HomeMy WebLinkAboutP2019-0244 - PermitsCity of Newport Beach - Building Division 11111111111111111111111111111111111111111111111111111111
100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 9 0 2 4 4
Permit Counter Phone (949)644-3288
Job Address: 39 OVERLOOK DR Bldg: 1 Floor: Suite:
Description of Work: PLUMB GAS TO BBQ, BAR SINK
Inspector Area: 6 Code Edit 2016
Legal Description: N TR 15400 LOT 51
Owner: SHAOPING YANG
Contractor:
SIERRA LANDSCAPE
Address: 23041 AVENIDA DE LA CARLOTA #2
Address:
Carrier: NATIONAL LIABILITY INS
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FEES
LAGUNA HILLS, CA 92653
LAKE ELSINORE CA 92532
Phone:
Phone:
951-293-9176
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Con State Lic:1032547
Issued Date:06/06/2019
Lic Expire:
11/30/2019
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Bus Lic.
BT30054552
Processed By:
Lic Exp Date:
09/30/2019
PLUMBING Permit: P2019-0244
Project No: 1638-2017
Inspection Requests Phone (949)644-3255
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Worker's Compensation Insurance -
41010 LANGERFIELD CT
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.
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PolicyNo:A9WC030284
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FEES
Expire
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: 07/06/2020
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m e e e• c
Misc.
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o e
Misc.
ee
• • o
° °
Toilet
0
$0.00
•
0
$0.00
•
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$0.00
Roof Drain: 0
$0.00
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$0=00 m
Bidet
aeee
$0.00
Garbage Disp:
0
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m •
0
$0.00
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• o 0
60500 • `°
Urinal
00 0
$0.00
Bar Sink:
Doom
$14.00
Water Heater:
0
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$0.00
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m
0
$0.00
Vegetable Sink:
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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
o
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o
Bathroom Fixtures
Kitchen Fixtures
Misc.
Misc.
Other �ee•m.
• • o
° °
Toilet
0
$0.00
Kitchen Sink:
0
$0.00
Water Piping:
0
$0.00
Roof Drain: 0
$0.00
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$0=00 m
Bidet
0
$0.00
Garbage Disp:
0
$0.00
Water Softener:
0
$0.00
Grease Trap: 0
$0.00
60500 • `°
Urinal
0
$0.00
Bar Sink:
1
$14.00
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
Lndry[Trap:
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:
$56.00
Plan Check Fee :
$0.00
Fee Due at Permit Issuance : $56.00
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 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 far
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 (_) 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 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 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.html.
Signature of Property Owner or Authorized Agent Date
.... LICENSED CONTRACTOR'S DECLARATION
I hereby affirm GpWpgnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
License glass . . • License No Y\te Contr or Signature
VVORKEgS' COMPENSATION DECLARATION
NARNINCPFAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COS,' OF FOMPENSF$TT *LTAFAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Ipreby.dfflrm undg OdAnalty of perjury one of the following declarations:
.
Zii (nave and will*
mai..ntain 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
oejfpggance of the worl•C for which this permit is issued. Policy No.
Pmpee pnd will rpaintajn 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' compensatiol
nsuranceearrier and'pu y number are:
Garber.. • _ Policy Number Expiration Date
certify that, in the performance of the work for which 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
if I should become subject tot #erS' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those rovisions.
�6 /J' — _�. C_/ _/q
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is
ender's Name Lender's Address
ly 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter t ve-ide ' 'ed property for inspection purposes.
;kmature of PfoDertv Owner or Author) olggent Print Property Owner's or Authorized Allienl
GLl AJA
DATE I BY
I PERMIT CANCELLED I I I
I PERMIT€XTENDED I I I
AQJMDRULE1603.
❑ f SUBMITFEDASSESTOS 1071F(CATION TO.
❑ EPA
❑ AQMD
❑ ASBESTOS NONRCADONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
OCCUPANCYISSUED I I I I SIGNATURE.
3097, Civil Code).
OFFICE USEONLY
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