HomeMy WebLinkAboutP2022-0210 - PermitsCity of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
II II I I II I II I II II I II I II II Plumbing Permit : P2022-0210
Plan Check No : 1309-2020
Work Class : Other
Issued Date :
Inspection Area : 4
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORO
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND
Job Address: 1801 PORT WHEELER PL Legal Desc : N TR 7029 BILK LOT 71
Description: PLUM GAS LINE TO BBQ
Owner: MARK VANHORCK
Contractor : MATA'S MASONRY
Address : 1839 PORT CHARLES PL NEWPORT BEACH, CA 92660
Address : 910 E. 4TH',ST SANTA ANA, CA 92701
Phone: (308) 386-6032
Phone: ,'' (714) 393 6358
Con State Lie : 861880..
Applicant : MATA'S MASONRY
Lie Expire 07/31/2023
Address : 910 E. 4TH ST SANTA ANA, CA 92701 -
Bus Lie: ` BT30015664
Phone: (714) 393-6358
Bus Lie Expire:04130/2023
Workers' Compensation Insurance
Owner/Builder :
Carrier : OAK+RIVER+INSURANCE+COMPAW
Address :
Policy No : MAWC337640
Phone:
W. C. Expire: 2/1/2023
Code Edition : 2019
Fire Hazard Zone: 'N
Type of Construction :
Occupancy Groups
Building Setbacks : Front: 22, Side: 5, Side: 5, Rear: 10
Flood Zone: X
Use Zone: PC - Harbor View Hills -
PROCESSED BY
NCE DATE
IN ALL AREAS
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I hereby affirm under penalty of pariury that I am exempt from the Contractors' State License Law forthe reason(s) indicated below by the checkmark(s) I have placed next to the. applicable Items)
rction 7031.5, Business and Professions Code Any city or county that requires a permitto construct,alter. improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
permit to (ilea signed statement that he or she is licensed pursuant to the provisions of the Contractors` State Liconse Law (Chapter 9 (commencing with Section 7000) of Division 3.of the Business anc
ifessions Code) or that he or she is exempt from licensure and thebasis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
more than five hundred dollars ($500).
1, 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,
>iness and Professions Code: The Contractors' State license Law does not apply to anowner of property who, through employees' or personal effort, builds or Improves the property, provided that the
)rovements 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
)roved for the. purpose of sale)..
I, asowner 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
ty 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 licensors under the. Contractors'.Slate License Law for the Following reason:
my signature. below I acknowledge that, except for my personal residence in which I must have residedfor at least one year prior to completion of the. improvements covered by this permit,.'. cannot loge
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 taw, Section 70" of the Business and
ifassions Code, is available upon request when this application: is submitted or at the following Web site.http:fAvow,leginfo.ce.govicalaw.htmi.
of Property Owner or Authorized Agent Date
'D CONTRACTORS DECLARATION
Man under penalty of perjury that.I am licensed under provisions of Chapter 9:(commencing with Section 7000 fplyis iDDpf1 3:of the Business and Professions Cqd , a my license is Infull force
. License ClassLicense: No Date � ^ Contractor Signature ,f
COMPENSATION DECLARATION
DST OF COMPENWIQtf, DAMAGES AS PROVIDED FOR IN. SECTION 370fi OF THE LAS,
hereby affirm L, beir ili malty of perjury one the following declarations:
TO CRINNAL PENALTIES AND CIVIL FINES UP TOON£ HUNDRED THOUSAND DOLLARS i5100,000), iH ADDITION
FEES,
s 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
ace orthe "tk for which this permit is issued. Policy No.
and will -maintain workers' compensationinsurance as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensa
canfewaad.> policy number are:
.,.,
Policy Numher Expiration Date
gem-, , Phone If
that, in the performance of the work for 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
ould become subject tothle�workers' compensation provisions of Section 3700 of the Labor Code; I shall forthwith comply with those provisions. /p
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' ¢grppj affirm ii$derronalty of pedurythatthere is aconstruction lendmil agency for the performance of the work for which this permit is issued (Section 3097, Civil Code),
_ender's Name. • , • - Lenders Address.
3y my signature. below,. I certify to each of the following:
1 am the property owner at authorized to act on -the: property owner's behalf.
I have read this application and the informational have provided is correct.
I agree to comply with all applicable city and county ordinancesandState laws relating to building construction.
I authorize representatives of this Oty or county to onto ove-identifed property for inspection purposes. ,[� ( oak
Signature of Property Omer or Authorized Agent y� Pont Property or Authorized Agent's. Nang/FT iy �' V.L
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ACTION I DATE � BY —
I DECLARATION OFCOMPLIANCE WITH CODE OFFEDERAL I FOR OFFICE USE ONLY
PERMIT CANCELLED
j EPA
Allrequired alarms, latches gates and fenceswhich serve as part of pool/spa barrier,. shall
be in place prior toapprovatto:fill pool/spa & shall remain in place& be maintained for the
life of the pool,
PERMITEXTENiitV
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PERMIT FINAL
CERTIFICATE OF
LJ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION