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HomeMy WebLinkAboutP2018-0333 - PermitsCity of Newport Beach-- Building Division I IIuIIIIIIIII��IIIIIIIIIIIIIIIIIIIIIIIIIIII II ' -100 Civic Center Drive, Newport Beach, CA 92660 N 2 6 1 8 8 3 3 3 Permit Counter Phone (949)644-3288 AS BUILT PEI PLUMBING Permit: P2018-0333 Project No : Requests Phone (949)644-3255 Job Address: 2201 CLIFF DR Bldg: 1 Floor: Suite: Description of Work: PLUM SEWER REPAIR *STOP WORK* 118-2909 EI ECT . , Phl1,VBING, A *OWNER/BLDRATTACHED' ,rp,^cy/ �j � r s InspectorArea: 2 Code Edit 2016 n , J°t °„c� L�4' "NTJ Legal Description: TR 919 LOT A SELY 43 FT NELY 150 FT .. Owner: PACIFIC FINANCIAL LLC Contractor: pw�ER/BLDR '-w r er's Compensation I i Address: 2201 CLIFF DR Addre s SANTILLAN ARIO Cid,' Carrier: NEWPORT BEACH, :CA 92660 .-'":'� �Q d`SPolicy No: Phone: h q �' _ � Expire : r tVicBtfi.. Issued Date:09/27/2018 _ p e: k Processed Bathroom Fixtures Toilet: 0 Bidet 0 Urinal 0 Bath Tub: 0 Shower Stall: 0 Wash Basin: 0 Hydro -Mass Tub:0 Floor Sink: 0 Floor Drain: 0 ti �ytoo VK\v gy�j F."er o m emmmom a ' ti FEES ° �, �a- v-1� gg,�iii fixtures Isc � u tKer $O.Od' Neo Sink: 00" � � �ater Piping: 0 $0. oof ti` 0 $0.0 $0.00 $0.00 Garb 0: $ Water Softener: 0 Cap: 0 .0 �J $0.00 $0.00 Ba 1 0 .00 Water Heat e 0 .00 brease Intercep r.0 $D $0.00 Vag Si 0 $0.00 Gas 4�p � lets: 0 $0.00 P -Trap: 0, �C$0 d ecord Mgmt Fee: $0.00 $0.00 FJce 0 $0.00 G outlets: 0 $0.00 Se �t�9 Investigation: $35.00 $0.00 ©ishwa er: 0 $0.00 i Bal low up to 2": 0 $0.00 ewer: �� 0.00 Plan Check: $0.00 $0.00 L rylTrap: 0.y� BaE'�i� over 2": 0 $0 e�..Aited (9�Ir.1 $35.00 Issuance: $35.00 $0.00 Reulator�0"�6 "�I{S6�Bibb: !10-'0-:01 et'ver ndon: 0 $0.00 Supplemental Fee: $0.00 $0.00 La Sp kler: ,0 ` $0.0 ( �brinking Fount ' ddi iconal Fee : $0.00 TOTAL: $1000 \\ JJ aec ka Fee Due at Permit Issuance: $105.00 FERMI XP 0 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION tstructigaW urs'! y- Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. e o o••eoA m e.mm m oe•Oo 000000 m m c o m mmm• )WNER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or reP�i the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chlp; 9 (c Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section Z4i 5 by any iot 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 (_) Business and Professions Code: The Contractors' State License Law does not apply to an owner of property improvements are not intended or offered for sale. If, however, the building or improvement is sold within oy bproved for the purpose of sale). as owner of the property, am exclusively contracting with licensed Contractors to construct th applylo an owner of property who builds or improves thereon, and who contracts for the projects' ❑ 1 am exempt from licensure under the Contractors' State License Law for the followinglKeasor ly my signature bg),pyv I acknowledge that, except for my personal residence in which. l -must have sell a structure that•I have built as an owner -build if it has,Veen nstructed'in its entirety Professions Cor e, is available upon request wh this a� Dtf ion is mitte r -e owls EiglIdtjire of P;dp%0y33wner or Authorized Agent ((// •••• LICENSED CONT CTOR'SDIE RATION I Hereby affirm under penalty of perjury that I a licensed un r' rovisions of apter 9 (cg"ritr�el A effect. '= ]c.enAP.Class'. Licenw: o _ �u '✓ . IOARERS' GOMRSNSATION DECLARATION SECURE WORKERS' COMPENSATIIC 7N, DAMAGES AS PROVIDED -FOR IN it penalty of perjry'one of the I hate and wig Riamtain. �t6irtificat ETr4rice of ttie vygrk fgrXrihich thisV, 'Have and 4111 meiniaj workeor irance carrier and policumber are: Policy is of Agent certify that, in the perm anci if 1 should become s lect to Iature of Applicant ireby affirm unde(penalty of perjury thAther( Ider's Name X my signature below, I certify to each of th I am the property owner or authorized to a I have read this application and the informat I agree to comply with all applicable city and I authorize representatives of this city or cou AC7701V PERMITEXPIRED PERA41TCANCELLED OCCUPANCYISSUED ,,a,,& the work, and the irough employees' or 1 of completion, the qV4 and Pr( d to the year Iun '.(s) I have placed next to the appricableitem(s) prior to its issuance, also requires the applicant for with Section 7000) of Division 3 of the Business and it a permit subjects the applicant to a civil penalty of intended or offered for sale (Section 7044, wilds or improves the property, provided that the gve the burden of proving that it was not built or Contractors' State License Law does not fpense Law), of the impr emi is covered by this permit, I cannot legall, of the appli bIA� w, Secf 7044 f the Business and I e the in SAction 7000) of Division 3 of the Business and Contractor Signature AN EMPLOY,fRtQ.,L PENALTIES AND CIVIL FINE�IP O 111501 ATTO Fa ::¢ I" fo%t; is -� - he Director of Indu hon el�rovided �g3r , •g''"� c, r� the Labor Code, for t e p�rr'4fan9,"` ?e work for w A4 person in any manner so as to ercc r Code, I shall forthwith coria y with and my license is in full force IN ADDITION TO THE Labor Code, for My workers' s' compensation laws of California, and lending a lipr th% pN rmance of the w cior which Nis p it is issued (SAction 3097, Civil Code). SSS LeAd ' l4ddress v e behalPNQ l is rnrtaAp / r ���/GH`J laws ❑ I SUBMITTED ASBESTOS N071FICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NO7IRCATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: