HomeMy WebLinkAboutP2021-0088 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
^; h Permit Counter Phone (949)644-3288
Job Address: 650 NEWPORT CENTER DR Bldg: 1 Floor: Suite:
Description of Work: COMM PLUM -REPLACE BACKFLOW DEVICE ONLY @ ROOFTOP (OK PER DJK)
Inspector Area: 7 Code Edit 2019
Legal Description:
Owner: IRVINE COMPANY
Address: 650 NEWPORT CENTER DR
NEWPORT BEACH CA 92660
Phone:
Issued Date:04/08/2021 I
Processed
Contractor: MEIER
Address: 3870 E.
*s= *NAHEIM CA 92807
Pfi ne �4 1'0� I6L1955
Con
Lie LA 0/31/20221011
� x
'Bus Lie: BT 13 j s
LicExp02/'2
Bathroom Fixtures 'tchen Fixtures keoftener:
Toilet:0 $0,00 the !nk itipmg 0
Bidet 0 $000 G rba 0 0
Urinal 0 $0.00 B Sinl�9Rl $ Water Heater: 0
Bath Tub: 0 $0.00 Ve etab ��u ' $0.00 Gas up to 4 outlets. 0
Shower Stall: 0 $0.00 Ice aker. 0 $0.00 Gas ov 4 u : 0
Wash Basin: 0 $0.00 Dis asher: 0 $0.00 ae ypp 1
Hydro -Mass Tub:O $0.00 Lnd rap-.%'
0 c er 21 0
Floor Sink: 0 $0.00 Regu for0 Hos@ B' p
Floor Drain: 0 $0.00 Lawn prinIer aD $0.00 c�Ki%1'n ountain: 0
o.00 I4 F
TOTAL: $55. Plan Check Fs6
PLUMBING Permit: P2021-0088
Project No :
Inspection Requests Phone (949)644-3255
If ,appJ'1W&WPs'Compp��eeetT-�n�+satio,
[� 8()% Expire 0T��1/01/2022
1
4 Ir?s4ran�e -
I='s'FIRE & CASUALTY
y;-y:;,:>w�• - �msr. Other
$0.00 Roof Drain: 0
$0 rrJo
$0.0 000�000
p� Record M mt �e
$0. Sewer Cl c10-LM Investigation:
i7'1 �.
$18.00 Sel�¢rv� 0 $0.00 Plan Check: !
$0.00 Sewer Alter/Repair:0 $0.0 s�ua_
$0.00 erAband 0. - �O.pp ,t4,6 n ems ntal Fe
$0.00 A itional ee :i'
111%SP Ilk
as Da mtt Issuance : $55.00
S AFTER ISSUANCE OR LAST VALID INSPECTION
7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m.
m °mmm
°mmm m
ooco
°
O
m p
° a CmBmm m0
mTmOm
p a
°
O m
mm °
°omcam
o
jo.00° °
m
$0.00
$0.00
$0.00
—$37.00
$0.00
L fTA
)WNER-BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the chec I have pissed next to the applicable item(s)
, demolish, or repair any structure,
p
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improveprior 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
lot 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 4,
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
rap�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).
fJ I am exempt from licensure under the Contractors' Slate 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.lhe 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. Date
Signature of Property Owner or Authorized Agent
•"�. LICENSED CONTRACTOR'S DECLARATION
I hereby affiffi under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing withaction 7000) of Division 3 of the Business and Professions Code, and my license is in full force
„Ad effedt�'; Date �f./—9 — 2 Contractor Signature
Licefise Class .... License No
140RKERS' COMPENSATION DECLARATION
WANAING: FAILURE-ItVCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,0001, IN ADDITION TO THE
LOSS OF COMPLWSIGN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hslreby affirm yndas penalty of perjury one of the following declarations:
1•have and wilt Maintain acertificate 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
tmanca of the work for which this permit is issued. Policy No.
are and plfll roa 61hun 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' compensatic
urance carrier•snd dolicy number are: Expiration Date
Policy Number
En of Agent
oy any person in any manner so as to become subject to the workers' compensation laws of California, and
certify that, in the performance of the work for which this permit is issued, I shall not empl
. if I should become subject to the workedcomp ensnation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions
nature of Applicant
CLARATION REG DING CONSTRUCTION LENDING AGENCY -
for the performance of the work for which this permit is issued (Section 3097, Civil Code).
:reby affirm under penalty of perjury that there is a construction lending agency
Lender's Address
ider's Name
my signature below, I 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.
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 county t ' nter the above-' ntified property for inspection purposes. 7/e
mature of Property Owner or Authorized Agent Print PropartOwner's or Authorized A ent's Name P
ITI80fFlCE USE
7C770N I DATE L I BY
61 Of
AQMD RULE 1403.
%f ❑ I SUBAftTTEDASBESTOS NOTIFICATION TO-'
❑ EPA
❑ AQMD
ASBESTOS N07IRCA17ONIS NOTAPPLICAI3LE TO
PROPOSED DEMOLITION.
SIGNATURE:
OCCUPANCYISSUED