HomeMy WebLinkAboutP2022-0214 - Permits�EWPO�T
City of Newport Beach II II I I II
Community Development
Plumbing Permit: P2U22-0214
I II I II II I II (II II
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Department- Building Division
..
100 Civic. Center Drive, Newport Beach, CA 92660
Plan Check No
$
Permit Counter Phone: (949) 644-3288
Work Class : Other
CS</FOftN�P
Inspection Requests Phone: (949) 644-3255
Issued t /:16202z
newportbeachca.gov/inspections
Inspection Area
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: 7 MALIBU CIR
Description: SFR SEWER LINER REPLACEMENT 40'
Legal Desc : N TR 7432 BLK LOT 23
Owner:
BACKER RAMUTE V TR
Contractor : DRAI]`
Address :
7 MALIBU CIR CORONA DEL MAR, CA 92625
Address : 18012
Phone :
Phone : ; (310);
Con State Lie :85270
Applicant:
ANDY CRUZ
Lie Expire :. 02/28/
Address :
18012 S FIGUEROA ST. GARDENA, CA 90248
Bus Lie : `- BT30C
Phone :
(800) 208-8875
Bus Lic Expire:12/31/
Workers' Compensati
Ow /B 'Id
SERVICES INC
_ROA STREET GARDENA, CA 90248
ner w er.
Carrier: PRcrcmm«u rmur[
Address :
Policy No: ON1191101,:
Phone :
W. C. Expire: '10/4/2022
Code Edition :
2019
Fire Hazard Zone : N
Type of Construction :
Occupancy Groups
Building Setbacks:
Front: 10, Front: 10, Side: 5, Side: 5
Flood Zone:
X
Use Zone:
PC - Harbor View Hills
PROCESSED BY: IJCTi
INSURANCECOM(rA?Jlo•
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r031.6, Business and Profession!
f to file a. signed statement that IT
cis Code) or that he or she is axe
than five hundred dollars ($500j.
)wner of the property, or my emp
the Contractors' Skate License Law for the reasonts) indicated below by the chearrark(s) I have placed next to the
hty that requires a permit to construct, alter, improve: demolish, or repair any structure, prior to its issuance, also rei
fly who, through employees'
s the applicant for
)f the Business and
to a civil penalty of
rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of oompletion, the Owner -Builder will have the burden of proving that it was not built or
roved for thepurpose of sale}..
I, as owner of the property, am exclusivelycontracting with licensed Contractorsto construct the project. (Section 7044. Business and. Professions Code: The Contractors' State License Law does not
ly to an owner of property who builds or improves thereon, and who contracts for theprojects 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:
ny 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 lel
a structure that I have built as anowner-bulldor 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
fessions Code, is available upon request when this application is submitted or at the: following web Site:httpJ/ro w,teginfo.ca.gov/c low.htmi.
of
'affirm under penalty of peiju t} t i am licensed under provisions of Ch terg coJ�mencing with Section LA00},af•Divisi 3 of the. Business and. Pr fessions opj a my license is in full force
L License Class (• -71, License No ii 7� 2S Datd�.+ a �7 Corifaactor Slgnaiure�
_RS' COMPENSATION DECLARATION /
of
TO CRIMINAL PENALTIES AND ClvtL FINES UP TO ONE'HUNDRED THOUSAND DOLLARS (s100A001. IN ADDITION
FEES
ffcrm under penalty of perjury one of the foilow€ng declarations:
yyy'malntain 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 to
Ice of the work for which this permit is issued. Policy. No..
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
catf4 040policyITmbeCare55:o: /
�r¢•Ft-traxle CR, eyat/. At.(o. Policy Number dR Expiration Date (D It 22-
for which this permit is issued: i shall not employ any person in. any mannerso asto become subject to the workers' compensation laws of California, and agre
compensationprovisions of section 3700of the Labor Code, I shall forthwith comply with those provisions.
iffirrri under penalty of perjury that there
Name.
my signature oelow,. I cemty to Seim of rite fmiowrng,
Iam the property owner or authorized to act on the.
I have read this application and the informations ha
I agree to comply with all applicable city and county
1 authorize representatives of this city or county to (
j ACTION
PERMIT FINAL
6ERTIFiLATF or
for the performance of the work for which this permit is., issued (Section 3097, Civil Code),
behalf:
laws relating to building construction,
Ed property for inspection purposes.
FOR
All required alarms, latches gates and fences which serve as part of pool/spa barter, shall
be in place priorto approval tofill pool/spa & shall remain in place & be maintained forthe
NOTIFICATION IS NOT APPLICABLE TO life of the pool.