HomeMy WebLinkAboutP2022-0006 - Permits�rwrryR� City of Newport Beach - Building Division 'P2022-0006*
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 309 ALVARADO PL Bldg: 1 Floor: Suite:
Description of Work: PLUM SEWER RPR (STOP WORK)
Inspector Area: 1 Code Edit 2019
Legal Description: NEWPORT BAY TR SUB OF ELK C LOT 67
Owner: SWANSON PEGGY
Contractor:
STEVEN BRERETON
Address: 309 ALVARADO PL
Address:
3037 GARFIELD AVE
NEWPORT BEACH CA 92663
COSTA MESA CA 92626
Phone:
Phone:
9491310-9116
Con State Lic:1053764
Issued Date:01/1812022
Lic Expire:
05/31/2023
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Bus Lic:
BT30077713
Processed By: v72J /12:7
' p Date:
01/30/2023
PLUMBING Permit: P2022-0006
Project No :
Inspection Requests Phone (949)644-3255
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Worker's Compensation Insurance-
Carrier: WIC EXEMPT ,
Policy No:
Expire
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:
0
$0.00
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:
$39.00
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,0
$0.00
Lndry/Trap:
0
$0.00
Backflow overt":
0
$0.00
Sewer Alter/Repair:1
$39.00
Issuance:
$38.00
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:
$116.00
Plan Check Fee :
$116.00
Fee Due at Permit Issuance : $0.00
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 items)
(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) orthat 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 U all of or U 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).
I am exempt from lice nsure 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 leg a II,
60, a structure tba' 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 rdeCa/n4f
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ection 7000) of Division 3 of the Business d PtrofeioCse_ is in full force
..I,d effect. I- 'F - 26 Z
I i-cr ;e Class, License No Date ontractor Signature
l:OZXERS' CQMPENSATION DECLARATION
FAILURE TO SFOURE 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
�OaT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
herehy affirm unaer penalty of perjury one of the following declarations:
I have and will ,na,ntain 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
)ertormance of the work for which this permit is issued. Policy No.
I 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' compensatior
nsurance carrier and policy number are:
3arrier Policy Number Expiration Date
ZV e of Agent Phone #
I certify that, in the performance of th w rk rwhich this permit is issued, I shall not employ any person in any manner so as to become subject tot a workers' compensation laws of California, and agree
a I should becom@@'.\s/yDISC
grdI he wo ers' om atien-provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro
�I_I s.
signature of Applicant I XI �� _ Dat
Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
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. UDV\ U
I have read this application and the information I havf1rhel
Orideg
o act.
I agree to comply with all applicable city and county c ate laws rela' -to building construction.
I authorize representatives of this city or county ad. P for inspection purposes. /n(/` _
nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name 2---- / Date/ I
ACTION
DATE
BY
DECLARATION OF COMPLIANCE MTHCODEOF
FEDERAL REGULATIONS PART 61 OF TITLE40AND
AQMDRULE 9403.
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:.
FOR OFFICE USE ONLY
PERMITEXPtRED
PERMITCANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED