to building construction, I authorize representatives of this city or county tg anle>_iha move-,i njlW property for inspection purposes. PERMIT PERMIT EXTENDED CERTIFICATE OF DATE I RY U 1JECLARATION OF COMPLIANCE WITH CODE OF FEDERAL ( FOR OFFICE USE ONLY EGUtATIONS PART 61 OF TITLE 40 AND AQMD RULE All required alarms; latches gates and fences vibich seas pot ofapool)sga barrier, shall be In plats prior to approval to fill pocW'+spa8 stlail re6m npricq & lie maintained for the NOTIFICATION IS NOT APPLICABLE TO life of the pool ° •• °• fi° • • a e++