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Home My WebLink AboutP2019-0316 - Permitserr City df Newport Beach - Building Division t5 100 Civic Center Drive, Newport Beach, CA 92660 N t Permit Counter Phone (949)644-3288 (ilIII111111111111111111111111111111111111 PLUMBING eMBIING Permit : P2019-031611111111 Job Address: 20360 BIRCH ST Bldg: 1 Floor: 1 Suite: 110 Description of Work: COMM -ADD WASH SINK @ OPPOSITE WALL OF EXTG SINK Inspector Area: 7 Code Edit 2016 ° e mm..% Legal Description: Worker's Owner: - NEWPORT HTS MED OFFICE LLC Contractor: Compensation Insurance - oeaso• o Address: 20360 BIRCH ST Address: 3030 S FAIRVIEW ST #B N7EW CA 92660 SANTA ANA CA 92704 Phone: .Phone: 714-963-6975 Con State Lic:824124 o00o e e• c Issued Date: 110 612 01 9 Lic Expire: 09/3012021 Bus Lic BT30055593 _ Processed By: Lic Exp Date: 07/3012020 Inspection Requests Phone (949)644-3255 $0.00 $0.00 $0.00 $0.00 $13.05 $35.00 $0.00 INSPECTOR ° e mm..% BENNETT'S PLUMBING INC Worker's e eeo.o� oeaso• o Carrier: CYPRESS m m Policy No:BEWC917076 Expire: 12/01/2019 aOOO°m m a e o00o e e• c - e m m meema Misc. Other maoao 6 0 oom moo o m o m e eommmm. m o m omomoo o eo o a $0.00 $0.00 $0.00 $0.00 $13.05 $35.00 $0.00 FEES Bathroom Fixtures Kitchen Fixtures Misc. Misc. Other Toilet: 0 0.00 Kitchen Sink: 1. $15.00 Water Piping: 0 $0.00 Roof Drain: 0 $0.00 Bidet 0 $0.00 Garbage Disp: 0 $0.00 Water Softener: 0 $0.00 Grease Trap: 0 $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: Shower Stall: 0 $0.00 Ice Maker: 0 $0.00 Gas over 4 outlets: 0 $0.00 Sewer Investigation: Wash Basin: 0 $6.00 Dishwasher: 0 $0.00 Backflow up to 2": 0 $0.00 Sewer: 0 $0.00 Plan Check: Hydro -Mass Tub:0 $0.00 LndryfTrap: 0 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair:0 $0.00 Issuance: Floor Sink: 0 $0.00 Regulator: 0 $0.00 Hose Bibb: 0 $0.00 Sewer Abandon: 0 $0.00 Supplemental Fee: Floor Drain: 0 $0.00 Lawn Sprinkler: 0 $0.00 Drinking Fountain: 0 $0.00 Additional Fee : $0.00 TOTAL: $63.05 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $63.05 PERMITS EXPIRE 980 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. $0.00 $0.00 $0.00 $0.00 $13.05 $35.00 $0.00 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 notintendedor 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). ❑ 1, 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below lecknowledge 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 legall) sell a structuARift1 Zave 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 �Pr;fpJJsIons 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 Date LICENSED CONTRACTOR'S DECLARATION 1 herehy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professi 'is C , and my f nseis in full force License Class •••• License No Date Contractor Signature\ �� — NQIj�(�RS' CQIV�2ySATION DECLARATION XFAILURE TO S&tRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYE TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,DODI, IN ADDITION TO THE 01?tOMPENSATIQN, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. &Jb tfirm under penalty of perjury one of the following declarations: ...... �n and will mairRain 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 Cade, for thJ once of the.workfor which this permit is issued. Policy No. �) ha and will ftHain 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 nsur ce carrier and policy number are: ie of Agent certify that, in the performance of if I should become sub' to the Iature of Applicant Policy Number Date this prmit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and atirovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. t Jreby affirm under peally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued Jder'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. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinance5 and state la I authorize representatives of this city or county to enter theovyfdentl11`14 01 nature of ProDertv Owner or Authorized A ACTION DATE P€RMITEXP/R€D PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL .'Z 5 . CERTIFICATE OF OCCUPANCYISSUEO f3I ys relating to building construction. property for inspection purposes. Print Propertv Ownel FEDERAL REGULATIONS PART 61 OF TITLE 40AND AQMDRULE1403. I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA AQMD ASBESTOS M017FICA770MIS NOT APPLICABLE TO PROPOSED DEMOLITION, SIGNATURE: 3097, Civil Code). .r Iker �j ki—CIL ® ® 4^4- (2._ C o L --D W eoY-F w age, C I e �oao:o S},,r 5ur5nry Con ��'✓ 2c.3L,® s,w ! oeh"o�o 9veLlo m t ER �o . �oc IIIc S},,r 5ur5nry Con ��'✓ 2c.3L,® s,w ! oeh"o�o 9veLlo LUCK PLAN •e 0 ---------=-----------------------� ----------------- ( I PRO[EONRE#I SCOPE STORAGE PRO(EDHRE#1 RE EST FSTAT-1 STAT-1RECEIVING WASTE N.HALI BREAK 'I � 140 141 49 143 144 Pmi 45b IAT 148 M r II 1 I 1 II I I I j i G�'R�IiY i uYNEY i NJfFIEY I II x10 � I SII I 412 " K E15 N EI3 E15 16 I - 1 I IE14 6 l0[NER#1 • 1 r C(� _ cc G � I g Ir s i; i 1B s EI6_- If I I a I �� IL -- it j� LAVATORY - g Is E12 6® - 3 i p i 8 FIT I : 3 CITY OF NEWPORT B - GI CO f 1MiINI.T,Y,,QF;VI<6.QWgNT L)EPART ENT 8 1 C APS OVAL OF TI -T PLG NS DC P4CT CONSTITUTE EXPRESS R IMPLIED _ e O AU$$ ORIZ.ATION 10 COP` TRUGI' AIyY B'IILDING IN, LI IESVIOLATIO OF OR INA NSISTENT WIT1 l'HE (I'DINAN -_S,I e , IJD POLICIES OF TF E CITY OF s _ HER PORT BEACH. THIS A IfIjROVAL 90 =" DI f UARANTEE THAT TH -SE PLANS -_CTS, I COMP IANC- WITH CITY, BUILDING, A D ZONING a 12 s AN IN ALL RES I I OR! INAIVCES, PLA S AND PULICIE CITY F NEWPORT BEACH RESERVES ---- ------ TH s RIGHT TO REQ IRE AN1 ERMI 10 REVI E THE BUILDING STIR CTU "-.`E IM OVEMENT AU HORIZE BY PLANS BEFORE, DURING R A T CcP STRUCTICN, IF NECES`FRY PLY WITI I THE ORDINANCES, LANAy'IAND� PO` CIES OF THE CI -Y OF N VP \ H. F PEF ITTEE'SACKN )WLED I I (SIGNATURE) 5 RT IG UREI _ SiEflilf OIRIY IANIiOR#2 UN"�' SHONER#2 LO[KFR#Z LAVATORY P ' ICWORKS I ..r a I Int 15� I:8 % 15b G._RALS VICE _ _ _ ____ ________ ______ ______ ___________ ---5�---Iy-----�------------P---- Fill F2 Sif3' E17 FLOOR PLAN PL Ni G SCALE: I/4" e I' APPROVAL TO ISSUE BUIL