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Home My WebLink AboutP2020-0054 - PermitsCity of Newport Beach - Building Division I 111�111111111I111111111111111111111111111I111111111 11 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 0 0 0 5 4 Permit Counter Phone (949)644-3288 e �`aiiFiAlV��k. Job Address: 6700 OCEAN FRONT W Bldg: 1 Floor: Suite: Description of Work: PLUM INSTALL GAS FOR FUTURE BBQ Inspector Area: 3 Code Edit 2019 Legal Description: SEASHORE COLONY TR LOT 1 BILK G ALL -INC FOR ST ADJ- -EX NELY 15 FT- PLUMBING Permit: P2020-0054 Project No : 0196-2019 Inspection Requests Phone (949)644-3255 INEC�. Owner: WESTOF LLC Contractor: R D M S INCp Worker's Compensation Insurance - Address: 14850 SUNFLOWER AVE Address: 250 E BAKER ST # 300 r V® c A, Carrier: EVERSTREMIER INS CO SANTA ANA CA 92707 COSTA MESA CA 92626 col Vys'rR OCA Policy 0910112020 ®0 000 2 044 31 91 Phone: Phone: 714-448-9635 �i6� 9 t►l,/r/�e Con State Lic:815872 /�� Issued Date:03/11/2020 Lic Expire: 12/31/2020 Bus Lic: BT30008726{� d Processed Bye Lic Exp Date: 01/31/2021 IV SA�`/ DO!C C 0O 00000 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 4 O 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 Vim, ° ° 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 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: $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: o 10.150 m ° Hydro -Mass Tub:O $0.00 Lndryrrrap: 0 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair:0 $0.00 Issuance: °$30.60 Floor Sink: 0 $0.00 Regulator: 0 $0.00 Hose Bibb: 0 $0.00 Sewer Abandon: 0 $0.00 Supplemental Fee: °`$V..90 %00° Floor Drain: 0 $0.00 Lawn Sprinkler: 0 $0.00 Drinking Fountain: 0 $0.00 Additional Fee : $0.00 .... TOTAL: $42.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $42.00 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 11 . 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, priorto 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 U 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 that4he 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). ❑ I, 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: 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 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:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the BUSess and Professions Code, and my license is in full force and effect. P, -- License Class License No � 7 11 %.✓�' Contractor Sig t` ��5%�+—hc WORKERS' COMPENSATION DECLARATION WARNING: 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 ($100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: I have and*WyI,r&Aintain 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 IN of the viork for which this permit is issued. PolicyNo. ,,;gjance ave and iv81�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' compensatio4we carrier and policy number are: erPolicy Number Expiration Date nne of Ageni * Phone # pertify that. :i j4e. Qerformance 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 agre that. i� hshou orae subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr visions. naFure of9plilicant ,Nt�.� e ISCUCRATIO&I RGARDING CON TRU N -6E. N AGENCY f .�V4y affirm dfifler 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). enders Name • • • • Lender's Address ffy my signatubalow, I certify to each of the following: I am the property owner or authorized to act on the property owners 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 en�r the above -identified property for inspection purposes. Signature of PropertyOwner or Aut d A ent ✓v1 1..>' o-- Print Property Owner's or Authorized Agent' me %?z'^ Date ACTION DATE BY DECLARATION OF COMPilANCEW/TH CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OFTiREdtT AND _ PERMITEXPtRFQ AOMDRDLE 1403. I SUBMITTED ASBESTOS NOIIFICATION TO: PERMfTCANCEttEQ ❑ EFA PERMITEXTENQEQ ❑ AOMD ❑ ASBESTOS HOTiACATTONIS NOT APPLICABLE TO PERMITFtNAt PROPOSED DEMOlJFlON- CERTFFfCATE OF OCCUPANCYtSSDEQ SIGNATURE: