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HomeMy WebLinkAboutP2019-0181 - Permitsgarrap City of Newport Beach - Building Division II�IIIIIIIIII'IIIIIIIIIIIIII1IIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 2 0 1 9 0 1 8 1 1._ Permit Counter Phone (949)644-3288 �w4NPtk4l�h PLUMBING Permit: P2019-0181 Project No: 2602-2018 Inspection Requests Phone (949)644-3255 Job Address: 3130 CLAY ST Bldg: 1 Floor: Suite: Y • Y e G Description of Work: GASLINE TO HEATER • ° Bfif1C ®®•OGO Inspector Area: 2 Code Edit 2016 fi O •• O • O Legal Description: FIRST ADD TO NEWPORT HEIGHTS BLK 30 LOT 1 Bathroom Fixtures Owner: MCHUGH BRIAN Contractor: CATALYST BUILDERS Worker's Compensation Insurance Address: 3130 CLAY ST Address: 17712 LEWIS LN Carrier: EXEMPT NEWPORT BEACH, CA 92663 HUNTINGTON BEACH CA 92647 Policy No: Phone: 310-709-4476 Phone: 714-642-2704 Expire: Water Piping: Con State Lic:1033338 $0.00 Roof Drain: 0 Issued Date:06/06/2019 Lic Expire: 11/30/2019 Bidet S&\� Bus Lic: BT30066629 0 Processed By: Lic Exp Date: 01/31/2020 $0.00 ••f6 Y • Y e G aoee • ° Bfif1C ®®•OGO • O O fi O •• O • O it8 Bathroom Fixtures 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 8:00 p.m. • l Y e G ���•L•00 O• C ��ta ""� FEES oF,•�4� ..eeoon it8 Bathroom Fixtures f.A eee°[ G is s., e o ° oe•st�c Other • . . •eOG $0.00 Kitchen Sink: 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 8:00 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: $0.00 Hydro -Mass Tub:0 $0.00 Lndryffrap: 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 8:00 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 anc 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 L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Pjq%sions 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 .oveed for the purpose of sale). e®® • 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 _applytoo an owner roperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). • 1 tam exempt from licensure under the Contractors' State License Law for the following reason: By mysignatura 69IbdGJ 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) §all, structurttMat 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 „Pigfession soodet is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. :gisn atmre of Psopeity bwner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 1 We8y affirm ylnderpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with action 000 of Division 3 of the Business an rote i s d d Ii In u orce ' and@ffect. •••••• 'L'ic'ense Class ' License No Date Contractor Signature ITORKERS' SOMPlINSATION DECLARATION YARNING: FAILURE.TO..SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYE TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ON HUNOREO THOUSAND DOLLARS ($700,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37CS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 )erformance of the work for which this permit is issued. Policy No. have 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' rance carrier and policy number are: Policy Number of Agent Date in the erfor nce o t wor or which tis permit is issued, I shall not employ any person in any manner so as to become subject to the workers' beco a su 'ect to t ork s' compens ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisior9. of laws of California, and I hereby affirm undet pkgallfj of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Vection 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property nets behalf. I have read this application and the information I havrppTlido is cor . I agree to comply with all applicable city and county inan s an state laws r ing to building construction. I authorize representatives of this city or county to ter t ab Identifi roperty for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name / yl /" "'at� ACTION DATE BY DECLARATION OF COMPLIANCEMTN CODEOF FOR OFFICE USE O Y FEDERAL REGULATIONS PART fit OF TITLE40AND AQMORULE1403. PERMITEXPIRED ISNODFICRTfON T0; ❑ EPA ❑ AQMD PERMFTCANCELLED PERMITEXTENDED ❑ ASBESTOS NORHCAROMIS NOT APPLICABLE TO PROPOSEDDEMOTITION. PERMITFINAL ( CERTIRCAT€CT OCCUPANCYISSUED SIGNATURE.