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HomeMy WebLinkAboutP2019-0215 - PermitsPERMITS EXPIRE 190 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday'- Friday 7:00 a m. to 6.10 p.m. and Saturday from 8:00 a.m: to 6:00 p.m �v tori: City of Newport Beach -Building Division III IIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII III PLUMBING Permit: P2019-0215 100 Civic Center Drive;: Newport Beach, CA 92660 P 2 0 1 9 0 2 1 5 ' Permit Counter Phone (949)644-3288 Project No: 2483-2017 ) Inspection Requests Phone (949)644-3255: Job Address: 2407 BUCKEYE ST Bldg: 1 Floor: Suite: Description of Work: PLUM/GAS LINE TO BBQ INS A"TO R E(; Inspector Area: -8 Code Edit 2016 Legal Description: N TR'4893 LOT 101' Owner: ZEH CK.' Contractor: KESKY EDDIE GENERAL CONTRACTOR INC Workers Compensation Insurance - Address: BUCK YE ST Address: 10641 BLOOMFIELD STREET Carrier REDWOOD FIRE EWPORT B ACH, CA 92660 LOS ALAMITOS CA 90720 Policy NoEDWC10587 ° E Phone: Phone: 562-795-5755 Expire { 01/01/2020; ®®° Con State Lic:768265 Issue Date:07/10/2009 Lie Expire: 09/30/2019' Bus Lie: BT30057336 Processed y: Lie Exp Date: 11/30/2019 gems.° FEES Bathroom Fixtu s Kitchen Fixtures Misc. Misc. Other Toilet: 0 $0.00 Kitchen Sink: 0 $0.00 Water Piping: 0 $0.00 Roof Drain: 0 $0.00 $O.OQ Bidet 0 $0.00 GarbageDisp: '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 Greaselnterceptor: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 Lndry/Trap: 0 $0.00 Backflow overt": 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: $42.00 Fee Due at Permit Issuance : $0.00 PERMITS EXPIRE 190 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday'- Friday 7:00 a m. to 6.10 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 below6y 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 (Chapter9 (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, es owner of the property, or my employees with wages as their sole compensation, will do (_) 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). ❑ I, Be 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 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 legall, 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://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date •••• LICENSED CONTRACTOR'S DECLARATION •I hereV affirm ander penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profess'ons o and m {license is in full force ••vo4affect. • ••• o, / ticense•Class�,•_ License No ! �-7.G5 Date X-� 7�'�% Contractor Signatures //ORitERS"OOMPENSATION DECLARATION ILURE So RFC,CVRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE AP6*mr4oNr DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. imi'under penalty of perjury one of the following declarations: t••• and N11 gothilain 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 th e o! ih :irk for which this permit is issued. Policy No. and wilLroeintain 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' carricl�'a Ip2olicynumberare: Policy Number Expiration Date tr W> certify that, in the performance of `II' should beoomeasubject to the e _°\/l e of this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi ' —/ CLARATION REG DING CONSTRGCTI LENDING AGENCY III :reby affirm under penalty of perjury tt ere is a -construction lending agency for the performance of the work for whichthispermit is issued (Section 3097, Civil Code). Ider's Name Lender's Address my signature below, I certify to each of the following: 1 am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided Kide:�c I agree to comply with all applicable city and county ordinan s s relating to building construction. I authorize representatives of this city or countytegnter e a roperty for inspection purposes. �j nafurw of Pronertv nwner or Authnrized ADent Print Property Owner's or Authorized Auent's Nam AC77ON DATE BY UCLLAa IrUfr UrwmrLrsuw.c rr flo` :VUc. Ur tvnvttJLt Uat UivLr FEDERAL REGULATIONS PART GI OF TITLE40.AND AOMO RULE 1403, - PERMITEXPIRED © ]SUBMITTED ASBESTOS NOTIFICATION TO. j] EPA D AOMD PERMITCANCELLED PERMITEXTENDED 0 ASBESTOS AfOnRCA71ONiS NOT.APPLfCABL.E TO PROPOSED DEMOLITION. PERMITRNAL -Ztt CERTIRCATEOF SIGNATURE: OCCUP.4NCVISSUED