HomeMy WebLinkAboutP2023-0461 - Permits�EwPoRT City of Newport Beach
0� Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
b M r Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
Plumbing Permit
Plan Check No :
Work Class : Other
Issued Date
Final Date:
Permit Status: Applied
Inspection Area : 2
P2023-0461
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 : 100 SCHOLZ PLZ, 12 Legal Desc : N TR 10587 BLK LOT 1 UN 1 TR 10587 LOT 1 UNIT 1 OF
Description: PLMB - R/R APPROX T OF CAST IRON PIPE. WORK EXTENDS TO DOWNSTAIRS UNIT 212
Owner: VERSAILLES HOA
Address : 27129 CALLE ARROYO, 1802 SAN JUAN CAPISTRANO, CA 92675
Phone: (949)481-0555
Applicant:
C & R DRAINS INC
Address:
1525 W MACARTHUR BLVD #11 COSTA MESA, CA 92626
Phone :
(714) 641-1545
Owner/Builder:
Address
Phone:
Code Edition : 2022
Type of Construction :
Building Setbacks :
Flood Zone : X
Use Zone : PC - Versailles on the Bluff
PROCESSED BY: m
SPECIAL CONDITIONS:
Contractor : C & R DRAINS INC
Address :
1525 W MACARTHUR BLVD #11 COSTA MESA, CA 92626
Phone:
(714)641-1545
Con State Lic
: 531746
Lic Expire :
06/30/2024
Bus Lic:
BT00008448
Bus Lic Expire:12/31/2023
Workers' Compensation
Insurance
Carrier:
MIDDLESEX INSURANCE COMPANY
Policy No:
A0179402005
W. C. Expire:
9/10/2024
Fire Hazard Zone : NO
Occupancy Groups :
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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 items)
3ectlon 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, poor to Its issuance, also requires the applicant for
le permit to file a signed statement that he or she is liconsed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
rofessions 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
of more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or I_) 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 properly, 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
nproved for the purpose of sale).
3 1, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
poly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuantto the Contractors' State License Lave),
1 lam exempt from licensors under the Contractors' State License Law for the following
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 legal
all a structure that I have built as an owner-buildor if it has not boon 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:http:/Iwmv .leginfo.ca.govlcolaw.html,
signature of Property Owner or Authorized Agent.a.
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of DWis,1'pn 3 of the Business and Profes ons Cod an my If use is In full force
nd effect. License Class _ License No tpp#(�,' ' , d� 7i /r
VORKERS' COMPENSATION DECLARATION —Z
✓ARNMG: FAILURE TO SECURE WORKERS• COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSA D LIARS I510g0e06 IN "DmON TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
-1 1 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 th-
'er�•�fi�o++r;�ri of the work. for which this permit Is issued. Policy No, .
SRI 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' compensafror
Tsurance carrier and policy number are:
;amier Policy Number Expiration Date
Jame of Agent Phone #
�I certify tha(, in the perfor an of the wor 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 Califomie and agree
hat, ;I I should becorne su ject the orker cnmpereation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. �y �{
•rignature of Applicant t,�„-_-'�1� ;,,..�/,-,-,�-
)ECLARATION REGARDIN CTI N LEENDING AGENCY
hereby affirm under penalty a e ' ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code),
.enders Name Lender's Address
3y my signature below, I certy 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 I have is correct.
I agree to comply with. all applicable city and county o inane and state aws relating to building construction.
1 aulhonze representatives of this city or county to e ter the ov •identi d property for inspection purposes J
ii nature of Property Owner or Authorized Ageal Print Property Owners-or,4ulhonzad A ent•s Name f
ACTICN DATE BY LL N IANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RE(3. ON PART I OF TITLE. 40 AND AQMD RULE
PERMITEXPIREO ' LJI>uriyitmD ASBESTOS NOTIFICATION TO
PERMITCAACELLED _ 'PA
PERMIT FXTENOED _ _ ! MINI D _
PERMIT FINAL �p L�j $ 0ASBE5ros NOTING ION[ NOr APPLI ABLE TO
CERTIFICATE OF PROPOSED DEMOLITI N
OCCUPANCY ISSUED