HomeMy WebLinkAboutP2021-0044 - Permits0City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIII II PLUMBING Permit: P2021-0044
' 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 1 0 0 4 4 Project No:
:, Permit Counter Phone (949)644-3288
4"❑,�„o Inspection Requests Phone (949)644-3255
Job Address: 6 MONTREAUX Bldg: 1 Floor: Suite:
Description of Work: PLUMB/BBQ & FIRE -PIT @ REAR YARD
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2
FEES
0
Inspector Area: 6 Code Edit 2019
50
Legal Description: TRACT NO 14617 LOT 28 AND POR LOT L
Bathroom Fixtures
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Owner: VARON MICHAEL/FAIRVAR Contractor: JON'S MASONARY & LANDSCAPE INC
Worker's Compensation Insurance -
Misc.
Address: 6 MONTREAUX Address: 14851 JEFFREY ROAD #358
NEWPORT COAST, CA 92657 CA
Carrier: WESCO INS CO
Misc.
IRVINE 92618
Policy No:WWC3477639
0
Phone: Phone: 949-770-8061
Expire: 07/28/2021
$0.00
Con State Lic:431955
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Issued Date:03/04/2021 Lie Expire: 08/31/2022
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Bus Lie: BT30063647
$0.00
Processed By: Lic Exp Date: 06/30/2021
Bidet
0
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 from 8:00 a.m. to 6:00 p.m.
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FEES
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0
Bathroom Fixtures
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Kitchen Fixtures
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Misc.
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Misc.
Other
Toilet:
0
$0.00
Kitchen Sink:
0
$0.00
Water Piping:
0
$0.00
Roof Drain: 0
$0.00
$0.00
Bidet
0
$0.00
Garbage Disp:
0
$0.00
Water Softener:
0
$0.00
Grease Trap: 0
$0.00
$0.00
Urinal
0
$0.00
Bar Sink:
0
$0.00
Water Heater:
0
$0.00
Grease Interceptor:0
$0.00
Bath Tub:
0
$0.00
Vegetable Sink:
0
$0.00
Gas up to 4 outlets:
1
$7.00
P -Trap: 0
$0.00
Record Mgmt Fee:
$0.00
Shower Stall:
0
$0.00
Ice Maker:
0
$0.00
Gas over 4 outlets:
0
$0.00
Sewer
Investigation:
$0.00
Wash Basin:
0
$0.00
Dishwasher:
0
$0.00
Backflow, up to 2":
0
$0.00
Sewer: 0
$0.00
Plan Check:
$0.00
Hydro -Mass Tub:O
$0.00
Lndry/Trap:
0
$0.00
Backflow over 2":
0
$0.00
Sewer Alter/Repair:0
$0.00
Issuance:
$37.00
Floor Sink:
0
$0.00
Regulator:
0
$0.00
Hose Bibb:
0
$0.00
Sewer Abandon: 0
$0.00
Supplemental Fee:
$0.00
Floor Drain:
0
$0.00
Lawn Sprinkler:
0
$0.00
Drinking Fountain:
0
$0.00
Additional Fee :
$0.00
TOTAL: $44.00
Plan Check Fee:
$0.00
Fee Due at Permit Issuance: $44.00
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 from 8:00 a.m. to 6:00 p.m.
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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 Rem(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 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
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 1t 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).
I 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 legall)
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.html.
Signature of Property Owner or Authorized Agent Dale
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profe s'ns Code, e, and my license is in full force
and effect.
License Class License No Date J Contractor Signatu
WORKERS' COMPENSATION DECLARATION
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 ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the fallowing 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 thi
pe ormance of the work for which this permit is issued. Policy No.
I have and will maintain workerscom ensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation
nsurance carrier angny number a :
Carrier R ev"Nu r4 Expiration Date
Name of Agent Phone #
❑I certify that, in the performance of the work or 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 agree
that, if I should become subject to thefpv0(kerA' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I I
nature of Applicant `� — uawl
CLARATION REG R G CON R CTION LENDING AGENCY
:reby affirm under penalty of perj that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil
Ider's Name Lender's Address
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 ordinan s and state laws relating to building construction.
I authorize representatives of this city or colintp to ent4r the Ipbove-idenjAed.prroperty for inspection purposes.
II ACTION DATE P BY 11 DECLARATION OF COMPLIANCE MTH CODE OF I FOR OFFICE USE ONLY
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYfSSUED
AQMD RULE 7403.
❑ I SUBMITTEDASfIFSJOS NOTIFICATION TO:.
❑ EPA •..
❑ AQMD ' • • • , • •.. . ••.
❑ ASBESTOS NOTFHCAAONMIVOTAPPLICABL�TO-
PROPOSEDDEMOLITION. ' •� • .;
SIGNATURE. '� • • ms