HomeMy WebLinkAboutP2022-0065 - Permits0
City of Newport Beach - Building Division *P2022-0065*
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 2699 BUNGALOW PL Bldg: 1 Floor: Suite: -
Description of Work: MFR PLUMB: INSTALL WATER SOFTENER & TANKLESS WATER HEATER AT GARAGE.
Inspector Area: 6 Code Edit 2019
Legal Description: TRACT 15829 LOT 1 OF PROJECT 934-61 LOCATED ON AP 458-641-06
Owner: HAERI ARSALAN
Address: 2699 BUNGALOW PL
CORONA DEL MAR, CA 92625
Phone:
Issued Date:04/05/2022
Processed By: IU
Contractor: CRC GROUP
Address: 2416 N GLASSELL STREET
ORANGE, CA 92865
Phone:
714-244-5235
Con State Lic:879133
Lic Expire:
06/30/2022
Bus Lic:
BT30076922
Lic Exp Date:
10/30/2022
PLUMBING Permit: P2022-0065
Project No: 2418-2021
Inspection Requests Phone (949)644-3255
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Worker's Compensation Insurance-
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Carrier: STATE COMP
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Polley No:9264870
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Expire : 11/2612022
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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:
1
$8.00
Grease Trap: 0
$0.00
$0.00
Urinal
0
$0.00
Bar Sink:
0
$0.00
Water Heater:
1
$31.00
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
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:
$38.00
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:
$77.00
Plan Check Fee :
$0.00
Fee Due at Permit Issuance : $77.00
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 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 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 U 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-Builderwill have the burden of proving that it was not built or
improved for the purpose of sale).
.the
I, as owner -of theptoperty, 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 o 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 bel'oM 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 legally
S 119 structurelhat 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 Oorle} is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
.Signature of Poopel#,3i owner or Authorized Agent Date
' ... LICENSED CONTRACTOR'S DECLARATION
' PRe'r�kyy affirnjurTcl('t'fienatty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of Division 3 of the Business and Pro ssi Code, a my license is in full force
• • find effect. q 2
LfceFaaClass • License No � I (� 7 Date 0 �.S Contractor Signature
JJC)RKERS' OiIJWPE_:4SATION DECLARATION
IA NINIS!FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
i0Xg)J COMPEN%A ICV**MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm unBEr pAhalty of perjury one of the following declarations:
1$100,0001, IN ADDITION TO THE
I have 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
'ormance 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 nunAer are: ,
ie of Agent
certify that, in the p,
, if I should become
Policy Number
Date
for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions.
nature of Applicant Date /7
CLARATION REG RDIN NSTR TION�ENDING AGENCY /
�reby affirm under penal rjury t e 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 cWiff to eac f the following:
1 am the property owner or author1 ad to act on the pr/eee!i
s behalf.
I have read this application and th information I haveorrect.
I agree to comply with all applicable city and county od sta ws relating to building construction.
I authorize representatives of this city or count to ena ied property for inspection purposes. mature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name r I t c� w3
laws of California, and
Date
AC7701V
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY -
FEDERAL REGULATIONS PART 61 OF TITL€40 AND
AQMDRULE 1403.
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATIONTO:.
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMITEXTEN'DED
❑ ASBESTOS NOURCATION IS NOT APPLICABLE TO
PROPOSEDDEMOUTION.
PERMIT F[NAL
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I�
CER77FICATEOF
SIGNATURE:
OCCUPANCYISSUED