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Home My WebLink AboutP2018-0264 - Permitsa .z City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIII��III�IIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 8 0 2 6 4 ` Permit Counter Phone (949)644-3288 Job Address: 37 AVIGNON Bldg: 1 Floor: Suite: Description of Work: PLUMB GAS TO BBQ Inspector Area: 6 Code Edit 2016 Legal Description: N TR 14571 LOT 29 Owner: FELIX SPOKOYNY Contractor: TREEIUM INC Address: 37 AVIGNON Address: 5352 LAUREL CANYON BLVD #200 NEWPORT BEACH CA 92657 VALLEY VILLAGE CA 91607 Phone: Phone: 855-833-8733 o mo oo e ooee m ° Con State Lic:617148 Issued Date: W9/2018 Lic Expire: 04/30/2019 Bus Lic: BT30053191 Processed Lic Exp Date: 11/30/2018 PLUMBING Permit: P2018-0264 Project No: 0204-2018 Inspection Requests Phone (949)644-3255 v Worker's Compensation Insurance - Carrier : CAROLINA CASUALTY Policy No:BNUWC0144084 Expire: 05/18/2019 m m e m e 0000 e m mo 0 ooemoo o 0 e° e e ° m mm m omo• 0 0 o m 000m o ® o 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. FEES o mo oo e ooee m ° 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 000moi $0.00. m Bidet 0 $0.00 Garbage Disp: 0 $0.00 Water Softener: 0 $0.00 Grease Trap: 0 $0.00 WIN. ° 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 $6.00 P -Trap: 0 $0.00 Record Mgmt Fee: 0.400 °°°° 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: $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 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°forthe purpose of sale). - 11,1, 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 ap ly 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). I'am exer(Ipt 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 Wq*r penalty of perjury that I am licensed under provisions of Chapter 9 (commencln with S tion 70 0) of Division 3 of the Busi ess and fe sions Code, and my license is in full force and effect. •••••• LicenseClass License No q --- Contractor ign re AIORKERS' OOMPPNSATION DECLARATION / 11��TT NARNING: 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 YOSSpE COMPENSATli DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. tsereby affirm u ltbf e•nalty of perjury one of the following declarations: 11 Nave 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 Oyance of =h'e'worl for which this permit is issued. Policy No. ftve and will rlaintain 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 ■sura carrier and Dolicwnumber are: rier C 4,10-• P ( i y`\ Policy Number - Expiratir no, of -Agent Phone # certify that, in ; performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become su , if I should become subject to the workers' conppeMsagon provisions of Section 3700 of the Labor Code, I shall forthwith comply with tho* Date to the workers' compensation laws of California, and :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 applicab ecity and county ordina ces and state laws relating to building construction. 1 I authorize representatives got f city or county toreREeir the bove-identified property for inspection purposes. fU nature of Property Owner or thorized Agent Print Property Owner's or Authorized Age ;'s e ate ACTION DATE BY DECLARATION OFCOMPLIANCEiMTN CODEOF >W , FOR OFFICE USE OM Y FEDERAL REGULATIONSPART 61 OFTITLE40AMD AQMDRULE1403. PERMITEXP/RED ❑ f SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED P€RMITEXTENDED ❑ ASBESTOS N017FICAIIOMIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL 1 j CERTIFICATEOF SIGNATURE. OCCUPANCYISSUED