HomeMy WebLinkAboutP2023-0430 - Permits�EWPoRr City of Newport Beach
Community Development Department -Building Division
100 Civic Center Drive, Newport Beach, CA 92660
u T Permit Counter Phone: (949) 718-1888
Cq� FOF�'�P newportbeachca.gov/civic
PERMITS EXPIRE 180 DAYS AFTER ISSUj
NO CONSTRUCTION RELATED NOISE ON SA
Job Address : 100 SCHOLZ PLZ, 112
Description: PLMB - R/R APPRO OF CA RC
Owner: VERSAILLESHOA.+
Address : 27129 CALLE ARROYq- SAN-JU
Phone: (949)481-0555 rLu =8
����������������������� 91111113 0 I Plumbing Permit
Plan Check No
Work class :Other
JK� Issued Date ; 09/12/2023
e{l inet D.
P mit Status: Issued
��e QO' J Ins coon Area : 2
rls
9F \S W O
OR LAST V ��
AY OR SUt IN
Applicant : C & R DRAIN C� k'n
Address: 1525 W MA ARTHU�ETBCVD COSTA 6
Phone: (7J4)641-1545 .
Owner/Bur
Address
Phone �+,��
Code Edition;'," 20 X%
Type of Constructio
Building Setbacks
Flood Zone : '•`:X
Use Zone rsaill e uff��j0 �tl
F
PROCESSED BY:
SPECIAL CONDITIONS: UNIT 11
V.
P2023-0430
BUT NO LATER THAN 3 YENS F♦y20M ORIGINAL ISSUANCE DATE
ITY AREAS AND NO WORK ONVUNDAY AND HOLIDAYS IN ALL AREAS
1110
TR 10587 BLK LOT 1 UN 1 TR 10587 LOt\UNl!,u O '^£\
NDS TO UPSTAIRS UNIT 212
s V �4i
Contractor : C2 DRAINS INC
Add res I5AW MACART BLVD # �OS
PhopQ )641-1545
531746
�fcExpi 5 06/30/2 4 YYY
^®BusAlp • BTO 0,8,,4y�4,.®�5
V Lic Expire: /31/
VCorkers' C pen!on
I
,�ranee
Carrier : b4F6D X INSURANCE COMPANY
pA, r
L�r;,a• .�f^1�,�
P
0/2024 ,
Zone : NO
Groups :
A MESA, CA 92626
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) in ' e
;Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, Improv emolh
:ho permit to file a signed statement that ho or she is licensed pursuant to the provisions of the Contractors' Stat rise Law
professions Code) or that he or she is exempt from ilcensure and the basis for the alleged exemption. Any vi Ion of Section
To€ more titan five hundred dollars ($500).
I, as owner of the property,. or my employees with wages as their sole compensation, will do ( of or J portions of th I
Business and Professions Code: The Contractors' State License Law does not apply to an ow of propert hra, lhrou
improvements are not intended or offered tot sale. If, however, the building or improveme sold wltly. year g , leti�.
mproved for the purpose of gale),.p\\ll.++
I, as owner of the property, am exclusively contracting with licensed Contra to con ¢�c e project�(eEfon %00.4, Bu!
apply to an owner of property who builds or improves thereon, and who con s for the projMts withmilavnsed Conti
u t are exempt from licensure under the Contractors' State License for the following yeas OOV
By my signature below I acknowledge that, except for my parson sidence in wh' I must ha esidod. r�o�r-ma as
salt a structure that I have built as an owner -builder If It has n eon construct m its anitrery by licensr,((`�,iidtracto
Professions Code, is avallablS upon request when this a ation Is sub d or at lowing Was htlp://www
Signature of Property Owner or Authorized Agent
ICENSED CONTRACTOR'S DECLARA -
gel r by;thg checkmark(s) I have placed next to the applicable items)
or r -air arty structure, prior to Its Issuance, also requires the applicant for
hapt 9 (elunmencing with Section 7000) of Division 3 of the Business and
3\1. lby ny Applicant for a. permit subjects the applicant to a civil penalty of
YC aVntl the rucfare I, not. intended or offered for sale {Section 7044,
tees' or pers aF art, builds or Improves the property, provided that the
the O r-B er Al have the burden of proving that II was not built or
-C
ss and Professio C The Contractors' Slate License Law does not
ant to the Contract License Law).
one year prior to completion of t
L :'h
I hereby affirm under penalty of perjuryth m (teens r provisl hacker cyrt4men trig with Section 7000 of Division 3 of the B and Prof,
and effect. License Clnss - _ Licen N o-; Date —l2� CArI gnature
1ARNINO: FAILURE TO a@
OST OF COMPENSATION,
hereby affirm un�104
1 have and'��{vitl am�£ormancoof% we
%have and will ai
L IS UNLAwFUI 4nC sF�ALL SUB Y'AN e .LOY Q-�1TO CRIMINAL PENALTIES Ay IL FI S UP TO ONE HUNDRED
16 OF I HE Llabi rent lUJrrFSTAND'11Y,.TT FEES. �a/♦\da
11rau.rn Pi�1
m�
1 insure for n kwn corclponsation, issued by ih tl 4 . Indu�ll'�tr4 elatforrs as p Ide f
icy No + _ ' {{N_S
:e, r�U red by l�ction 3700 of the CI or ffil000rmance of t work f w chr htlon
t�`Q \�\a
v Exolr�i n D
Section 7044 of the Business and
license is In full force
(E1 D0.000), IN ADDITION TO THE
3700 of the Labor Code, for
is issued. My workers'
Jame of Agent -
carene
-11 certify that, in I' 8 rf an
net, if I Should becom ub tot or
r whi Saint is issued, 1s t ploy any person in any m er so as t ec subject to the workers' compensation laws of California, and afire,
report (ion provisions of dy( ¢ of the Labor Code. I sh orthwilh c of those provisions.
iignature of Applicant '<`'.
` Date )y'
XCLARATION REGAR
_
LENDING AG
hereby affirm under penal p ry t
,
there Is a co�r .rig aokr�91�r the patter. ce p t rk f ich this permit is issued (Section 3097, Civil Code),
.ender's Name _..v
_k s Lender' ddre,
3y my signature below, I eartif ea of
I am the property owner or atri.
I have read this application ar he
the f g: �\(.
to proper¢jrSciartlers behalf. - -,
orm eve pray ad's conec
I agree to comply with aIi applic c
and coup finance and a la re g tiding construction.
I authorize representatives oFthis. �fy
o Canty o on r the ab -id n i pe or inspection purposes. ..
iignature of Pro e Owner or Au[hodA".A
�er
t Prmt Pro Srt Owner's or Authorized Agents Name Date L
ACTION
DATE
-°'
8Y LA O ANCE WITH CODE OF FEbEPAL
;+`_'
FOR OFFICE USE ONLY
( .GULATI S P t OF TITLE 40 AND AQMD RULE
1403
•'.
PERMITEXPIRED
_ ITTE--)ASBESTOS NOTIFICATION TO
�-_- _
PERMIT CANCELLED
`;. I EPA
FlfRMIT EXTENDED
_I ypnQloiO
-_
P!'RMIT FINAL
f BBSTOS NOI IF TO 5NOTA LICABLE TO
CERTIFICATE OF
PROPOSF.DOEMO [ON
OCCUPANCY ISSUED
1 ^_.IGNA-URE: