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Home My WebLink AboutP2019-0084 - PermitsCity of Newport Beach - Building Division P 100 Civic Center Drive, Newport Beach, CA 92660 •� Permit Counter Phone.(949)644-3288 Job Address: 551 VISTA FLORA Bldg: 1 Floor: Suite: Description of Work: PLUMB GAS TO FIRE PIT Illiiiiiiiii4 II Inspector Area: 8 Code Edit 2016 Legal Description: TR 5740 (L.L.84-214028) PAR 39 Owner: LOS ROBLES PARTNERSHIP Contractor: MURILLO CONSTRUCTION Address: 14 CORPORATE PLAZA DR #100 Address: 4115 W MCFADDEN AVE #B NEWPORT BEACH CA 92660 SANTA ANA CA 92704 Phone: Phone: 714-460-3561 Con State Lic:900132 Issued Date 3/12/2019 Lic Expire: 07/31/2019 Bus Lic: BT30031671. Processed E Lic Exp Date: 04/30/2019 PLUMBING Permit: P2019-0084 Project No : Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier: WC EXEMPT m.... Policy No:(NO EMPLOYEES) Expire V ee �^occr mb � m a°mmm. c m . ° e r b om mo°cc 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 Bidet 0 $0.00 Garbage Disp: 0 $0.00 Water Softener: 0 $0.00 Grease Trap: 0 $0.00 Urinal 0 $0.00 Bar Sink: 0 $0.00 Water Heater: 0 $0.00 Grease Interceptor:0 $0.00 Beth 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: Shower Stall: 0 $0.00 Ice Maker: 0 $0.00 Gas over 4 outlets: 0 $0.00 Sewer Investigation: Wash Basin: 0 $0.00 Dishwasher: 0 $0.00 Backflow up to 2": 0 $0.00 Sewer: 0 $0.00 Plan Check: Hydro -Mass Tub: 0 $0.00 Lndrylrrap: 0 $0.00 Backflow overt": 0 $0.00 Sewer Alter/Repair.0 $0.00 Issuance: Floor Sink: 0 $0.00 Regulator: 0 $0.00 Hose Bibb: 0 $0.00 Sewer Abandon: 0 $0.00 Supplemental Fee: 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. $6.00mmo a.3 $OS70°° •,,, ° $0.00 $0.00 $0.00 $35.00 $0.00 OWNER -BUILDER DECLARATION I hereby affirm under penally 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). ❑ lam 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 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.htmi. Signature.uf•Prgperty Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION • Lherebyaffirm finder penalty of perjury that I am licensed under provisions of Chapter 9 (commence g with Section 7000) of Division 3 of the Busi ass and Profs sions Code, n my license is in full force .. • •. and effecf... '-��[J� License dash License No l t'�"I-`� Contract r Si al WtlRKER$' COMPENSATION DECLARATION \\ • Wqq((22NING: FA1LtlRETQSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE P ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE COOF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. + I hereby affigrl u9i penalty of perjury one of the following declarations: 'have and pill 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, ance of the vgork for which this permit is issued. Policy No. ' ave and' ill 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' compensation insu pce carripr,dntl policy number are: ��r�i t .: • Policy Number Expiration Date Na of Agent Phone # certify that, in the 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 agree , if I should become subject to the workers' compensation Drag i14 Snrtku1& 00 of the Labor Clode, I shall forthwith comply with those provisions. I Baby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (6ection 3097, Civil Code) nder's Name Lender's Address my signature below, 1 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 information I have provided is correct. 1 agree to comply with all applicable city and county ordinances a d state laws relating to building construction. I authorize representatives of this city or county Is property for inspection purposes. (nature of Property Owner or Authorized AgeOi VV4Print Property Owner's or Authorized Agent's Nam: I, ACTION IJA BY DECLARATIOIYOFCOMPLIANCEWMTHCODEOF FOR OFRCE USE ONLY FEDERAL REGULATIONS PARTb1 OFTITLE 40AND AQMD.RULE 1403. PERM(€EXPIR€D ❑ I SURMTTED ASBESTOS NOTIFICATION TO; ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ASBESTOS PROPOSED DEMOLITION. FIONIS NOTAPPLICABLE TO PERMITRNAL 2y I °! S CERRI'MATEOF OCCUPANCYISSUED SIGNATURE;