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HomeMy WebLinkAboutP2021-0308 - Permitswl#r� City of Newport Beach - Building Division *P2021-0308* 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 18 T Va' 0 Y Job Address: 1400 NE QTEI DR B alr: 2 SuiteDescription of Work: CO ATER ATERInspectorArea: 7 19Legal Description: IRVIN SUR _� Owner: IRVINE C a�p%f (a Contractor: F SI A P ND DT CLEAN NGGJIiVC Compensationlnsuran e- ZZSSUU'p Address: 550 NEW OR R dd P2, BATAVIA ST / Oro Phone: NEWPO BEA 266 e 92865 !O UV%© P�/Y f72;Expire Con Sta Issued Date: Lic Expire: 07/ 2 2 us Lic: W iuu73559 Processed By: � 'c F� pc D 11/30/2021 iv �garf ` F Bathroom F' tNf I Fixtures Misc. > «, Toilet: Kitchen Sin $0.00 Water Piping: �CI $ 0 %ppf ( nj 0 Bidet 0 "1141,' a Disp: 0 Water Softener: bV}$ 0 ea ' r t Urinal 0 $0.00 k:\�0 $0.00 Heater: 1tp Bath Tub: 0 $0.00 Ve etab m 0 $31.Drt as Intercepo0 9 Gas up to ets: 0 $0.00 P- ap: 0 Shower Stall: 0 $0.00 Ice Maker:°^$@,(�� over 4 outlets: 0.00 Sewer Wash Basin: 0 $0.00 Dishwasher: 0 $0.00 ��-�gsckflo p 22": 0 $0.0 ewer: 0 Hydro -Mass Tub:O $0.00 Lndry/Trap: 0 $0.00 Backlf$Vo� 2"` "p Floor Sink: 0 itgo f; Sewer epalr:0 $0.00 Regulator: 0 $0.00 Hose Bibb: Y �Hk $0.0b WiSl terAban Floor Drain: 0 $0.00 Lawn Sprinkler: 0 $0.00 Drinking Fountain 000Addi£o�-- TOTAL: $69.00 Plan Check Fee : $0.00 PLUMBING Permit: P2021-0308 Project No : Inspection Requests Phone (949)644-3255 FALLS Other m.•m e emo• e c ommooc o mmVtiorker'� .m.. o ee < om m m © e m mm em < m mm mm °em000 m o®moo( om • m o m m m m < m mm omoocc oomoom moot $0.00 $0.00 Record Mgmt Fee: $0.00 Investigation: $0.00 Plan Check: $0.00 Issuance: $38.00 Supplemental Fee: $0.00 Permit Issuance: $69.00 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. Ur Z41 OWNER -BUILDER DECLARATION I hereby affirm under nesseand Professract ions Code: Anyemytor cofromunty thathe requiresat permit to construct, alter, improve, demolish, ocense Law for the reason(s) indicated � repair any structure,(priorrto is issuance, also h egahes the applicant for (Section 7031.5, Bus the permit to flea 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 an 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 `) 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-Builderwill 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,or pursuant to the Contractors' State License Law). Business and Professions Code: The Contractors' State License Law does not rojects with a licensed Contract apply to an owner of property who builds or improves thereon, and who contracts for the p I am exempft?QM licensure under the Contractors' State License Law for the following reason: By my signaturet7Clow 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 legal] "Sill a structur,e1�t�het 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 Professior%.C%db, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Date Sigr4ature of Property Owner or Authorized Agent - • LICENSED CONTRACTOR'S DECLARATION a tense is in full force • I Rereby atfi: tinder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se ion 7 00) of Division 3 of the Business and Profes • --and effect. Dat ' �3 ' Contractor Signaty • •10oense Clal6s License No • ORKERbMPENSATION DECLARATION hIKS'•CFAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO T HE IRRING• COSI OF COMFENSA VION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. „ JVfeby affirr?i ndsr penalty of perjury one of the following declarations: • • • • I have a$d Wjll: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 performance of thework 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' carrier and policy number are: Policy Number Date me of Agent I certify that, in the performance of the or or which thi it is issued, I shall not employ any person in any manner so as to became subject to the workers' ompe sation laws of California, an agref it, if I should become sub' ct to thew er compensat provisions of Section 3700 of the Labor Code, I Shall forthwith comply with those provisio Date Inature of Applicant :CLARATION REGA ING C N UCTION LENDING AGENCY ereby affirm under penalty of perj ry that there is a construction lending agency for t a per Address of the work for which this permit is issued (Se tion 3097, Civil Code). nder'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 have provi d i correct. I agree to comply with all applicable city and county ordina a sta ws relating to building construction. ( ] I authorize representatives of this city or county tq�eyrter t a ve-ident d property for inspection purposes. Dated' „�ar��re of Prooertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nanj 1—� ACTION BY _. .... — ,,.-..E.,.,., REGULATIONS FEDERAL REGItLAT10NS PRRTSI OF 7IT1-E40AND' AQMD RULE 1401 ❑ �UBEP SUBMITTED ASBESTOS NOTIFICATION 70:. ❑ AQMD ❑ ASBESTOS N077FICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE.' EXPIRED �dZL CANCELLED ODATE EXTENDED FINAL :ATE Of OCCUPANCYfSSUED