HomeMy WebLinkAboutP2022-0306 - Permits�EwPORr City of Newport Beach
Community Development Department- Building Division
y 100 Civic Center Drive, Newport Beach, CA 92660
S Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
cgcrcos"�P newportbeachca.gov/inspections
II II I I II I II I II IIII II II II Plumbing Permit : P2022-0306
Plan Check No:
Work Class : Other
Issued Date : 10/18/2022
Inspection Area : 4
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: 1951 PORT DUNLEIGH CIR Legal Desc :
N TR 7027 BLK LOT 46
Description: SFR - GAS LINE TO FIRE PIT (FRONT YARD)
Owner: SCHEAR BRIAN M TR BLUE STAR TR
Address : COSTA MESA, CA 92628
Contractor : MATA CONSTRUCTION COMPANY INC
Phone:
Address : 910 E. 4TH%ST SANTA ANA, CA 92701
Phone: (714)393-6358
Applicant: MATA CONSTRUCTION COMPANY INC
Con State Cie :861880,
Address : E. 4TH ST SANTA ANA, CA 92701 --
Lie Expire 07/31/2023
Phone : (714) 393-6358
(71
Bus Lie : : BT30015664
° •
....
Bus Lie Expire:04/30/2023
Owner/Builder :
Workers' Compensation Insurance
Address :
Carrier: OAK RIVER INS CO
+
Phone:
_ Policy No: [ MAWC337640
. W. C. Expire-: 2/1/2023
Code Edition : 2019
Type of Construction :
Fire Hazard Zone : NO
•+••
Occupancy Groups :
•
ul ng Setbacks : Front: 22, Side: 5, Side: 5, Rear: 10 •°
Flood Zone: X
Use Zone: PC - Harbor View Hills
PROCESSED BY:
SPECIAL CONDITIONS:`
I hereby affirm .under penalty of perjury that I am exempt from the Contra
fiction 7031.5, Business and Professions Code: Any city or county that re
permit to file a signed statement that he or she is licensed pursuant to ll
fessions Code) or. that he or she is exempt from licansure, and the basis
Law for the reasan(s).indicated below by the checkmai I have: placed next to the applicable item(s)
tstruct, alter, Improve, demolish, orrepair anystructure, priorto its issuanos, also requires the applicantfor
;ontractors'-State License Law (Chapter:9 (commencing with Section 7000) of Division 3 of the Business and
dtion. Anv violation of Section 7031,5 by any applicant fora permit. subjects the applicant to a civil penalty of
tot more than five hundred dollars ($50U).
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 (Section7044, _
justness 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
mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of campietion, the Owner -Builder will have: the burden of proving that it was not built or
m roved for the purpose of Sale),
[,as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044� Business. and Professions Cade: 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 Comm acmrs' State License Law).
I I am exempt from licensure under the Contractors' State license Law for the following reasam
3y my signature below 1 acknowledge that, except for my personal residence in which I must have resided for at feast one year prior to completion of the improvements covered by this permit, i cannot logally
sell a structure that I have built as an owner -builder if it has not been Constructed traits entirety by I consed contractors. I understand that a copy of the applicable law, Section-7W of the Business and
Professions Code, is available upon request when this application Is submitted or at the following Web site:http.//www.legir io.co.gov/calaw,htmi, Date.
Signature of Property Owner or Authorized Agent _
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licenser! under provisions of chapter 9.(commencing with Section 7gOr) cf vi ion 3:of the Business and Profession C an icense' � ( full fierce
and effect. License Class License Na Date I U z2 Contractor Signature
WORKERS'COMPENSATION DECLARATION
WARNING FAILURE T• •O ` •SECU``RE WORKERS? COMPENSATIONCOVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRWINAL PENALTIES AND CIAL. FINES UP TO ONE HUNDRED THOUSAND DOLf11170101, IN ADDITION TO THE
crnev.sIlniu erne OF ?NE LABOR COIIE.INTEREST. ANO ATTOaNEYSEES.
ifirm ued er g naity.of Perjury one of the following declarations: _
and will 4natmain 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
ce of the workfor which this pamtit is issued_ Policy No.
and A meAsm 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 compari
carrier apd pplicy number are:
• • , •' Policy Number Expiration Date
person in any manner so as to become subject to the workers' oom...pensaon laws of California, and agre
it Code, I shall forthwith comply with those provisions.
Data I L,2�10Z
IECLARATtt7N RWARf7ING L`blei�"t�ut:[lu LMWW'nu noc+.+:«
hereby affirm under penalty of paryury�7tt at Ili re is a construction lending agencyfor the performance of the work forwhibh this permit. is issued (Section 30rJ7, Civil Code),
.enders Name - Lenders Address
ly my signature below, I certify to each of the 1011OWing:
I am the property owner or authorized to act on the. property Owner$ 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 state laws relating to building construction.
I authorize representatives of this city or county to ante Ute bjwe- Ifiede'. fy for inspection purposes.
.DATE I BY.
AQMD RULE
PfRM1F FfNAC 23 /�///) (I ASf7ESTDNOTIFICATION LE TO
CERtIFICATE OF PROPOSED
OS NOL !ON
OCCUPANCY 155UFb i _5�iNATURE;
FOR OFFICE. USE ONLY