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Home My WebLink AboutP2019-0250 - Permits�, City of Newport Beach - Building Division IIIIIIIIIIIIIII'IIIIII�IIIIIIIIIIIII II PLUMBING Permit: P2019-0250 +� 100 Civic Center Drive, Newport Beach, CA 92660 P.. 2 0 1 9 0 2 5 0 Project No: 2740-2016 w Permit Counter Phone (949)644-3288 ) +,�, ,'rsu�*v Inspection Requests Phone (949)644-3255 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 Job Address: 108 OPAL AVE Bldg: 1 Floor: Suite: Description of Work: PLUM - GAS LINE TO EXT BBQ (X2019-0523) Inspector Area: 2 Code Edit 2016 Legal Description: BALBOA ISLAND RESUB SEC 1 BILK 11 LOT 35 Owner: TRIMAR PROPERTIES LLC Contractor: FERNANDEZ ROBERT CONSTR INC Worker's Compensation Insurance - Address: 108 OPAL AVE Address: 923 EVERGREEN PLACE Carrier: WIC EXEMPT °°.°°° m e NEWPORT BEACH CA 92662 COSTA MESA CA 92627 Policy No:(NO EMPLOYEES) v Phone: Phone: 949-981-9169 <, Expire g Con State Lic:677390- Issued Date:08/09/2019 LLi n ' NO CONSTRUCTION4No'01SEi sELpire: BT30/2020 $ Processed By: Lic Exp Date: 0313112020 ° ON 161r. 0 0 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 $00&31 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 Lndrylfrap: 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 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 ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or `) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale),.. ❑ 1, as owner of the property;, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law doe=_ not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I am exemptfrom licensure under the Contractors' State License Law for the following reason: By my signature below I'acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions„Obtit,% available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. - Signat ure of Property Owner or Authorized Agent Date :••••• LICENSED CONTRACTOR'S DECLARATION �I heretiy affirm uride$ `penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prof sons Co , and m jcense is in full force and'effect. „ UcelTse Class License No Date Contractor Signatlg Q/QjtKERS' C%:jdV5NSATION DECLARATION 4ARNN& FAILURE TO.SECpRE 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 )087 06 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. "&S,hl' affirm and&Tll'enalty of perjury one of the following declarations: •P j IhAV and will maiiptain 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 Ponnance of lhe•woek for which this permit is issued. Policy No. ha% and wil401ain(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' compensation 9dbe carrier $qg policy number are: ;artier Policy Number Expiration Date of Agent Phone.# rtify that, in the 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 I should becomeprovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �y 9 q ure of ADDIICanf sub' to the rke ens 'ee Date (J ` —/ / Ireby 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. 1 _ I have read this application and the information I have provided is correct. Y]£Q I �£'Q�P AA/r��Caa I agree to comply with all applicable city and count ordi9nPA sands a la relating to building construction: t I authorize representatives of this city or county��ent�Ythe bove-i iro e 'nspection purposes. of Property Owner or Print Property Owner's or Authorized AC77ON DATE BY DECLARATION OF COMPLIANCEWITN CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OFTITLE40AND AQMDRULE 1403. PERMITEXPIRED ❑ 1 SUBUTTEDASBESTOS NO77HCATIONTO: ❑ EPA ❑ AQMD - PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NOT117CAT10NIS NOT APPLICABLE TO PROPOSED. DEMOLITION. PERMIT FINAL CERTIF7CATEOF SIGNATURE: OCCtIPANCYISSUED