The URL can be used to link to this page

Home My WebLink AboutP2020-0146 - PermitsCity of Newport Beach - Building Division 1111111111111111111111111111111111111111111111111111 111 11 cry'' 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 0 0 1 4 6 Permit Counter Phone (949)644-3288 Job Address: 2200 HOLIDAY RD Bldg: 1 Floor: Suite: Description of Work: PLUMB -WATERLINE FROM HOUSE TO BARN/CARRIAGE HOUSE Inspector Area: 3 Code Edit 2019 Legal Description: N TR 1464 LOT 1 Owner: HOLLAND DENNIS LEE Contractor: HOLLAND CUSTOM BUILDS Address: 2200 HOLIDAY RD Address: 970 GOVERNER ST NEWPORT BEACH, CA 92660 FEES COSTA MESA CA 92627 Phone: Phone: 949-870-5871 Con State Lic: 1036760 Issued Date: 10113/2020 Lic Expire: 03/31/2022 Misc. Bus Lic: BT30064433 Processed By: Lic Exp Date: 10/3112021 PLUMBING Permit: P2020-0146 Project No: 0195-2020 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : NO EMPLOYEES Policy No: Expire : 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. Q (1fib .+• 9 Y �� pfl C tl • O C fi 0 0�0 `m O, ®4J l�O�U m P •• •Q i•• FEES Bathroom Fixtures Kitchen Fixtures Misc. Misc. Other Toilet: 0 $0.00 Kitchen Sink: 0 $0.00 Water Piping: 1 $7.00 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: 0 $0.00 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 BackOow up to 2": 0 $0.00 Sewer: 0 $0.00 Plan Check: $0.00 Hydro -Mass Tub:0 $0.00 Lndrylfrap: 0 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair:0 $0.00 Issuance: $37.00 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: $44.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $44.00 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. Q (1fib .+• 9 Y �� pfl C tl • O C fi 0 0�0 `m O, ®4J l�O�U m P •• •Q i•• 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 item(s) (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 tpe 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 (_) 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). ❑ 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). ❑ 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 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:hftp://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION /7 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000)o Division 3 of the Business and ProfeIdo fs e, a my license is in full force and effect. a License Class License No Date �� O Contractor Signatu Zg NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP T ONE HU RED THOUSAN DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 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 workers' compensation, issued by the Director of Industrial Relation`S�as provided for by Section 3700 of the Labor Code, for 8ymance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Date 1e of Agent Phone # certify that, in the performance of th or whi this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' coml if I should become subject to the cbm /f tion �pro�visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions, iature of Applicant Y ,/A A l Date_A 1 laws of California, and I hereby affirm under peri Ify f'perjury that tti is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature belo , I rtify to each of the following: I am the prope ner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correc .. I agree to comply with all applicable city and county ordinan nd at a laws relating to building construction. I authorize representatives of this city or county to enter t v t d property for inspection purposes. w� Signature of Property Owner or Authorized Agenme „� .ail /AAS, Print Property Owner's or Authorized Agent's Nam07C �.l fJ/�>° /�l/I ��.�5 Date /U11?120 ACTION DATE BY DECLARATIONOFCOMPLIANCEWITHCODEOF FO OFFICE USEONLY F6DF°RALREGULATIONS PART 61' OF TITLE40AND AQ¢fD FiFfLE 1403.' • q • f Sl9B irrEoAs&SJ'oS N(ftichiloN TOr a ❑`•EPA •. • • ` ❑ AQMD ° >,: •°� : ; ❑ ASBESTOS NOTTRCAHON IS NO(APPLICABLE TO PROJ9Q$EDPEMOUTION. • • • • ` °: ' • • ° PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED PERMITFINAL .- CERTtFtCATEOP OCCUPANCYtSSDEO SIGNAILRE.• • • > • e