HomeMy WebLinkAboutP2022-0353 - PermitsCity of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
11IIIIII111111111111111111111111111111111111111111111Plumbing Permit : P2022-0353
Plan Check No : 1551-2022
Work Class : Other
Issued Date :
Inspection Area : 6
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: 3927 SANDUNE LN Legal Desc : N TR 6425 BILK LOT 77
Description : PLMB - GAS LINE TO FIRE PIT & BBQ *change of contractor*
Owner:
STEPHANIEQUESADA
Address :
3927 SANDUNE LN CORONA DEL MAR, CA 92625
Phone:
(714) 721-2417
Applicant:
MASON POOL CO
Address :
27651 SOLTERO MISSION VIEJO, CA 92691
Phone :
(949) 677-8169
Owner/Builder
:
Address
Phone:
Code Edition : 2019
Type of Construction :
Building Setbacks: Front: 10, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor : MASON POOL CO
Address :
27651 SOLTERO MISSION VIEJO, CA 92691
Phone:
(949)677-8169
Con State Lie
: 1085859
Lie Expire :
01131/2024
Bus Lie:
BT30080052
Bus Lie Expire:11/30/2023
Workers' Compensation
Insurance
Carrier:
NO EMPLOYEES
Policy No:
EXEMPT
W. C. Expire:
Fire Hazard Zone: NO
Occupancy Groups:
*
r
[OUTTMAZZ I iIIIIttit7:1 7
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, poor to its Issuance, also requires the applicant for
in 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 rho Business and
'rofessions Code) or that he or she is exempt from )icensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
3 I, as owner of the property, or my employees with wages as their sole compereat on, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
,useess 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
nprovements 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
roved for the purpose of sale).
3 1, 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
pply 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 I am exempt from licensors under the Contractors' State License Law for the following reason:
y 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 legally
Gil 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
'rofessions Code, is available upon request when this application Is submitted or at the following Web site:htlp:/lwww.leginfo.ca.gov/calaw.html,
signature of Property Owner or Authorized Agent at _
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7000 n 3.gf the Business and BE f ssions Co , a tic is in f I e
nd effect. License Class License No Data L Contractor Signatur
VORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH6USAND DOLJ�R9 ISIS0A00), IN ADD RION TO THE
]OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 of THE LABOR CODE, INTEREST, ANOATTORNPY's FEES.
hereby affirm under penalty of perjury one of the fallowing declarations:
-11 have and will maintain a certificate of consent to seff-insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for tG
Ierormance Of the work for which this permit is issued. Policy No.
-1I have 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' compensadol
nsurance carrier and policy number are:
lamer Policy Number Expiration Date
me of Agent Phone N
I dify that, in th4penaltof
th work for which this 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 agre
hat, f I should beco , r ' co ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
natureofApplica�Datc 3ECLARATION RETRUCTION ENDING AGENCYhereby affirm undery that the Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code),
.Dnder's Name Lender's Address
3y my signature below, t 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 1 have Ids is correct..
I agree to comply with all applicable city and count rdioance and slate laws relating to building construction. J �j�l.Q J�/� aso,^ J
I authorize representatives of this city or county t enter the a v antifi prnneny forfor in?*urooses. �_
ii g nature of Property Owner or Authorized Agent V Print Property Owner's or Authorized Agent 8 Name Date
ACTION DATE BY i DEC TION OF COM LIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 5 (NETTLE 40 AND AQMD RULE
1403 _
PERMIT EXPIRED _ I CUBMI7ED A38FSTOS NOTI FICATION TO —_
PERMITCANCELLFD
PERMIT EXTENDED__ _ _ -I-�-L-,IAi1u,OMQ__ ___ _
PERMIT FINAI '� SBESrOSNOTIFiCATI0N I SNOT APPLICABLE TOO —
CERTIFICATE Of-i-�'I� II PROPOSED DEMOUTION
OCCUPANCY ISSUED SIGNA i UI,E:
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