HomeMy WebLinkAboutP2018-0260 - Permitst " City'of Newport Beach - Building Division IIIIIII�IIIIIIIIIIIIIIIIIIII�IIIIIIIIIII II
100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 e 0 2 6 0
q _ Permit Counter Phone (949)644-3288
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Job Address: 2232 PORT DURNESS PL Bldg: 1 Floor: Suite:
Description of Work: PLUM GASLINE TO BBQ AND FUTURE POOL EQUIPMENT
Inspector Area: 4 Code Edit 2016
Legal Description: N TR 7845 LOT 115
Owner: NIETO THOMAS AND MARSHA
Contractor:
LA PAZ LANDSCAPE DEVELOP
Address: 2232 PORT DURNESS PL
Address:
10 PORTLAND PL
NEWPORT BEACH, CA 92660
FEES
LAGUNA NIGUEL CA 92677
Phone:
Phone:
949-443-4200
Con State Lic:937052
Issued Date:08/061201
Lic Expire:
09/30/2018
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Lic:
BT30059605
Processed By:
Lic Exp Date:
07/31/2019
PLUMBING Permit: P2018-0260
Project No : 2518-2017
Inspection Requests Phone (949)644-3255
Worker's Compensation Insurance -
Carrier: STATE COMP. INS
Policy Nc:9210309
Expire : 05/11/2019
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TOTAL: $39.00 Plan Check Fee: $0.00 Fee Due at Permit Issuanbe : $39.00
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.
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
$0.00
Bidet
0
$0.00
Garbage Disp:
0
$0.00
Water Softener:
0
$0.00
Grease Trap: 0
$0.00
$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
$6.00
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
Lndry/Trap:
0
$0.00
Backflow over 2":
0
$0.00
Sewer Alter/Repair:0
$0.00
Issuance:
$33.00
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: $39.00 Plan Check Fee: $0.00 Fee Due at Permit Issuanbe : $39.00
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.
)WNER-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
lot more than five hundred dollars ($500).
1, 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
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).
1 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 oyvppi 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 efts tfflm licensure under the Contractors' State License Law for the following reason:
3y my signalurLe gejow 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,
• •Se:l 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
Professionsr Cole, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw. html.
Signature of Prllperty Owner or Authorized Agent Date
��
.000,LICENSED CONTRACTOR'S DECLARATION
I hlrP.by affimr under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wi SePNALPENALTIES
of Division 3 of the Busine PUNDREDoe d Ic nse is in full force
2ns effect. ••. 'r� G�
License Clasy " • License No `�� Date Contractor Signature
VO'RKERS' CQMPENSA ION DECLARATION
rM¢NIA : FAILURElTO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER O CRAND CIVIL FINES UP TO ARS ($700,000), IN ADDITION TO THE
;OST ogcOMPE*m4nISN,:)AMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S EES.
Dgreb�; affirm and er1 enalty of perjury one of the following declarations:
201•I1ave ando%li 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 Cade, for th
e-(formance of the work for which this permit is issued. Policy No.
h4 ave 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' compensatior
urance carrier and policy number are:
rrier Policy Number Expiration Date
me of Agent Phone #
certify that, in thWPONU"IOWLEMING
hi is permit is issued, I shall not employ any person in any manner so as to became subject to a worke ' connensation laws of California, and agree
t, if I should becoc salon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi ns.
nature of Applica Dat
CLARATION RELE NG AGENCY 51/:reby affirm undee is aconstruction lending agency for the performance of the work for which this permit is issue (Section 3 97, Cil 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 owne ' half.
1 have read this application and the informed ve provideNnd
I agree to comply with all applicable city an cou y o 'non elating to building construction.
I authorize representatives of this city or cou ante t o arty for inspection purposes.
nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's N e to
ACTION DATE Y
PERMtTEXPIRED
PERMIT CANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYLSSUED
OFTITL.E40AND
AQMD RULE 1403.
❑ ISUBMfTFEDASBESTOSN07IFICATIONTO.
❑ EPA
❑ AQMD
❑ ASBESTOS NOT7f?CAT70N7S NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE.