HomeMy WebLinkAboutP2020-0087 - Permitsr City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIINIIIIIIIIIIIIIIIIIIIIIIII
100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 0 0 0 8 7
Permit Counter Phone(949)644-3288
Job Address: 3915 MARCUS AVE Bldg: 1 Floor: Suite:
Description of Work: PLUMB -GAS LINE (2 STUBS)
Inspector Area: 1 Code Edit 2019
Legal Description: CANAL SECTION BILK 339 LOT 7
Owner: ZUCCATO MICHAEL
Contractor:
SEA POINTE CONSTRUCTION
Address: 11 COASTAL CANYON DR
Address:
576 WALD STREET
NEWPORT COAST CA 92657
IRVINE CA 92618
Phone:
Phone:
949-279-0421
om Fixtures
Con State Lic:665114
Issued Date:06/18/2020
Lic Expire:
02/28/2021
FEES
Bus Lic:
BT30016203
Processed By:_ ZIA
Lic Exp Date:
07/31/2020
PLUMBING Permit: P2020-0087
Project No: 0450-2019
Inspection Requests Phone (949)644-3255
Worker's Compensation Insurance -
Carrier : EVEREST NATIONAL
Policy Expire : 03/0112021365201 i N b P ECT®
NO CONSTRUCTION NOISE
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m, and Saturday tram 8:00 a.m. to 6:00 p.m.
e moo 0
0 o mo co c o 0
0 0 0 0
c o o c c o0
c o 0 0 0
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o e o 0 omm m
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ON SATURDAYS
om Fixtures
Kitchen Fixtures
Misc.
FEES
Misc.
0
0
$0.00
$0.00
Kitchen Sink:
0
$0.00
Water Piping:
0
$0.00
Roof Drain: 0
$0.00
Other
$0.00
0
$0.00
Garbage Disp:
Bar Sink:
0
$0.00
Water Softener:
0
$0.00
Grease Trap: 0
$0.00
$0.00
ub:
0
$0.00
Vegetable Sink:
0
0
$0.00
$0.00
Water Heater:
Gas up to 4 outlets:
0
1
$0.00
$7.00
Grease Interceptor:0
$0.00
r Stall:
0
$0.00
70$0.00
Ice Maker:
0
$0.00
Gas over 4 outlets:
0
$0.00
P -Trap: 0
Sewer
$0.00
Record Mgmt Fee:
$0.00
asin:
0
$0.00
Dishwasher:
0
$0.00
Backflow up to 2":
0
$0.00
Sewer: 0
$0.00
Investigation:
Plan
$0.00
Mass Tub:O
ink: 0
$0.00
$0.00
Lndry/Trap:
Regulator:
0
$0.00
Backflow over2":
0
$0.00
Sewer Alter/Repair:0
$0.00
Check:
Issuance:
$0.00
$35.00
rain:
0
$0.00
Lawn Sprinkler:
0
0
$0.00
$0.00
Hose Bibb:
Drinking Fountain:
0
0
$0.00
$0.00
SewerAbandon: 0
$0.00
Supplemental Fee:
$0.00
Additional Fee :
$0.00
TOTAL: $42.00
Plan Check Fee:
$0.00
Fee Due at Permit
Issuance: $42.00
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m, and Saturday tram 8:00 a.m. to 6:00 p.m.
e moo 0
0 o mo co c o 0
0 0 0 0
c o o c c o0
c o 0 0 0
0 o c cm co c
0o moc m cem
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m o c
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)WNER-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 Chec , pr I have placed next to the applicable Items
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structurecture, 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 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
lot more than five hundred dollars ($500).
I, 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 the
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).
I, 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).
❑ 1 am exempt from licensure 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://www.leginfo.ca.gov/calaw.htmi. Date
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with � cti )n 7000) of Division 3 of the Business and Professions Code, my license is in full force
and effect. Dat I�,a / Contractor Signatur"THOUSA
License Class License NoWORKERS'COMPENSATION DECLARATIONNARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONLLA0.S (E100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty 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 far by Section 3700 of the Labor Code, for th
p rmance 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' compensatioi
ins rance carrier and policy number are: IZ—i,.Rnn nate
pier Policy Number
ie of Agent
certify that, in the performance of the w rk for which jffi,,�sI permit is issued, I shall
if I should become subject to the _ r ers' comped afion provision tion
person in any manner so as to become subject to the workers'
r Code, I shall forthwith comply with those provisions.
nature of Applicant %
CLARATION REGAR N CONSTRUCTION LEN I G AGENCY
areby affirm under penalty of perjury that there is a co struction lending agency for Lendethe e'rformnce
s Addaess of the work for Which this permit is issued (Section
Ider's Name
my signature below, I certify 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 provided is correct.
I agree to comply with all applicable city and county ordinances state laws relating to building construction.
I authorize representatives of this city or county to nte �e-i ntified property for inspection purposes. `' `
,natelre of Prooertv Owner or Authorized AgeA @1 Print Property Owners or Authorized Agent's Name y
. vsr
ACTION GATE • • .. • . ..
IPERNi1TEXPIR€D
PERMlT FINAL ( 2D`}0 • •• •-'�a'^� • • • • •
CERTtFiCATE OF • • • • e
OCCUPANCYISSUEO • • • • • .•
FEDERAL REGULATIONS PART 61 OF TITLE40AND
;AQMD RULE 1403.
1 SUBMITTED ASBESTOS NOTIFICATION TO:
13 EPA
❑ AQMD
❑ ASBESTOS NO77RCATIONIS NOT APPLICABLE TO
PROPOS€DDEMOLIT/ON.
Code).
C�
laws of California, and