The URL can be used to link to this page

Home My WebLink AboutP2018-0344 - Permits1eI City of Newport Beach - Building Division11111111111111p11111p1111111111111p111111111111111 1 100 Civic Center Drive, Newport Beach, CA 92660 2 0 1 8 0 3 4 4 w Permit Counter Phone (949)644-3288 Job Address: 25 DORIAN Bldg: 1 Floor: Suite: Description of Work: PLUMB GASLINE TO FIRE PIT (S2018-0182) Inspector Area: 6 Code Edit 2016 Legal Description: N TR 14895 LOT 15 Owner: JAZAYERI MICHAEL Contractor: DREAMSCAPES BY M G R INC Address: 25 DORIAN Address: 1901 NEWPORT BLVD #350 NEWPORT COAST, CA FEES COSTA MESA CA 92627 Phone: Phone: 949-480-3420 Con State Lic:694588 Issued Date:10/11/2018 Lic Expire: 10/31/2019 Misc. Bus Lic: BT30052223 Processed B • Lic Exp Date: 0 8131/2 01 9 PLUMBING Permit: P2018-0344 Project No : 2403-2018 Inspection Requests Phone (949)644-3255 M rr Worker's Compensation Insurance - Carrier: WESCO INSURANCE PolicyNowWC3348393 Expire: 04/06/2019 ° ° ° PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. FEES Bathroom Fixtures Kitchen Fixtures Misc. Misc. Other Toilet: 0 $0.00 Kitchen Sink: 0 $0.00 Water Piping: 0 $0.00 Roof Drain: 0 $0.00 $0.60 Bidet 0 $0.00 Garbage Disp: 0 $0.00 Water Softener: 0 $0.00 Grease Trap: 0 $0.00 Urinal 0 $0.00 Bar Sink: 0 $0.00 Water Heater: 0 $0.00 Grease Interceptor:0 $0.00 Bath Tub: 0 $0.00 Vegetable Sink: 0 $0.00 Gas up to 4 outlets: 1 $7.00 P -Trap: 0 $0.00 Record Mgmt Fee: $0.00 Shower Stall: 0 $0.00 Ice Maker: 0 $0.00 Gas over 4 outlets: 0 $0.00 Sewer Investigation: $0.00 Wash Basin: 0 $0.00 Dishwasher: 0 $0.00 Backflow up to 2": 0 $0.00 Sewer: 0 $0.00 Plan Check: $0.00 Hydro -Mass Tub:0 $0.00 Lndrylrrap: 0 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair:0 $0.00 Issuance: $35.00 Floor Sink: 0 $0.00 Regulator: 0 $0.00 Hose Bibb: 0 $0.00 Sewer Abandon: 0 $0.00 Supplemental Fee: $0.00 Floor Drain: 0 $0.00 Lawn Sprinkler: 0 $0.00 Drinking Fountain: 0 $0.00 Additional Fee: $0.00 TOTAL: $42.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $42.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) (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' 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 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 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' 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). ❑ 1 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 improvements covered by this permit, I cannot legall) sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION '-liv;etJy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S ction 7000) of Division 3..of.- Busi ss and P fessions Code, nd my license is in full force andtect.••••• ) 6 !!cease Class .... • License No L -Date / a I I Co c o e NGRAERS' COMPENSATION DECLARATION NARKING: FAIL UEfN�J77O SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE :G$T•OF COM EN DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. rgr.eby affirm ylnderpenalty of perjury one of the following declarations: ... e� V Rave 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 the ?iS*0snce of the work for which this permit is issued. Policy No. ( *intain 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' and policy number are: 'er ie of Ageflt •• certify that, in thepertorrr99aa�e of, if I should become splAect to the Policy Number Date work for which t is 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 rkers' compen tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those proolons. / 1 r CLARAiRDING CONSTRUCTION LENDING AGENCY `' - / 3reby affirm under))eoal y-af4m rja ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ider's Name Lender's Address 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 provi orrect. VV I agree to comply with all applicable city and�enter ntes ands a laws relating to building construction. I authorize representatives of this city or coue above-ide ified property for inspection purposes. !nature of Property Owner u red Ag Print Property Owner's or Authorized A /0 ACTION s DATE BY DECLARATION OFCOMPLIA CEWITN CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OFTITLE40AND AQMORULE1403. PERMITEXPIRED ❑ iSUBMITTEDASBESTOSNDTIFICATIONTO. ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED 0 ASBESTOS PROPOSED DEMOLIT ON AONlS NOT APPLICABLE TO PERMIT FINAL CER77FICATE OF SIGNATURE: OCCUPANCYISSUED