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HomeMy WebLinkAboutP2019-0201 - PermitsCity o Newport Beach ortBhBuilding Division 14fBeach, I IIpIiIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II ' Permit Counter Phone (949)644-3288 Job Address: 115 29TH ST Bldg: 1 Floor: Suite: Description of Work: PLUMB GAS TO FUTURE BBQ & WATER LINE TO FUTURE SINK Inspector Area: 1 Code Edit 2016 Legal Description: NEWPORT BEACH CITY ELK 29 LOT 28 Owner: 115 29TH STREET LLC Contractor: BURKHART BROTHERS CONSTR Address: 11821 HIGHVIEW DR Address: 130 MCCORMICK AVE #107 SANTA ANA CA 92705 COSTA MESA, CA 92626 Phone: e a Phone: 949-375-6735 Con State Lici905510 Issued Date:06/25/2019 Li Expire: 10/31/2019 + / tis Lic: BT30026859 Processed y: � L Lic Exp Date: 03/31/2020 Kitchen Fixtures PLUMBING Permit: P2019-0201 Project No Inspection Requests Phone (949)844-3255 Worker's Compensation Insurance - Carrier: SECURITY NATIONAL INS Policy No:SWC1218229 Expire: 02/01/2020 -mmm ° . s rommc` mo m e as o o <. mo m om m a , 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. e a FEES as oa°° a c m Bathroom Fixtures Kitchen Fixtures Misc. Misc. Other eom• Toilet: 0 $0.00 Kitchen Sink: 0 $0.00 Water Piping: 1 $7.00 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 o m„ ° Bath Tub: 0 $0.00 Vegetable Sink: 0 $0.00 Gas up to 4 outlets: 1 $7.00 P -Trap: 0 $0.00 Record Mgmt Fee: e %,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:0 $0.00 Lndry/Trap: 0 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair:0 $0.00 Issuance: $35.00 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: $49.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $49.00 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 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 L) all of or L) 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). 3 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 nnf 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 licensure 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 legalll 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://w .leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of th usiness and Professions Code, and my license is in full force and effegt• • •' . /2 License Class •' License No fJ@te 1-S ����'F Contrac C Signature 4fOAKERS.r,"AIPENSATION DECLARATION NARNING: FAILERE-OSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($1013,001)1, IN ADDITION TO THE :0S70F COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 0108 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. taraby affirm I✓ndarrenalty of perjury one of the following declarations: I•heve 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 thi g�g�p�mance of 4he Mork for which this permit is issued. Policy No. �f'have and Evill 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' compensation ta•nce carrier rind policy number are: ,atr er. Policy Number Expiration Date ne of Agent Phone # F@Ogy that, ins 1 p9rf Trance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subjec to the workers' compensation laws of California, and t, if I should becom ub' t tothe workers' cod tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pye ' ions. nature of App ��X ' L' O� to ZS' CLARATION EG RDING CONSTRUCTION LENDING AGENCY Heby affirm nder 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. 1 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 county to r t ab R10 led property for inspection purposes. f .,...__. _- �..... �.,....... - [ ods. n,.,, e. — n„rw.rl,en ZC7 �w AC77ON DATE I BY I PERMtTEXPIRED I I I I PERM(TCANCELLED I I I PEBMfT FINAL CERTIEICATEOF OCCUPANCYISSUEO I SUBMI'TTE➢ASBESTOS NOTIFICATION TO: EPA ❑ AQMD ❑ ASBESTOS N017HC41701VIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: