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HomeMy WebLinkAboutp2021-0202 - PermitsCity of Newport Beach - Building Division `P2021-0202` PLUMBING Permit: P2021-0202 - 100 Civic Center Drive, Newport Beach, CA 92660 Project No Permit Counter Phone (949)644-3288 AS BUILT PERMIT Inspection Requests Phone (949)644-3255 EXPOSE ALL STRUCTURAL Job Address: 6 WATERFORD WAY Bldg: 1Floor: Suite: 7LEL iTz CAL PLUMBING, AND .... Description of Work: PLUM C/O GAS FITTING FOR BBQ (121-2014) 1.'ANIGAL COMPONENTS a °o Inspector Area: 6 Code Edit 2019 Legal Description: • o °. aaao °p ° Owner: ASHRAFIAMIR Contractor: OWNER/BLDR Worker's Compensation Insurance- Address: 6 WATERFORD WAY Address: Carrier: m°aaoa NEWPORT BEACH, CA 92657 Policy No: Phone: Phone: Expire: Con State Lic:O/B IssuedDate:07/01/2021 LicExpire: BusLic: °a°°®° Processed By: � Lic Exp Date: 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: 1 $8.00 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: $8.00 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 Lndry/irap: 0 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair:0 $0.00 Issuance: $38.00 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: $54.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $54.00 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 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 Hof 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 riot apply to an ow r property who, through employees' or personal effort, builds or improves the property, provided that the improvementsVe• not intended or offered for sale. If, however, the bwldmg or,improvement-is sold witKin one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for fhequrpose of sale). - •.l,.as owner of+ME property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not appfi to an owner of property who builds or improves thereon, and. ho contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). • Lam exempt from licensure under the Contractors' State Lic se La for the fol[oWq reason: By'My signature.beiow I acknowledge that, except for my persoggi reside ce ineed c m t have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a struCtyrptyat I have built as an owner -builder if it has of bee onstrIn i entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and •.Rrofession Code• is available upon request wh this I cation r the following Web site:http://www.leginfo.ca.govlcalaw.html. �/ �/ / ipgature ofeopeol Owner or Authorized Agent Date ✓mil Z •••• LICENSED CONT AC OR'S ECLA ATIO Hereby affirm finder penalty of perjury that I am licensed under provisions of hapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force .a effect. • •' Licensee Class • • • • License No Date Contractor Signature AbWIEERS' gPfflgNSATION DECLARATION AARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), 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: I 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 performance of the work for which this permit is issued. Policy No. I have 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' urance carrier and policy number art Trier / 1 I Policv l Lumber Expiration Date me of Agent I certify that, in the p It, if I should become ermit is issued, I shall not employ any person in any manner so as to become su provisions of Section 3700 of the Labor Code, I shall forthwith comply with those ignature of Applicant D.� D ECLARATION REG DICN hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued Ender's Name Lender's Address y my signature below, I certify to each of the follaproperty I am the property owner or authorized to act oer's be f. I have read this application and the informatiois Gorr LI agree to comply with all applicable city and cs and tte s tin o building construction. 1 authorize representatives of this city or couno�f d pr for inspection purposes. ignature of Property Owner or Authorized AgentPrint Property Owner's or Authorized the workers' 3097, Civil Code). Name laws of California, and ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULA7741VSPART 6'1 OFT17LE40ANO AQMD RULE 1403: PERMITEX'PIRED ❑ I SUBMITI-EOASBESTOS N077FICATIONTO:. ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS AIOTIRCA770N IS NOT APPLICABLE TO PROPOSEDDEMOLITION. PERMIT FINAL 'l5 2AMMAI CERTIFICATEOF rl SIGNATURE:. OCCUPANCYISSUEO