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HomeMy WebLinkAboutP2019-0268 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII PLUMBING Permit: P2019-0268 100 Civic. Center Drive, Newport Beach, CA 92660 P 2 0 1 9 0 2 6 8 Project No :1823-2018 Permit Counter Phone (949)644-3288 FEES '�"wx,M7yw Inspection Requests Phone (949)644-3255 Bathroom Fixtures Kitchen Fixtures Job Address: 2245 ARBUTUS ST Bldg: 11 Floor: Suite:- 1 �J� Description of Work: PLUM GASLINETOBBQ �,rOR °eee .° Other Toilet: 0 Inspector Area: 8 Code Edit 2016 Kitchen Sink: 0 Legal Description: N TR 4705 LOT 100 Water Piping: e ° $0.00 Roof Drain: 0 $0.00 Owner: CASTRO ANTONELLA Contractor: SALVINI MICHAEL CONTRACTORS Worker's Compensation Insurance - Bidet Address: 2245 ARBUTUS ST Address: 836 EAST WASHINGTON Carrier: W/C EXEMPT Garbage Disp: NEWPORT BEACH, CA 92660 SANTA ANA CA 92701 Policy No: Water Softener: Phone: Phone: 714-852-3844 Expire: ®` Grease Trap: 0 Con State State Lic:637735 $0.00 Issued Date:08/27/2019 Lic Expire: 02/29/2020 0 $0.00 Bus Lic: BT30059818 0 $0.00 Processed By: ' `� Lic Exp Date: 07/31/2020 0 $0.00 Grease Interceptor:0 .... 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. 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 $7.00 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:0 $0.00 Lndrylfrap: 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: $42.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $42.00 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) 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 penally 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 pagJase of sale). ❑ I, as owner of tFhr property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not iappDpte an owner 4fproperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 13 1 am exempbrromlicensure under the Contractors' State License Law for the following reason: 81 piy'sjgnature bglow 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 legally SAFE structurg that `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. :3ignailire of Property 6wner or Authorized Agent Date .„. .... LICENSED CONTRACTOR'S DECLARATION :1 Wq* affirnfdnder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S ction 7000) of Division 3 of the Business a d Profs sio ode, and my license is in full force r V::%ffect. �. to .•. . License No Date08- Zi'7.t71 Contractor Signatur ...... V PAIg�RS' COMP MSATION DECLARATION WARNINGAFAILURE TPSECMRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOY RTO CRIMINAL PENALTIES AND CIVIL FINES UP TO NE HUNDRED THOUSAND DOLLARS (5166,0661, IN ADDITION TO THE CdBT DP COMPENtA.TPV EFAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'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 thr 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' compensatio rance carrier and policy number are: Policy Number Date a eof Agent rnoneff certify that, in the perfo.mance of the wo for which this permit is issued, I shall not employ any person in any manner so as to become subject to a workers' compensation laws of California, I should be ject t e works compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prove ns,r� ® ignature of Applicant l D vU-2`�'�j� iECLARATION REGA DING CONS ON LENDING AGENCY hereby affirm under nalty of perjury that t re is a construction lending agency for the performance of the work for which this permit is issu (Section 3097, Civil Code). ender's Name Lender's Address y 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. I have read this application and the information I have provided is corn I agree to comply with all applicable city and county dinance s ate, relating to budding construction. I authorize representatives of this city or county toe r th =l tifie roperty for inspection purposes. / )A,r /'k n...__- a.. . ...1-;__1 ....._. // Dr,nt.ornnmHxf n,A,nnr'a nr Airthnd7cd Ananf'c Name Date/ ACTION DATE BY DECLARATION OF COMPLIANCE 141TH CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 61 OFTnLE40AND AQMDRULE1403. . . PERMtTEXPIR€D ❑ I SUi3WTFEDASBESSTOS N031F/CATION T0: ❑. EPA © AQMD PERMITCANCELLED - PERMIT EXTENDED ❑ ASBESTOS NOTIRCARONIS NOTAPPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTOCATE OF SIGNATURE: OCCUPANCYfSSUED