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HomeMy WebLinkAboutP2019-0277 - Permits0City of Newport Beach Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII PLUMBING Permit: P2019-0277 o 100 Civic Center Drive, Newport Beech, CA 92660 P 2 0 1 9 0 2 7 7 Project No: 1990-2019 y Permit Counter Phone (949)644-3288 *`�yxr�ekaa. 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. � o o. oc co oco � 0 c ' c c roc oc c<o c o o c o cc o00 0 0 �o.� oco coo Job Address: 37 BURNING TREE RD Bldg: 1 Floor: Suite: FEES Description of Work: PLUMB -GAS LINE TO BBQ Inspector Area: 4 Code Edit 2016 Bathroom Fixtures Legal Description: N TR 7638 LOT 56 Misc. Owner: CANNERY SAILHOUSE LP Contractor: LEGACY CUSTOM HOMES INC Worker's Compensation Insurance - Address: 37 BURNING TREE RD Address: 1000 QUAIL ST, STE 220 Carrier: OAK RIVER INSURANCE NEWPORT BEACH, CA 92660 0 NEWPORT BEACH CA 92660 Policy No:LEWC912262 Phone: Phone: 949-887-4750 Expire : 1 210 212 01 9 Con State Lic:986194 Bidet Issued Date:09/09/2019 Lic Expire: 0813112021 0 Processed By: Bus Lic: Lic Exp Date: BT3004501/2019 6 10/31/2019 I NS P E I'O 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. � o o. oc co oco � 0 c ' c c roc oc c<o c o o c o cc o00 0 0 �o.� oco coo 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 Lndryfrrap: 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 : $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. � o o. oc co oco � 0 c ' c c roc oc c<o c o o c o cc o00 0 0 �o.� oco coo 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). ❑ I; 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). ❑ 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). I 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 legalp 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 Business and Professode, and in 'censeis in full force and effect. q License Class License No Dat 1 Contractor Sign NORKERS' COMPENSATION DECLARATION NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAR E70e,000I, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES hereby affirm under penalty of perjury one of the following declarations: ❑ ave 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, 3 ,-or ease of the work forwhich this permit is issued. Policy No. - 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' carrier and policy number are: ie of Agent certify that, in the performance of the , if I should become subject to the Policy Number Date 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 AtigWrovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applic 11 CLARATION REG RU T ENDING A CY Ireby affirm under penalty of perjury that there is a cons ction 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. I have read this application. and the informational have provided is correct. - I agree to comply with all applicable city and county ordinances a e laws relating to building construction. I authorize representatives of this city or cou ty a ve-identI2012FgWy for inspection purposes.. nature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCE KITH CODEOF FOR OFW USE ONLY FEDERAL REGULATIONS PART fit OF TfTLE40AND AOMORULE9403. ❑ I SUBM7TFEDASBESTOS N071FICAT/ON TO: © EPA P€RMITEXPIRED • •• •- ••• • u • • PERMITCANCELLED • • • • • • • • ••� • •� © ARMD PERMIT€XT€ND€O • • • •• • © ASBESTOS N077RCARONJS NOT APPLICABLE TO PROPOSED DEMOLITION, PERMIT FINAL CERTIFICATE OF • �• •• • •• i s• s •• e i SIGNATURE: OCCUPANCYISSUED • • . ••