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Home My WebLink AboutP2022-0078 - PermitsCity of Newport Beach - Building Division 111111III 11111111111111111111111111111111111111111[I 11 Orm Civic CounterPhone (949)644-3288h, CA 92660 P 2 0 2 2 0 0 7 8 Pe Job Address: 410 VIA LIDO NORD Bldg: 1 Floor: Suite: Description of Work: PLUMB/FIRE-PIT Inspector Area: 2 Code Edit 2019 Legal Description: TR 907 LOT 478 SELY 15 FT AND NWLY 15 FT LOT 479 AND POR ABAND ALLEY Owner: 410 VIACON LLC Contractor: CP MC CLARY CONSTRUCTION INC Address: 410 VIALDIO NORD Address: 1013 LINDEN PLACE NEWPORT BEACH CA 92663 COSTA MESA CA 92627 Phone: Phone: 714-271-1055 Con State Lic:513053 Issued Date:04/13/202 Lic Expire: 10/31/2023 Y Bus Lic: ST00004228 Processed By: Lic Exp Date: 08/31/2022 PLUMBING Permit: P2022-0078 Project No : 2938-2016 Inspection Requests Phone (949)644-3255 rs Worker's Compensation Insurance - Carrier : STATE COMP INS FUND Policy No:1300846 `- Expire : 06/01/2022 FEES Bathroom Fixtures Kitchen Fixtures Misc. 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 $8.00 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: $0.00 Floor Sink: 0 $0.00 Regulator: 0 $0.00 Hose Bibb: 0 $0.00 Sewer Abandon: 0 $0.00 Supplemental Fee: $12.00 or Drain: 0 $0.00 Lawn Sprinkler: 0 $0.00 Drinking Fountain: 0 $0.00 Additional Fee : $0.00 r TOTAL: $20.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $20.00 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. 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 item(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 Iicensure 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 (_) all of or (_) 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 Iicensure 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.htmi. Signature of Property Owner or Authorized Agent Date 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 Busi no Professions Code, and my license is in full force and effect. License Class License No Dat'A6017—Contractor Signatur 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 HUN HOUSAND DOLLARS t$100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATrORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 the performance 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' rance carrier and policy number arq�1 n ie of Agent GZSL certify that, in then the performance of the the , if I should beco lec p. e of Applicant Date which this permits issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and npensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. , n 3reby affirm under penalty off that there is a construction lending agency for the performance of the work for which this permit ider's Name Lender's Address my signature below, I certify to each of the fallowing: 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 and state laws relating to building construction. I authorize representatives of this city or cou o nter I - a fied property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Age ACTION DATE BY UCtLAt I IUIV Ur UUJV1rL1AIVUC VVI I" LVUCUV FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA C -AQMD PERM IT CANCELLED PERMIT EXTENDED ❑. ASPESTOS NOTIFICATION IS NCT APPLICABLE TO P40PGSED 0EC90LITIGN. PERMIT FINAL I CERTIRCATEOF SIGNATURE: OCCUPANCYISSU€D (Section 3097, Civil Code). FOR OFFICE USE ONLY