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HomeMy WebLinkAboutP2020-0049 - PermitsCity of Newport Beach - Building Division 1pilIII �11111I1111I1111111111111111111111I111I 11 off. 100 Civic Center Drive, Newport Beach, CA 92660 F.. s Permit Counter Phone (949)644-3288 Job Address: 2404 CLIFF DR Bldg: 1 Floor: Suite: Description of Work: PLUM INSTIL (3) EXTERIOR GAS LINES FOR FUTURE USE Inspector Area: 2 Code Edit 2019 Legal Description: N TR 919 BILK 3 LOT 5 Owner: TRIMAR PROPERTIES Contractor: BURKHART BROTHERS CONSTR Address: 2015 SHIPWAY LN Address: 130 MCCORMICK AVE #107 NEWPORT BEACH, CA 92660 COSTA MESA, CA 92626 Phone: Phone: 949-375-6735 Con State Lic:905510 Issued Date:03/04/2020 Lic Expire: 10/31/2021 Bus Lic: BT30026859 Processed By: mom Lic Exp Date: 03/31/2020 PLUMBING Permit: P2020-0049 Project No : 0491-2019 Inspection Requests Phone (949)644-3255 •4t..i +.. Worker's Compensation Insurance - Carrier : SECURITY NATIONAL INS Policy No:SWC1218229 Expire : 02101/2021 PERMITS EXPIRE 980 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 ° -ocsec 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 $51W 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 lnterceptor:0 $0.00 mJ° Bath Tub: 0 $0.00 Vegetable Sink: 0 $0.00 Gas up to 4 outlets: 3 $21.00 P -Trap: 0 $0.00 Record Mgmt Fee: ,a �0 00 Shower Stall: 0 $0.00 Ice Maker: 0 $0.00 Gas over 4 outlets: 0 $0.00 Sewer Investigation: 6.00 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 Lndry/Trap: 0 $0.00 Backflow, over t": 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: o +$0.00 Floor Drain: 0 $0.00 Lawn Sprinkler: 0 $0.00 Drinking Fountain: 0 $0.00 Additional Fee : $0.00 ° ° ° ° ` ° .... TOTAL: $56.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $56.00 °... PERMITS EXPIRE 980 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). ❑ 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 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 o(Nne'r 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 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 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 Profs ienSCoT'an my license is in full force and effect. License Class License No j— 90 GS' I U )qte 3- 4-7o Contractor Signat NORKERS' COMPENSATION DECLARATION NARNING: 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 ($100,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: :11 have and 01'rfldiptain 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 thf lerform3nce of thBvrak for which 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' carrief'and policy number are: ` Policy Number Expiration Date .... I certify that, jq V 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 d,1Pl,sh`ulbecame subject to the Impensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provistons. .... d affirm %gdIr 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). Name Lender's Address Ny signaturebeTo4y I certify to each of the following: I am the properiy owner or authorized to act on the property owner's 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 to laws relating to building construction. I authorize representatives of this city oUAUnty to en a above -i tified property for inspection purposes. ACTION DATE BY UtLLAtfArIDN Ur UUMILtvrvLL W1 rn L.UUr Ur FUR LIVNLE U5t UNLY - .. FEDERAL REGULATIONS PART 09 OF TITLE40AND AQMD RULE 1403. PERMITEXPIRED I SUBMfTFEO ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS N07IRCA170NIS NOT APPLICABLE TO PERMIT FINAL PROPOSED DEMOLITION. CERPRCATE OF OCCUPANCYtSSUED SIGNATURE: