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HomeMy WebLinkAboutP2019-0186 - PermitsCity of Newport Beach - Building Division IIIIIIIII�IIIIIIIIIIIIIII�IIIIIIIIIIIIIIII II t 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1. 9 0 1 8 6 .ti Permit Counter Phone (949)644-3288 ny4ro`�v�a ', Job Address: 3506 CATAMARAN DR Bldg: 1 Floor: Suite: Description of Work: PLUM GASLINE TO BBQ & HEATERS Inspector Area: 4 Code Edit 2016 Legal Description: N TR 6152 LOT 12 Owner: MARTIN VALINDA JEAN Contractor: OWNER/BLDR Address: 3506 CATAMARAN DR Address: MARTIN VALINDA JEAN CORONA DEL MAR, CA 92625 meeoo Phone: 949-433-6070 Phone: Con State Lic:O/B Issued Date:06/11/2019 Lic Expire: �GJC/ Bus Lic: Processed By: " \ Lic Exp Date: PLUMBING Permit: P2019-0186 Project No: 1231-2018 Inspection Requests Phone (949)644-3255 e ...m Worker's Compensation Insurance - ° mese Deese: Carrier om m Policy No: ° ° ° m Expire o m 000c° e c o e c mo n e m momeom eeeoo m o meeoo 0 FEES oomeor oomaoo o e 0 Kitchen Fixtures Omm4C0 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 O0`° 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:O $0.00 Lndryfirap: 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. +•• 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 rile 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 6091ness 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 lot more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 roved for the purpose of sale). 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). V I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature bili acknowledge that, except for my person I reel nce in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall sell a slructur&04strimave built as an owner -build r if it has be instructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Yode, on 7044 f the Business and :.Paull Bions Cod6,Js available upon request whin this appli alio r at the following Web site:http://www.leginfo.ce.gov/calaw.html. Signatufe of Pr:pErjy,Owner or Authorized Agent l[� l • ° LICENSED CONT CTOR'S DECLARATION 41 hereby affirm under penalty of perjury that I a licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionsand my license is in full force •anddeffect. ...... Mcirisis Class • License No Date Contractor Signature AKERS' CdkAPENSATION DECLARATION II1&W FAILURE TO SECORE 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 S1� COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. sbygffirm under penalty of perjury one of the following declarations: , haue and will malhtain 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 IN pQp2nce of I"ort for which this permit is issued. Policy No. have and wilimaintain 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 rance carrier and policy number are: is of Agent certify that, in the pt , if I should become Policy Number Date for which this permit is issued, I shall not employ any person in any manner so as to become subject to Pe workers' compensation laws of California, and compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi s. r I I signature of Applicant ° V — Uatoi IECLARATION REG RDING CONSTRUCTION LENDING AGENCY hereby affirm underpenalty 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). ender's Name Lender's Address ly my signature below, 1 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 correct. I agree to comply with all applicable city and cc my o#/aL ntes and state laws relating to building construction. I authorize representatives of this city or counto anta above -identified pr party for inspection purposes. 'uV}L. IWQ tl'jP nnnafurB of Pron ii OwnRr nr Authnrized Aaent // , _� Print Prooertv Owners or Authorized ADenl's Name AC77ON DATE I BY Ui IfIVIv Ur wWVUAR CPru l n wUc Lir rux urnr.r rr�c vlrcr I FEDERAL REGULATIONS PART 61 OF TIILE40AND AQMDRULE1403. PERMITEXP/REI7 ❑ I SUBMITTEDASSESTOS MOI1F/CATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT€XTENDED ❑ ASBESTOS NORFICARONIS NOTAPPLICABL.E TO PROPOSED DEMOLITION. 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