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HomeMy WebLinkAboutP2022-0203 - PermitsCity of Beach Community Deevelopmentt Department Building IIII IIIIIIII IIIII IIIII II Plumbing Permit : PZO22-OZO3 D�?gVUPpR@ - Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1351-2021 u +?a r Permit Counter Phone: (949) 644-3288 Work Class : Other ca Inspection Requests Phone: (949) 644-3255 CgL1Fp Issued Date: 08/10/2D22 R��p newportbeachca.gov/inspections 4 k� Inspection Area :6 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: 1510 SANDCASTLE DR Legal Desc : N TR. 6152 BLK LOT 51 Description : PLUM: INSTALL GAS LINE FOR BBO, & FIRE PIT, - Owner: MONGDIEPVOVAN Contractor: Address : 1510 SANDCASTLE DR CORONA DEL MAR, CA 92625 - Address Phone: Phone: - Con State Lie Applicant : MONGDIEP VOVAN - Lic Expire.: Address : 1510 SANDCASTLE DR CORONA DEL MAR, CA 92625 Bus Lie: Phone: Bus Lie Expire: _ - Workers' Compensation Insurance Owner/Builder : MONGDIEP VOVAN Carrier : Address: 1510 SANDCASTLE DR CORONA DEL MAR,CA 92625 Policy No: - Phone: W. C. Expire: Code Edition : 2019- Fire Hazard Zone: N Type of Construction : Occupancy. Groups Building Setbacks : Front: 6, Side: 6, Side: 6, Rear: 6 Flood Zone: X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) ®®® •..• PROCESSED BY: �� .• . . o • ��,• 0 �000 nano oaoe • oa o 0 oa o . • • o � 00000 0 0 eocoo eocoo m00000 0 0 0 a00000 a •soon I hereby affirm under penalty of perjury that tam exempt from the Contractors State License Law for the reason(s) indicated below by the checkmark(s) I have placednext to the applicable items) (Section 7031.5, Business and Professions Code: Any City or county that requires a permit to construct, Biter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for the pomsI to file a signed statement that he or she is ticonsed pursuant to the provisions of tha Contractors" Stato License Law (Chaptor 9 (Commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from liconsure 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). El 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 proffered for sale (Section 7044, Business and Professions Code: The Contractors' State License Low does not apply Loan 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 Ipm�proved for the purpose of sale), tom* I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code. The Contractors' State License Law does not aj?,ply 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 I 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 1 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 'fit has not bee nstruot,7r/� In its entirely by licensed Contractors. I understand that a copy of the applicable Saw, Section 7044 of the Busin $ cod Professions Code, is available upon request when t(rIs applicetior s 11 tewo. at the to Web sita:http*.Ii�.1(�ginfo.ca.gov/�law.htmi. .Ieginfo.ca,gov/calaw.htmi. ID � Signature of Property Owner or Authorized Agent / Date 7C �1C7 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapler9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION',.. DECLARATION'., WARNING: FAILURE TO SECURE WORKERS! COMPENSATION. COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL. PINES UP TO ONE HUNDRED THOUSAND DOLLARS 1Q100,0001, IN ADDITION TO THE COST OF COMPENSAT;ON, OAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOE,. ARTEREST. AND ATTORNEYS FEES, I hereby affirm under penalty of perjury one of the following declarations: F1 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 th performance of the work for which this permit Is issued, Policy No. have 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' ranee carrier and policy number are: lame of Agent _ CI ceniry that, in the pi tat, if I should become ignalum of AppilCant _ +ECLAt¢ATIGN REGAI hereby affirm under pE enders Name Policy Number Expiration Date Phone fF i 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 the WO IS' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. p :3E7- — ��_ . Date�CJ perjury that there Is a construction lending agencyfor the performance of the work forwhich this permit is issued (Section 3097, Chit Code), Lender's Address By my signature below, I certify to each of the following: I am thapmperw owner or authorized to act on the property owner's behalf. • 4 have madRPo'sapplication and the Information I have providedis correct, : • �' I agree VgpTnply withall applicable D4 and county ordin a and state laws relating to building construction, I authorize representatives of this city ar county to enter b tified propertyfor Inspection purposes. /43 •zolature of Pmperty Owner or Authorized A ant Print Pros nt's Owner's or Authorized Agent Name n ,, � Date AOON • • • DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL. FOR OFFICE USE ONLY • • REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE • ••• ••.• 1403 •• rs,wn„c,�.n,rc✓•• r--rr>uDrvireisu N>or>iv>nu ��n4rn„v,y ,v • • PERMITCANC64LED —'-T�1 E�PA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall • PE,rMIT EXiENOE. • LWQMD be in place priorto approval to fill pool/spa & shall remain In place & be maintained for the - PERMIT FIWAh•-IIy--•--• A58ESTDS NOTIFICATION IS NOT APPLICABLE TO life of the pool. • CE¢TF€CAiE pf PROPOSED DEMOLITION • •w....,,...,.n,.�.�,-.-. III ....,._..... PERMIT FEE DETAILS FOR PERMIT P2022-0203 Fee Name Fee Amount Fee Paid Amount Transaction Date Payment Method Trans. Paid Amount Paid By Building Building Plan Check Fee $6.96 $0.00 Gas Line 0 to 4 Outlets Fee $6.00 $0.00 Issuance Fee $39.00 -$0.00 GRAND TOTAL: JJ° J ° JJ �� ° OJ J J J J uuVO v J O J O t O V O °© �O VJ J lJ J J ud :..... . . . . .. :. .. •eess •ees• •.ee• •eess• •ees ... •.... ... .•.. .....: •es• • u •: •ee ••