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Home My WebLink AboutP2019-0276 - PermitsCity of Newport Beach - Building Division I111111III IIIII1111111111111111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 9 0 2 7 6 Permit Counter Phone (949)644-3288 Job Address: 2201 WATERFRONT OR Bldg: 1 Floor: Description of Work: PLUM/REPL EXT GAS LINE Inspector Area: 5 Code Edit 2016 Legal Description: TR 682 LOT 42 POR OF LOT Owner: IWB HOMES LLC Address: 3419 IA LIDO #627 PO BEACH CA 92663 Phone: Issued Date:09/06/2019 Processed Suite: Contractor: CONTORELLI CONSTRUCTION INC Address: 30832 MARILYN DR LAGUNA BEACH CA 92651 Phone: 949-290-4630 Con State Lic:319552 Lic Expire: 08/31/2020 Bus Lic: BT30065552 Lic Exp Date: 01131/2020 FEES PLUMBING Permit: P2019-027 Project No : 0533-2019 Inspection Requests Phone (949)644-3255 INSPECTOR Worker's Compensation Insurance - Carrier: STATE FUND Policy No:9154910 Expire : 03/15/2020 Bathroom Fixtures V 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:0 $0.00 Lndry[Trap: 0 $0.00 Backflow, over 2": 0 $0.00 Sewer Alter/Repair:0 $0.00 Issuance: $0.00 Floor Sink: 0 $0.00 Regulator: 0 $0.00 Hose Bibb: 0 $0.00 Sewer Abandon: 0 $0.00 Supplemental Fee: $10.00 Floor Drain: 0 $0.00 Lawn Sprinkler: 0 $0.00 Drinking Fountain: 0 $0.00 Additional Fee: $0.00 TOTAL: $17.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $17.00 PERMITS EXPIRE 190 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 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 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, 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 Iegalll sell a structure Lit 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 Sxlc, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. _ _- — --------- Signature of Prnperty Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION ' hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S ti n 7 O) of Division 3 of the Business and Prof ass' ns- —de, my license is in full force anrieffect. %-- _ 4 Licence Class License No V/ �� Contractor Signatu - NOP.KERS' COMPENSATION DECLARATION ti NPPYN9: FAILURC TC SECJRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMP OVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,000t, IN ADDITI THE -OST OF JOMPENbATICN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby,a Irm under penalty of perjury one of the following declarations: axe and !v,Il nn'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 thI rrJie\n\ce of the work for which this permit is issued. Policy No. A: a nd wall muin:ain 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 4uran carrier ano policy number are: Policy Number of Agent Date I certify that, in the performance of work for vihich this permit is issue shall not employ any person in any manner so as to become subject to the workers' coppers ion laws of California, and agre that, if I should become subject to Workers' cor)+(pensation provisions ction 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Dat (/ DECLARATION REGA I LENDING AGENCY--- — _ I hereby affirm under p alty 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). Lender's Name EP Lender's Address By 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 hav ovided is correct. ^ A I agree to comply with all applicable city and coun ordina ce s rato laws relating to building construction. �L0 I authorize representatives of this city or county t enter above tified property for inspection purposes. Signature of Property Owner or Authorized Agent Z Print Property Owner's or Authorized Agent's Name tDate ACTION DATE 13Y DECLARATION OF COMPLIANCE WITH CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITL.E40AND AQMD RULE 1403. PERMITEXPIRED ❑ ISUBMITTED ASBESTOS NOTIFICATIONTO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL _ol CERTIFICATE DF SIGNATURE: OCCUPANCYISSUED