HomeMy WebLinkAboutP2019-0195 - Permits0City of Newport Beach Building Division IIPIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II PLUMBING Permit: P2019-0195
100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 9 0 1 9 5 Project No : 1208-2019
'; Permit Counter Phone (949)644-3288
_,� �,1�' Inspection Requests Phone (949)644-3255
Job Address: 1 BAYWOOD DR Bldg: 1 Floor: Suite:
Description of Work: PLUMB *METER 3* REPLACE 1 MED PRESSURE 5 PSI UNDERGROUND GAS SYSTEM TO SERVE EXTG BAYWOOOD APARTMENTS
Inspector Area: 4 Code Edit 2016
Legal Description: P BK 189 PG 6 PAR 1
Owner: IRVINE COMPANY
Contractor:
SCOTT PLUMBING INC
Address: 550 NEWPORT CENTER DR
Address:
10765 LAUREL AVE
NEWPORT BEACH, CA 92660
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SANTA FE SPRINGS, CA 90670
Phone:
Phone:
562-944-9793
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Con State Lic:813415
Misc.
Issued Date:06/18/2019
Lic Expire:
10/31/2020
Toilet:
Bus Lic:
BT30049015
Processed
Lic Exp Date:
11/30/2019
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Workers Compensation Insure nce -
Carrier : INS OF THE WEST.
Policy No:WSD502224506
Expire: 11/01/2019
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O000
01.11 C
FEES
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Misc.
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Toilet:
0
$0.00
Kitchen Sink:
CO
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O O
0
$0.00
£OOOCO
O
Bidet
0
$0.00
00
0
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 o ° 00000
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
Bidet
0
$0.00
Garbage Disp:
0
$0.00
Water Softener:
0
$0.00
Grease Trap: 0
$0.00
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
$7.00
P -Trap: 0
$0.00
Record Mgmt Fee:4°0$0.80
Shower Stall:
0
$0.00
Ice Maker:
0
$0.00
Gas over 4 outlets:10
$10.00
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
Lndrylfrap:
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 :
$752.00
TOTAL:
$804.00
Plan Check Fee:
$0.00
Fee Due at Permit Issuance: $804.00
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
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
tot more than five hundred dollars ($500).
1, 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:
3y 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 legal)
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:hftp://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm I rLdgpenalty 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
and effect.
i, •••• icense,Class License No �te G�/�i%l� Con tsa for Signature
3/b'K QRS' (06APENSATION DECLARATION G /1
..
IARNINa: 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 (Ef OD,ODO), IN ADDITION TO THE
IDS? OF (IOMPENSATIDN, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm un gr�pelialty of perjury one of the following declarations:
'a PWave 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 the
&rjTynnce of IDIIA%for which this permit is issued. Policy No.
awe 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' compensation
tauranea carrier and policy number are:
Inner : .:•..: Policy Number Expiration Date
JFIMfy that, A Itte 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
iat, if I should become subject
to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro isions. )
signature ofA / `^'li e 4df y
IECLARATIO R NG: STRUCTION LENDING AGENCY
hereby affirm under enalty 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).
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 theebMId�enjified property for inspection purposes.
l innahlra of Prnnarty Owner nr�nrized Aaent / V-im- Print Pmoertv Owner's or Authorized-An-ent's Name a N) 'Y /`'�'j'~ a e
ACTION DATE BY
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FEDERAL REGULATIONS PART 61 OF TITL.E40AND
AQMDRULE 1403.
PERMIT EXPIR€D
0 I SUBMfTTED ASBESTOS N077FlCATION T0:-
0 EPA
0 AQMD
PERMITCANCELLED
PERMITEXTEIVDED
0 ASBESTOS M07IRCA770MIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
-
PERMITFINAL
CERTIFICAT€ OF
SIGNATURE:
OCCUPANCYISSUED