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HomeMy WebLinkAboutP2019-0225 - PermitsCity of Newport Beach - Building Division 1111111111111111111111111111111111111111111111111111111111 �5. m 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 9 0 2 2 5 Permit Counter Phone (949)644-3288 Job Address: 2415 NOVIA Bldg: 1 Floor: Suite: Description of Work: PLUMB/BBQ & FIRE -PIT Inspector Area`. 6 Code Edit 2016 Legal Description: N TR 7052 LOT 7 Owner: WOLFF JEFF Contractor: OWNER/BLDR Address: 2415 NOVIA PL Address: WOLFF JEFF NEWPORT BEACH, CA 92660 Phone: 562-577-1662 Phone: Con State Lic:O/B Issued Date:07/19/2019 Lic Expire: Buslic: Processed By: Lic Exp Date: PLUMBING Permit: P2019-0225 Project No : 2440-2018 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : Policy No: Expire : 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 m m ¢ m o e m m c mm 'o •o m m o• 0 0 0•• o • o 0 0 om o • o. o c cmc c c •o m eeo o • o•• o• c mo 0 0 0 0 0 m c c c om c co 0 c cI c 000 Bm O. 6 ® 000 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 Lndry/Trap: 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 m m ¢ m o e m m c mm 'o •o m m o• 0 0 0•• o • o 0 0 om o • o. o c cmc c c •o m eeo o • o•• o• c mo 0 0 0 0 0 m c c c om c co 0 c cI c 000 Bm O. 6 ® 000 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) r (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 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 that the 'mprovements 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 I ro ed for the purpose of sale). qlj/las 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 ly 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 1 acknowledge that, except for my personal residence in which I st have resided for at least one year prior to completion of the improvements covered by this pgrmit, I cannot legally sell a structure that I have built as an owner -builder ifZtel a -c nstrupted in 1 entirety by licensed contractors. I understand that a copy of the applicable law, Sectio 7� o the B'Ines, and Professions Code, is available upon request w e thio s 4 9 e following Web site:http://www.leginfo.ca.gov/calaw.htmi. '+ Signature of Property Owner or Authorized AgentDat Aq LICENSED CONT CLARATI I hereby affirm under penalty of perjury that I am Ilcen nder provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions C de, anmy lice se is in full force and effect. License Class License No P= Contractor Sign NORKERS' COMPENSATION DECLARATION YARNING: 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 ($100,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TOS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the >erformance of the work for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' rance carrier and policy number are: ne of Agent certify that, in the p1 . if I should become of Policy Number Expiration Date ermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compInsation laws of California, and provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisioPS. - q P /� P n.f. / IL / Cey�TrpeN�eoai affirm under enprat theere s ccoror cttion lending agency for the performance of the work for which this permit is ider's Name Lender's Address my signature below, I cert) to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or country f/� an r th v n fi€d properly for inspection purposes. mature of ProDertV Owner or Authorized AGent Y _ Print Property Owner's or Authorized Agent ACTION I DATE Itl4.#Lill U I PERMITEXTENDED I I- I OCCOPANCYISSOED FED€$A - R'EPULATIONS PART @1 OF47TLE40AND AQM &DL€ 9403. : • 0 l t(* tr4f] 'AV*TO:.NOII�fCATf-)II{TD: 0• EPA 0 AQMD 0 ASBESTOS N07IRCA90MIS NOT APPLICABLE TO PROPOS BBi NTLOV . . SIGNAMRI: •: •. •. Civil