HomeMy WebLinkAboutP2022-0027 - PermitsF�tW�oR� City of Newport Beach
Community Development Department - Building Division
> - 4 100 Civic Center Drive, Newport Beach, CA 92660
y«y s Permit Counter Phone: (949) 718-1888
Dgt�OPNOP newportbeachca.gov/civic
Plumbing Permit
Plan Check No : 0276.2021
Work Class : Other
Issued Date : 02/0212022
Final Date:
Permit Status: Reissued
Inspection Area :2
P2022-0027
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 : 105 VIA QUITO Legal Desc : N TR 907 BLK LOT 137
Description: GASLINE TO FIRE PIT & BBQ `CHANGE OF CONTRACTOR TO O/B'
Owner:
MICHAEL GRAY
Address :
105 VIA QUITO NEWPORT BEACH, CA 92663
Phone :
(877) 742-4624
Applicant:
MICHAEL GRAY
Address :
105 VIA QUITO NEWPORT BEACH, CA 92663
Phone :
(877) 742-4624
Owner/Builder: MICHAEL GRAY
Address:
105 VIA QUITO NEWPORT BEACH, CA 92663
Phone:
(877)742-4624
Code Edition
:
Type of Construction
Building Setbacks : Front: 10, Front: 4, Side: 3, Side: 3
Flood Zone
: X
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: O/B AUTH SCANN
Contractor
Address
Phone:
Con State Lic
Lic Expire
Bus Lic :
Bus Lic Expire:
Workers' Compensation Insurance
Carrier :
Policy No
W. C. Expire:
Fire Hazard Zone: NO
Occupancy Groups:
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 Coda: Any city or county that requires a permit to construct, alter. improve, demolish, or repair any structure, prior to its Issuance, also requires die 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 7031Z by any applicant fora permit subjects the applicant to a civil penalty, of
not more than five hundred dollars 1$500).
I, as owner of the property,or my employees with wages as their sole compensation, will do (_) all of or (_) 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
/
'inprovemetits are riot 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
itart for the purpose of sale).
I �s o nor of Iha properly, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Processions 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 pursuantto the Contractors' Slate License Law),
Lt I am exempt from licensure under the Contractors' State License Law for HIS following reason
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at feast one year prior to completion of if
sell a structure that I have built as an owner -builder If it has not bean constructed In Itsentirety by licensed Contractors. I understand that a copy of the
Professions Code, is available upon re, est when this ao. t omitted or at the following Web site: htip Ils1MVJ.leginfo.ca.govlcalaw.html.
Signature of Property Owner or Authorize t
LICENSED CONTRACTOR'S DEAT
IGN
covered by this permit, 1 cannot legal
action 7044 of the Business and
Date )21x,/
I hereby affirm under penalty of perjury that I am licensed under pro 'ions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Dale Contractor Signature
WORKERS' COMPENSATION DECLARATION
✓EARNING: 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 iSID0.0001, IN ADDITION TO THE
COST OF COMPENSATION, OAMADESAS PROVIDED FOR W SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 have and will maintain a certificate of consent to self -insure for workers:' compensation, issued by the Director of Industrial Relations BE provided for by Section 3700 of the Labor Code, for IN
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 work for which this permit is Issued. My workers'
ranee carrie. and noddy number are:
Agent _
Policy Number
Date
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 vpib••rkerscompensation laws of Califomia, and
e subj' t I th✓e rkBrsI ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. f�
" V vote 12 / / [Z-�
hereby 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 Cade).
ender'K Name Lcride(s Address
ly my signature below, I certify to each of the following:
I ar,, the property owner or authorized to act on the property owner's bahalf.
I have rear this application and the information I have provided is correct.
i Egree tJ comply with all applicable city and county ordinances and state laws relating to building construction.
l authorize representatives of this c�"'� ounty to eee th rt�r`ntfied property for inspection purposes. J1� I
Ilgnature of Property Owner or Aulhoar6'd Vent / / I� Print Prooertv Owner's or Authorized Aoe�Name / t % vl0o N✓ I ! a
ACTION DATE BY y DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY '
REGULATIONS PART 61 OF TITLE 40 AND ACLMD RULE
1403
PERMiT'EXPIRED I LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITEXTENDED I uAQMD
PERM7T FINAL / h 9 ASBhS rOS NO'I IFICAI'[ON 15 NOT APPLICABLE TO
CERTIFICATE OF l �.Z.'� (% yT"'L. 3 PROPOSED DEMOLITION
OCCUPANCY ISSUED f SIGNATURE'