HomeMy WebLinkAboutP2023-0235 - PermitsE Rr City of Newport Beach IIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII II Plumbing Permit : P2023-0235
or`- Community Development Department - Building Division P 2 0 2 3 0 2 3 5
c Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1537
Permit Counter Phone: (949) 718-1886 Work Class : Other
new ortbeachca. ov/civic
P 9 Issued Date
Inspection Area : 7
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: 2121 COAST HWY E Legal Desc : P BK 152 PG 28 PAR 2
Description: PLUMB REPLACE PORTION OF MAIN SEWER LINE AND CLEANOUT
Owner: COAST BUSINESS CENTER LTD
Address : 1451 QUAIL ST STE201 NEWPORT BEACH, CA 92660
Phone:
Applicant: DRILL SUB INC
Address: 4805 5TH STREET STE 210 FALLB ROOK, CA 92028
Phone: (888)782-9110
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction :
Building Setbacks :
Flood Zone: X
Use Zone : OG - Office -General
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor :
DRILL SUB INC
Address :
4805 5TH STREET STE 210 FALLBROOK, CA 92028
Phone:
(888)782-9110
Con State Lic
: 937432
Lic Expire :
09/30/2024
Bus Lic:
BT30079240
Bus Lic Expire:07/31/2023
Workers' Compensation
Insurance
Carrier :
EVEREST PREMIER INSURANCE COMPANY
Policy No:
7600022002221
W. C. Expire:
12/1/2023
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) 1 have placed next to the applicable items)
iection 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
IG permit to Ole a signed statement that he or sheds licensed 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 Iicensure and the basis for the alleged exempOon. 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).
11, as owner of the property, or my employees with wages as their sale compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness and Professions Codes 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-BuilderwiO have the burden of proving that It was not built or
nproved for the purpose of sale).
11, 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
ply 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),
9 1 am exempt from leensure under the Contractors' Slate 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 legalll
ell a structure that I have builtas an owner -builder If it has not been constructed in itsentirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of iness and
'rofessions Code, is available upon request when this application Is submitted or at the following Web site:htip:llwww,loginfo.ca.gov/ealaw.ntml.
signature of Property Owner or Authorized Agent Data
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am Ocensed under provisions of Chapter 9 (commandrig with Sectio 7 00) Dwisi n 3 of the Business and Profession my If s I Po ce
nd effect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
(ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND D LARD DRION TO THE
'.DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penally of perjury one of the following declarations:
I 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 ih
ejformance 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' compensalior
%ra
rtce cancer and pogcy number are:.
;artier Policy Number. Expiration Date
Jame of Agent Phone N
*1I certify that, in the part rmance of a rk for WIT h t ' rmh 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
iat, if I should becom a bject to th w doers
corn Lion ovisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions.
hgnature of Applicant Dale
)ECLARATION REGA DIN NS CTTON L 1.. G A ENCY 7�_
hereby affirm under penalty of p ' tf a is a cons on lending agency for the performance of the work (or which this permit is issued (Section 3097, lull Code).
.ender's Name Lender's Address
)y my signature below, I certify to each of the folio
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 pro ' orrect.
I agree to comply with all applicable city and cou ty or ances l n lat aws relating to building construction.
I authorize representatives of this city or is y e r t ea Ified prope y for inspection purposes.
ii nature of PropertyOwner or Authorized A ent �y Pnnt Prope Owner's or Authorized Agent's Name
ACTION DATE BY ATfON F CO 1 CE WIT yyDE OF FEDERAL FOR OFFICE USE ONLY /
.G 5 PART ii F TITLE 40 A D AOMO Rl)L€
PERMIT CANCELLED
PfRMfTFINAL �,p
CERTIFICATEOF
OCCUPANCY ISSUED
SUBM'TT'D
r reOfv[Q
ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
S'FNAFJRE: