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HomeMy WebLinkAboutP2022-0096 - PermitsCity of Newport Beach - Building Division *P2022-0096* r 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 PLUMBING Permit: P2022-0096 Project No : Phone (949)644-3255 Job Address: 2581 BAY SHORE OR Bldg: 0 Floor: Suite: �\6- e{V1nd Description of Work: PLUM: (N) GAS LINE FOR (E) BBQ. \{ dppO\Ga 1000�o C InspectorArea: 2 Code Edit 1 Legal Description: N TR 1102 LOT 15 O Owner: WIESE GRANT & JILL Contr 0 E ��ry er's Compensation Insurance - Address: 2591BAYSHOREDR ass: IE 'ty to Carrier: ' NEWPORT EACH, CA 92 ORM AT C Policy No: Phone: 949.244-9036 Phon 949- 44- Expire: State ic:0/ " Issued Date:05/09/2022 ®�}`� Lic Expi - s Lic ` Processed By: 5 Exp e: ` of �rry.JQ Bathroom Fixtures 'Kit an F' res sc. FEES sc. \,0#-- to Toilet: 0 $0.00 Kitch Sin ' 0.0 Water Piping: $0.000of 0 $0.00 0 Bidet 0 $0.00 Garba a Di 0.00 Water Softe $0.00 eas rap: 0 0 0.00 Urinal 0 $0.00 Bar Si $0.00 Water ,H $0.0 G ea nterce Bath Tub: 0 $0.00 Vegetab Sink: 0 $0.00 ,���pp,`��'�� to utlets: 1 $8.0 0 \`ib cord Mgmt Fee: $0.00 Shower Stall: 0 $0.00 Ice Make 0 $0 ��c`over,,8 ts: 0 r Investigation: $0.00 Wash Basin: 0 $0,00 Dishwash w�BgcV1 gi�r1�'to 11, Sewer: 0.00 Plan Check: $0.00 Hydro -Mass Tub:0 $0.00 Lndry/Trap. .00 kTjow over 2� .0 Se Ito air:0 $0.00 Issuance: $38.00 Floor Sink: 0 $0.00 Regulator: $0.00 Hose i 0 $0.00 a andon: 0 $0.00 Supplemental Fee: $0.00 Floor Drain: 0 $0.00 Lawn Sprinkl 0 $0.00 rinkin ntain: 0 0 ditional Fee : $0.00 TOTAL: $46.00 , „}p,', Plan ck $0.00 Fee Due at Permit Issuance : $46.00 EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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 reaso icated below by the check rk(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, alt rove, demolish, or repair any str ct , 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 Con State Lic n ¢¢llaw (Chapter 9 (c@ Icin 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 ex on. Any violatiN���tion 7036%kvVf,� plicant r a permit subjects the applicant to a civil penalty of not more than five hundred dollars $500). `{ p0 'UU ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all o4 br�(� porti�Itsrgttco O and the structur ' no 'ntended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License La not apply to an owner of props tryiv�' tTrifugh employees' or al effort, ilds or improves the property, provided that the improvements are not intended or offered for sale. If, how ve wilding or improv is sold wit n year of completion, caner -Builder will h ve She burden of proving that it was not built or improved for the purpose of sale). , ❑ I, as owner of the property, am exclusively c in h n ractors to construct the project (S c,�'W,y���,��+ Business and Professions Code: T Contractors' State License Law does not apply to an owner of property who build pro s re o contracts -for the projectsvth a I ed Contractor pursuant to the Contractors' State icense Law). ❑ 1 am exempi rro,n licensur rthe C ac r License Law�for the following reason,] 4^ ry eignature SDlo,_i I ledge that, ex eF y p sonal re`siderice in which I must have resided for at least one year prior to completion of the i sell a structi-re th ave built as ran o till er If It 'not been constructed in its entirety by licensed contractors. I understand that a copy of the _ Professions Cod Is av t l equest wh. a:; Is a plication Is submitted or at the follow Usf( http://www.leginfo.ca.gov/cal2W.html. Sigrature of Pr pert wneluthortzed Agent`, - - _ r I fiereby affirm under p natty j and effect. License Class NORKERS' COMPENS. TIO rARMNG: FAILURE TO SEu1RE W KERS' I JOSTOFCOMPENSPT'9N,CWAG ASPRC neFeoy:affirm under penalty o erjur I have and w,d maintain a rtifi, rerformance of the work for whit rm �I have and will maintain worker I nsurance carrier and policy numbs ;arrier dddame of Agent at-cettify that, in the performance of hat, if I should become subject to the signature of Applicant x r---.(., i'S DECLARATION --I under provisions of Chapter No M 7000) of Division 1ERAGE IS UNLAWES„AHO SHALL SUBJECT AN EMPLJT T RIIv1Y�'AVPaNAI ION 3706 OF THE LABOR CODE, INTEREST, AND ATTORN Y'S FE ��✓/// wing declarations: 1 �� to self -insure for worker ' :N �ation, issued by the Director of I. Policy No. ,,p�er '' Durance, ay�ie� %i d ection 3700 of the Labor Code, fu4h pe UP TO Date its covered by this permit, I cannot legal[, law, Section 7044 of the Business and �_ Dat",!c 5 I -I I� a -a Code, and my license is in full force ($100,0001, IN ADDITION TO THE 3700 of the Labor Code, for this permit is issued. My workers' which this Nninit is issued, I SDi employ an son' manner so as to become subject to the workers' compensation laws of California, and compensation provisions o ction 3700 of abD , I shall forthwith comply with those provisions. .D'). _ _ na'te x r�-) J 1 )reby affirm under penalty of perjury't"t t rAl!'3 constructiongWpi the performance of the work for which this permit is issued (Section 3097, Civil Code). tder's Name Lender's Address my signature below, I certify to each df`.;fkle lows I am the property owner or authorized¢',. Ct n t erty owner's behalf. have read this application and the infohinlati 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 enter the abcvs-identified pro erty for inspection purposes. nature of Property Owner or Authorized Agent X 1!_A Pr9perty Owner's or Authorized Agent's Name e _ / Date ACT70N DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOROFFICEUS€ONLY FEDERAL REGULATIONS PART 61 OF TIRE 40 AND AQMD RULE 1403, PERMITEXPIRED ❑ I SUBMITTED ASBESTOS NO77FICATION TO: ❑ EPA ❑ AQMD PERA4IT CANCELLED PERMITEXTENDED ❑ ASBESTOS NOITFICATION IS NOT APPLICABLE To PROPOSED DEMOLITION. PERMIT FINAL CERTIACATEOF OCCUPANCYISSUED SIGNATURE:. LO rn F °P x z OF W Vo Q/ U M am) 4 ` A O O 0 Oz50-> Z a ` 9z OC7� cmi X U rW >Am°'0 F o 0��a)3 d F > c ~ O V O s U o 0 a 2. ` d - 'o = a � Y d ,"d0 'O y 7 d T V- a m O ,tJ, d m c d a U Cc:) .O C O ? d 0 o O C - T � m O C ca L` 3 . 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