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Home My WebLink AboutP2021-0055 - PermitsCity oCenter Newport Beve, Newportach - Building Division IIIIhI92660 IIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIII PLUMBING Permit: P2021-0055 Permit Counter Phone (949)644-3288 Project No: 1631-2019 Inspection Requests Phone (949)644-3255 Job Address: 2104 OCEAN FRONT E Bldg: 1 Floor: Suite: Description of Work: PLUMB -GAS LINE TO FIRE FEATURE & FIRE PIT Inspector Area: 1 Code Edit 2019 Legal Description: TR 518 LOT 2 BILK E FOR OF LOT AS DESC IN DO -6710/997 OR - Owner: WATERFRONT 777 LLC Contractor: COLLINS J B INC Worker's Compensation Insurance - Address: 2025 W BALBOA BLVD Address: 2025 W BALBOA BLVD # 2A Carrier: STATE FUND NEWPORT BEACH, CA 92663 NEWPORT BEACH CA 92663 Policy No:9242458 Phone: 949-613-5260 Phone: 949-613-5260 Expire : 12/16/2021 a Con State Lic:688859 o Issued Date:03/09/2021 Lic Expire: 05/31/2022 Toilet: Bus Lic: BT30064186 Kitchen Sink: Processed By: Lic Exp Date: 07/31/2021 0 $0.00 Roof Drain: 0 $0.00 INSPEC TOTAL: $44.00 Plan Check Fee: $44.00 Fee Due at Permit Issuance: $0.00 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. oec FEES Bathroom Fixtures Kitchen Fixtures a Misc. o Misc. o • 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:O $0.00" Lndry/Trap: 0 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair:0 $0.00 Issuance: $37.00 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: $44.00 Plan Check Fee: $44.00 Fee Due at Permit Issuance: $0.00 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. oec a e a o � o • • O a E 0 n`a C O ( a p < a cc eoe • � •oo oo• ema 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 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). ❑ 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 legall) sell a structure that 1 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.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing withSe 7 ion 00) of Division 3 of the Business and rofessioasGed ise se is in full for e and effect.1. License Class License No Dat o Contractor Signat WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOY TO CRIMINAL PENALTIES AND CIVIL FINES UP T ONE U RED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 rmance of the work 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' compensatiol insure ce carrier and policy number are: C r Policy Number Expiration Date Ie of Agent certify that, in the performance of the work for which this permit is issued, I if I should become subject o the worker ' 'o iaien Iature of Applicant Ireby affirm und�r penalty dFperjury that there is a construc*^^ ]Angina c Ider's Name / my signature bel ify 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 lav e�te I authorize representatives of this city or county to p4e>'laeve-i eRf of Prooertv Owner or PERMIT EXPIRED PERMIT CANCELLED PERMtTEXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED any person in any manner so as to become subject to the workers'compgnsation laws of California, and Labor Code, 1 shall forthwith comply with those n, \si� for the performance of the work for which this permit is issued (SectlyrAO97, Civil Code). Lender's Address 3 to building construction. for inspection purposes. — Print Prooertv Owner's or Aut BY li�.r.snw..vn .n FEDERAL REGULATIONSPART 68 OF TIIL€40 AN AQMD RULE 9403. • • , ' ° . ❑ I SUBMITTEDASB€STOS NO�DT4CAT11,7N T� ❑ EPA • • • ° 7.' • ' AQMD •.' ••: ASBESTOSNOTIRCA1i0NIS NOT APPLICABLE TO PROPOSEDD€MOUDOM SIGNATURE: ; • • ° zV'tepk-