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Home My WebLink AboutP2022-0216 - Permits�aEWPoRr City of Newport Beach o @ 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 °gc�Foa�'�P newportbeachca.gov/inspections Plumbing Permit Plan Check No : Work Class : Other Issued Date : 08/18/2022 Inspection Area : 6 P2022-0216 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 : 603 IRIS AVE Legal Desc : A TR CORONA DEL MAR BLK 635 LOT 3 Description: WATER LINE/GAS LINE FOR NEW DUPLEX Owner: NABIL MAKARI Contractor : GERALD MORSE GORDON Address : 603 IRIS AVE NEWPORT BEACH, CA Address: 415 GLOUCESTER DR. COSTA MESA, CA 92627 Phone : (714) 951-4077 Phone : (714) 277-9233 Con State Lic : 453608 Applicant: GERALD MORSE GORDON Lic Expire : 03/31/2024 ... .. .. Address : 415 GLOUCESTER DR. COSTA MESA, CA 92627 Bus Lic : BT30079505 Phone: (714) 277-9233 Bus Lic Expire:08/18/2023 Workers' Compensation Insurance OwnerlBuilder: Carrier: - .. Address : Policy No: EXEMPT '.. Phone: W. C. Expire: .. Code Edition : 2019 Fire Hazard Zone: N Type of Construction : Occupancy Groups Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone: R-2 - Two -Unit Residential PROCESSED BY ISri-7IEkr-%.T OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that t am exempt from the Contractors' Stale License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable item{s) (Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, after, 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). 1, 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 (Suction 7044, Business and Professions Cede: 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 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 bulltor im roved 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 ra�wply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law). LJ 1 am exempt front licensure under the Contractors' Stale License Law for the following reason: T - 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 improvements covered by this permit, I cannot legall7 SO a structure that I have built as an owner-bulldor if it has not been constructed in its entirety by licensed conlractom.. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, Is available upon request when this application is submitted or at the following Web site:http://w .leginto.ca.gov/calow.btmi. Signature, of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000j of Division 3 of the Business and Pro(esslor Code, and my liegnse is In full force Lad effe. t. License Class License No Date Contractor Signature 7�<-n�'� itfORKCRS' COMPEASATION DECLARATION NABNINJ: 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 (5100400). IN ADDITION TO THE Cos'I or t:OMPENSATIJN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under peoaity of perjury one of the following declarations: A I 'Icve 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 th r911-nance of the work for which this permit is issued. Policy No. haae 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' :,..rc�Arrier and policy number are: Policy Number ,(Agent _ Date - (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 California, and agre rat. if I should become subject t he workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Ilgnature of Apphcan[ - - �" 2 .�U-�,el .- .1 �:�' 1___..__._.._ Dal . �& • Z �._.e..__ IECLARATION REGATCONSTRUCTION LENDING AGENCY hereby affirm under p�nally 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), enders Name _ Lender's Address ly my signature below, f 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 slate laws relating to building construction. I authorize representatives of this city or countyto enjer the above--identifi property for Inspection purposes, y- {ionature of Property Owner or Authorized Agent" -,,' / L �-z�( i �, -- Print Property Owner's or Authorized Agent's Name-/;�-_-._ iZ k1 L J Gc%k=Vul. DaUAI ✓fr- 2 L ACTION DATE BY I I DECLARATION Of COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 FOR OFFICE USE ONLY ' I PFRMti EXPfREfiU I SURMITTEO ASR65TO5 NOTi HCATI ON TO --PERMITCANC€LLEn - - - - I All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall PERMIT EXTENDED —� _EIEPA AQ�— be In place prior to approval to fill pool/spa & shall remain In place & be maintained for the PERMIT FINAL ASBESTOS NOTIFICATION 15 NUT APPLICABLE TO life of the pool. CERTIFICATE OE PROPOSED DEMOLITION OCCUPANCY155UEO __.._._._.—.__.. ___ _ SIGNATURE: _-_--_ _—_.T_..v_.__ ..T__.__.� .--__._._—____-______.._._._.__ �`n � ram'-