The URL can be used to link to this page

Home My WebLink AboutP2022-0320 - PermitsCity of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ,�. Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections II II I I II II I II IIII I III Plumbing Permit : P2022-0320 Plan Check No : 1099-2022 Work Class : Other Issued Date: 1110112022 Inspection Area : Cj 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: 34 DUNES BLUFF Legal Desc : Description : PLUM: INSTALL GAS LINE FOR BBQ Owner: HARPEN SHAWN M TR S M Address: 3750 LAS VEGAS BLVD S UNIT3409 LAS VEGAS, NV 89158 Phone: Applicant: MIRAGE LANDSCAPE Address: 61 THREE VINES CT LADERA RANCH, CA 92694 Phone: (949)293-2800 fi°' Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction : Building Setbacks Flood Zone: Use Zone : PROCESSED BY: SPECIAL CONDITIONS: Contractor: MIRAGE LANDSCAPE Address : 61 THREE VINES CT LADERA RANCH, CA 92694 Phone: (949)293-2800 Con State Lic : 806651 Lic Expire : 04/30/2024 Bus Lic: BT30068406 Bus Lic Expire:08/31/2022 Workers' Compensation Insurance Carrier : NO EMPLOYEES Policy No : EXEMPT W. C. Expire: Fire Hazard Zone : NO Occupancy Groups: 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 licensors and the basis for lire alleged exemption. Anyviolation or Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (S500). 111, 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 (he 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). ❑ 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 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 licensors 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 legally 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:http:liw .leginfo.ce.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLA. ATION I hereby affirm under penalty of pe'u ih i am licensed under provisions of Chapter 9 (com�neJpg with Section 7000) o Div' ion 3 of the Business and ProfessiD ode, and. my license is in full force and effect, License Class — e — License No S�9 C ,2 lI Date Z7 Contractor Signature�� WORKERS' COMPEN.SATbON D tARAT1 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (SM1a0,000h IN ADDITION To THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 31H OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 performance of the work for which this permit is issued. Policy No. have and will maintain workers' compensation insurance,as required by Section 3700 of the Labor Code, for the performance of the workfor whichthis permit is issued. My workers' Fence carrier and policy number are', Date of Agent certify that, in the performance of the 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 t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code. I shah forthwith comply with those provisions. nature or Applicant/i� r �— Y ._, Date-1 CLARATION RFC A ut NOING AGENCY Ireby affirm under penalty of perjury that there 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 b�iTr, 1 certify to each of the following: I aI i the property owner or authorized to act on the property owner's behalf. I hrve read this an^Iicalfon 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 enlqr the above -identified property for inspection purposes. I I PERMIT EXPIRED P�RMf-CANCELL-D PERMIT EXTENDE:, FERMI, FINAL ICERTIFICATE OF OCCUPANCY ISSUED BY ` frnLAR)9TTON OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61. OF TITLE 40 AND AQMO RULE 1403 LI ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: FOR OFFICE USE ONLY