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HomeMy WebLinkAboutP2024-0229 - PermitsaEWPoRr, City of Newport Bealqh,,, ��IIIIIIIIIIIIIIIIIIIIIIINIIIIIIIillll Plumbing Permit: P2024-0229 0� Am Community Development Depertmen6- BuildingDivision o o P 2 0 2 4 0 2 2 9 Plan Check No �' n 100 Civic Center Drive, Newpoa Beach, GA 6260' c � Work Class : Other it y Permit Counter Phone: (949) `!`($-18✓�8 U c o Issued Date : 06/1012024 C14iFORt��P newportbeachca.gov/civic Final Date: Permit Status: Issued on c c u o 0 o u o 0 0 o u Inspection Area: 8 0 0 0 0 0 0 o coa 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 : 1705 CLAY ST Description: MFR R/R SEWER LINE Owner : JUSTIN LIM Address : 2507 SIERRA VIS NEWPORT BEACH, CA 92660 Phone : (626) 497-5525 Applicant: JUSTIN LIM Address: 2507 SIERRA VIS NEWPORT BEACH, CA 92660 Phone: (626)497-5525 Owner/Builder : JUSTIN LIM Address: 2507 SIERRA VIS NEWPORT BEACH, CA 92660 Phone: (626)497-5525 Code Edition : 2022 Type of Construction : Building Setbacks: Front: 20, Rear: 0 Flood Zone: X Use Zone : RM - Multiple Residential PROCESSED BY: Legal Desc : N TR 1220 BLK LOT 17 Contractor : OWNER/BUILDER Address Phone: Con State Lic: OWNER/BUILDER Lic Expire: Bus Lic: Bus Lic Expire: Workers' Compensation Insurance Carrier: EXEMPT Policy No: 0000 W. C. Expire: Fire Hazard Zone : NO Occupancy Groups: 10 C DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) mdicatad oelow _oy die,charxmarli I slave placed next to the applicable item(s) Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, altar, improve, demoi,sh. or reuaii arty sirurlme, odor to its Issuance, also requires the applicant for 1s permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State Liconso Law (CIILpiLr 9 (: omm3ncing will. Section 7000) of Division 3 of the Business and 'rofesslons Code) or that he or she is exempt from licensors 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). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the vrork, end the stacti're is not mtenoad or offered for sale (Section 7044, Lanese and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through emFioyaes• o, pHrs,,nal affor., budGs ar improves the properly, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of Comp;3tion, the Owner-Euildcr will h:.ve the bcrden of proving that it was not built or n roved for the purpose of sale). 6 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 $pry 1 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). vJ'I exempt from licensure under the Contractors' Slate License Law for the following reason pa r u El Vvl� K- r- r s f- � F ly signature below I acknowledge that, except for my personal residence in which I must have resided for at least ono year prior to completion of the improvements covered by this permit, I cannot legall) II a an 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 whe th sop' ton is subm or at a following Web sde:http://www.leginfo.ca.gov/calaw.htmi. O�r a _ 2 L% lignalure of Property Owner or Authorized Agent =_ Date .ICENSED CONTRACTOR'S DECLAIq hereby affirm under penalty of perjury that I am licensed under prov ions f- hapler 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force nd effect. License Class License o Date Contractor Signature COMPENSATION DECLARATION ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000), IN ADDITION TO THE OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -Insure for workerscompensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for 'ormance 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' compensa trance carrier and policy number are: Policy Number Agent Date rtify 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 r if I should become su c to fhors'cor easatlDn provisions of Section 3700 of the Labor Code, I shall todhwith romply with those provisions.lignature of Applicant -_--`yF� _ . Date1 ._. _ )ECLARATION REGA NG COfON LENDING AGENCY hereby 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). .onder's Name Lender's Address ly my signature below. I certify to each of the following: 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 is correct. I agree to comply with all applicable city and county ordinances and stale laws relating to building construction. - I authorize representatives of this city or county t�erihe-abev -i a property for inspection purposes. I ^ -C , I —/O >ionature of PrODertv Owner or Authorized Aoentit / l Print Prooedv Owner's or Authorized ADent•s NameVJ J `C S`� t A/ LL "-%- Date ACTION DATE BY ( DECLARATFDN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 3 PERMIT EXPIRED 6 I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA - - PERMIT EXTENDED PER - _ �AOMD _ NOTIFICATION IS NOT APPLICABLE TO �IPROPOSED - 9 ���� UFICATE OF OCC NATURE:EMOLITION