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HomeMy WebLinkAboutP2018-0311 - Permits., City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII PLUMBING Permit: P2018-0311 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 8 0 3 1 1 Project No : 1301-2017 Permit Counter Phone (949)644-3288 0si na; ��s Inspection Requests Phone (949)644-3255 Job Address: 132 VIA YELLA Bldg: 1 Floor: Suite: INn Description of Work: PLUM - EXTERIOR GAS LINE TO BBQM & (2) FIRE PITS X2017-1906 (DRAINAGE NOT TO BE DISTURBED)aAft Inspector Area: 1 Code Edit 2016 7 Legal Description: N TR 907 LOT 400 0) Owner: CALCAGNIE GROUP Contractor: WJK DEVELOPMENT CO Worker's Compensation Insurance - Address: 16520 BAKE PKWY #105 Address: 16250 BAKE PKWY #105 Carrier: STATE COM INS FUND IRVINE CA 92618 IRVINE CA 92618 Policy No:9141393 Phone: 949-345-1001 Phone: 949-677-0666 Expire : 09/02/2019 Con State Lic:1005728 Issued Date:09/13/2018 Lie Expire: 07/31/2019 Bus Lie: BT300064447 .... ° Processed By: Lie Exp Date: 09/30/2019 .. . 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 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 ,t°ita0o`. 0 Bidet 0 $0.00 Garbage Disp: 0 $0.00 Water Softener: 0 $0.00 Grease Trap: 0 $0.00 I! $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 $6.00 P -Trap: 0 $0.00 Record Mgmt Fee: 10.°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 _ Lndryrrrap: 0 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair:0 $0.00 Issuance: $33.00 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: $39.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $39.00 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 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 penally of not more than five hundred dollars ($500). ❑ I, as owner of the proRerty, 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 gale). ❑- 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 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 Lnderpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business a11d.P.-rofessie a and my license is in full force and effect. .... LGW64 Class License No Date' // 3 Contractor Sionatu ---�� NORKVRS' d®dR9NSATION DECLARATION NARNING. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :OST -M COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37OS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 1le�rehy.effirm elyderpenalty of perjury one of the following declarations: I -Ave and.will maintain 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 Re�ofxlygRe for which this permit is issued. Policy No. and will maintain 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' carrierand policy number are: .. I Policy Number Expiration Date certify that, 10 tWperformance 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 to the workOrs'-eythpeIorrptavisia�tion-37-00 of the Labor Code, I shall forthwith comply with those provisions _ mature of Applicant- u CLARATION REG NSTR NDING AGENCY __ J �reby affirm under penalty 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). ider'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 ordinances and state laws relating to building construction. I authorize representatives of this city or county tojentspthe-p iRltlenflfiea Jstperty for inspection purposes. nature of PrODertv Owner or Authorize - ent7�_-�-'"i ----"--Print-Property Owner's or Authorized Agent's Name !'LrflCUrrl IJ�:iiUllY�it�llt+l� CERTIFICATEOF OCCOPANCYISSUED DATE —1 BY D t SUI3MfTTEDASBESTOS NDTfF1CATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIACATfONIS NOT APPLICABLE TO PROPOSEDDEMOLITION. SIGNATURE: