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Home My WebLink AboutP2018-0041 - PermitsCity of Newport Beach - Building Division 111p1III IIIIIpIIIIIpI1111111111p111p11111p111111 o + 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 8 0 0 4 1 Permit Counter Phone (949)644-3288 s fl'�LrvexF.'�� Job Address: 1014 POLARIS DR Bldg: 1 Floor: Suite: Description of Work: PLUM FOR DOCK Inspector Area: 3 Code Edit 2016 Legal Description: N TR 4224 LOT 180 Owner: MURPHY ROBERT H Contractor: SWIFT SLIP DOCK/PIER BUILDERS Address: 1215 BAYSIDE DR #103 Address: 6351 INDUSTRY WAY CORONA DEL MAR, CA 92625 FEES WESTMINSTER CA 92683 Phone: Phone: 949-631-3121 oe 4, Con State Lic:797052 Issued Date:02/0112018 Lic Expire: 07/31/2019 m V Bus Lic: BT011/3 12 2734 Processed By: � Lic Exp Date: 11/30/201818 PLUMBING Permit: P2018-0041 Project No: 1525-2017 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier: AMERICAN LONGSHOR Policy No:ALMA01662-01 Expire : 1213112018 o oeooao 0 ae o c o 0 ae mm®;� FEES @um3 m oe 4, ommmoc Kitchen Fixtures m V m� gm o c OOVm� Other o Toilet: 0 $0.00 Kitchen Sink: 0 ` os� o00 0 $0.00 Roof Drain: 0 $0.00 o oeooao 0 ae o c o 0 ae 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 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: 0 $0.00 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: $33.00 Floor Sink: 0 $0.00 Regulator: 0 $0.00 Hose Bibb: 3 $39.00 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: $72.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $72.00 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 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(q (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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an ownel•mfproperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License w). ❑ I am exempt*(" licensure under the Contractors' State License Law for the following reason: �Kwvf;i nature helovo Lacknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion Aapplicable covered by this permit, I cannot Iegall • sell 2'structu4ggt5t Chave built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copw, Section 7044 ofthe Business and Professions Cogs, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm$igna4l�e of Prod arty Owner or Authorized Agent ateLICENSED CONTRACTOR'S DECLARATION hbw;4 affirm uh8er penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit ection 7000) of Division 3 of the Busn o nd license in full force effect.License Class � License No Date Contractor Sign NORKERS' COMPENSATION DECLARATION of if I Of jjQp $$F� E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDLHOUSANI DOLLAR ($100,000), IN ADDITION TO 1 ITION AGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.penalty of perjury one of the following declarations: lig n19Mtain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided fo: n 3700 of the Labor Code, for e work for which this permit is issued. Policy No. I maintai e ' ompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensa and o Icv nu re: Policy Number the Derfo"anee of the-wkk.for which this LENDING :reby affirm under tare Ity oferjury that there is a lder's Name 1 my signature below, I certify to each of the "Ow ng I am the property owner or uthorized;t( ct on the I have read this application a t into, ation I h99 - I agree to comply with all applicable cit and cou0fl I authorize representatives of this city o county ( ACTION I DATE PERMIT FINAL CERTIRCATE OF OCCUPANCYISSOED Date is issued, I shall not employ any person in any manner so as to become subject to ,ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisk lending agency for the performance of the work for which this permit is Lender's Address BY is behalf. correct. relating to building construction. )party for inspection purposes. 1 SUBMITTED ASBESTOS A1071FICATION TO. ❑ EPA ❑ AOMD ❑ ASBESTOS NOTIFICATfON/S NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE. workers' compensation laws of California, and 3097, Civil Code).