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Home My WebLink AboutH2022-0465 - PermitsCity of Newport Beach �l_WIPORT o 6+ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 G S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 CqG/FOR newportbeachca.gov/inspections Mechanical Permit Plan Check No: Work Class : Other Issued Date : 09/0712022 Inspection Area : 4 H2O22-0465 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 : 2615 BAMBOO ST Legal Desc : N TR 4892 BILK LOT 60 Description: SFR MECH A/C CHANGE OUT* TIMERS PROHIBITED ON HEAT PUMPS' Owner: GRAMIAN KEVIN / GRAMIAN ANNETTE Address: 2615 BAMBOO ST NEWPORT BEACH, CA 92660 Phone : (949) 573-3093 Applicant : GRAMIAN KEVIN / GRAMIAN ANNETTE Address : 2615 BAMBOO ST NEWPORT BEACH, CA 92660 Phone : (949) 573-3093 Owner/Builder : GRAMIAN KEVIN / GRAMIAN ANNETTE Address: 2615 BAMBOO ST NEWPORT BEACH, CA 92660 Phone : (949) 573-3093 Code Edition : 2019 Type of Construction Occupancy Groups: Fire Hazard Zone: N Building Setbacks : Front: 10, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: Contractor Address Phone: Con State Lie Lie Expire: Bus Lie : Bus Lie Expire: ' Workers' Compensation Insurance .. ' Carrier: >> ' Policy No W. C. Expire: Manufacturer :''s'0TZT' Model# : H#41� 5— /� 4-ij -S✓ , Acwi4UNj--v,AS TIMERS PROHIBITED ON HEAT PUMPS $UBIDP 4 3 V yW AND APPRO VAL f OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for thereasons) indicated below by the checkmark(s) I have placed next to the applicable Iteri (Section 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 the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale 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 licensure 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 not more than five hundred dollars ($500),. 111, 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 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 improve or 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 im r d for the purpose of sale). 1, 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 apply 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 licensure under the Contractors' State License Law for the following reason --------- By 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 improvementscovered by this permit I cannot legally sell a structure that I have built as an owner -builder 11 it has n t been constructed In Its entirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 of the Rtisinesg and Professions Code, is available upon request whe Is a E lion Is submitted or at the following Web site:http:/lwww.leginfo.ca.gov)calaw.html, v q I,.l I Signature of Property Owner or Authorizer) Agent Date/" 1 LICENSED CONTRACTORS DECLARATI N I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Dale Contractor Signature WORKERS' COlr PcolSATION DECLARATION WARNING: FAILURE TO Sae6RE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1S100,000), IN ADOMON TO THE Cd41 OF en MPENSATIO', DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. �I hereby eirirm under penalty of perjury one of the following declarations: n I :,aye 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, performance of the'rcrk for which this permit is issued. Policy No. Q; have and will nr iutain 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' compensation insurance carrier .no pc:ic,y number are: Policy Number Date Is. of Agent Phone N certify'. that, In 'he performance of the work for which thispermit is issued., I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and , It I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. na,u,ru of Applicant.._., _____ Date,�„m CLARATION REGARDING CONSTRUCTION LENDING AGENCY ereby affirm 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). Ides s Name _ Lender's Address my signature below, certify to each of file following: I am the property owner of authorized to act on the property owner's behalf. I have read this application and the information I have provided is Correct. I agree to comply with.. all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county tD enter a above -identified property for Inspection purposes. nature of Property Owner or Authorized Ageni M Print Property Owner's or Authorized Agent's Name ilY `tom I -PC t DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFGUTATIONS PART Fl OFTITLE 41 AND AOMD RU LF PERMIT EXPuIED LJ I SUBMITTFD ASBESTOS NOTIFICATION TO PERMIT CANCELLED TYEIPA PERNINTEXTENDED L LlgOroD , PfPoN1T FINAL ❑ ASBESTOS NDl'IFICATION 15 NOT APPLICABLE TO CERTIFICATE of s PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: 9/1