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HomeMy WebLinkAboutP2019-0008 - Permits6 City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 iiiiiiiiii II PLUMBING Permit: P2019-0008 Project No: 0071-2019 Inspection Requests Phone (949)644-3255 ee•e Job Address: 1 AMBROISE Bldg:I Floor: Suite: '•.'t: .° Description of Work: PLUMB GASLINE INSTIL (4) BBQS, (2) @ EACH AREA (UNDER 42"H) @ (2) SEPARATE PUBLIC AREAS NEAR BUILDINGS 5 & 15 "BORD.EAUX ?F.°' ' FEES .• ° Inspector Area: 6 Code Edit 2016 • a 'i ...n.• s 6 �• "iO • O Legal Description: N TR 15968 LOT 1 Kitchen Fixtures Owner: IRVINE CO OF W VA Contractor: CUESTA CONSTRUCTION CO eeeec Worker's Compensation Insurance - Address: 550NEWPORT CENTER DR Address: 3195A AIRPORT LOOP DR Carrier: INSURANCE COOFTHEWESjo° «e NEWPORT BEACH, CA 92660 $0.00 COSTA MESA CA 92626 Q"•` Policy No:WSD503883000 Phone: Phone: 714-557-5877 Expire; 12/31/2019 e -2s73°°`•°< x, o Roof Drain: 0 Con State Lic:568466 ° ° o "• ` 1 Issued Date:03/20/2019 Lic Expire: 05/31/2019 7, 5 Bus Lic: BT20012806 `ate Processed By: Lic Exp Date: 12/31/2019 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 $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: $6.09 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: $48.09 Plan Check Fee: $6.09 Fee Due at Permit Issuance : $42.00 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 penalty of not more than five„ ljt(iored dollars ($500). ❑ I, as owner cffj 9% rbperty, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, ;ggsirjjs 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 • improvaments-are nob 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° lur�8se of sale). © I, oe 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 04)perty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). EI*6&m* exempt {om licensure under the Contractors' State License Law for the following reason: Qyrpy glgnature tl VWd 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•structureUlat•1 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/calow.htmi. $ig'pfule of Pror$erty Qwner or Authorized Agent Date ° •""` LICENSED CONTRACTOR'S DECLARATION +M lhbiebQ affirm up(jer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Section 7000) of Division 3 of theSi Busine and Professions Codede, andL in full force sand -effect.• • • � • • � � % License Class License No Date Contractor gnat re WORKERS' COMPENSATION DECLARATION WARNING: FAILURE 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 have 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 performance of the work 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' carrier and policy number are: le of Agent certify that, in the pi if I should become Policy Number Date of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to he workers' compensation Arovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisic nature of Applicant D CLARATION I A IN ONST C N LENDI AGENCY Ireby affirm under pa alty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued Ider'sName 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 owners behalf. I have read this application and the information I he provided is correct. I agree to comply with all applicable city and count ordinances and state laws re g to building construction. 1 authorize representatives of this city or county to n� e above-idenf d i�� for inspection purposes. of Property Owner or Authorized workers' compensation laws of California, and 9- Zo—i 9 3097, Civil Code). ACTION DATE Y DECLARATION OF COPUANCEMTR CODEOF FOR OFF! USEONLY FEDERAL REGULATIONS PART 61 OFT17LE40AND AQMDRULE1403. PERMITEXPIRED ❑ I SUBMITTEUASDESTOS NOTIFICATION T0: ❑ EPA ❑ AQMD PERMITCANCELLED PERA41TEXTENDED ❑ ASBESTOS NOTfRCATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL 30 CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED