HomeMy WebLinkAboutP2022-0066 - PermitsCity of Newport Beach - Building Division I 11pil III 11111p11111111111111101p111p1111111111111
100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 2 0 0 6 6
Permit Counter Phone (949)644-3288
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Job Address: 1718 IRVINE AVE Bldg: 1 Floor: Suite:
Description of Work: PLUMB/BBQ (CHANGE OF CONTRACTOR)
Inspector Area: 3 Code Edit 2019
Legal Description: N TR 3082 LOT 10
Owner: MAJESTIC CASSIE Contractor: YORBA RIDGE CONSTRUCTION
Address: 1718 IRVINE AVE Address: 20470 VIA TALAVERA
NEWPORT BEACH, CA 92660 YORBA LINDA CA 92887
Phone: Phone: 714-420-7926
Con State Lic:642515
Issued Date:0410512022 Lic Expire: 04/3012022
Bus Lic: BT30075335
Processed By: Date: 05/31/2022
PLUMBING Permit: P2022-0066
Project No: 0949-2021
Inspection Requests Phone (949)644-3255
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Worker's Compensationlnsurance-
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Carrier: EXEMPT
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Policy No:
Expire
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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:
0
$0.00
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:0
$0.00
Lndry/Trap:
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:
$38.00
Plan Check Fee :
$0.00
Fee Due at Permit Issuance: $38.00
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 DECLARATION
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 far
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 (
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, thrc
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of
improved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70,
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed ContrE
I am exerrlpthojrl licensure under the Contractors' State License Law for the following reason:
By my signature.befow I acknowledge that, except for my personal residence in which I must have resided for at least or
seM a strurtIjWhat I have built as an owner -builder if it has not been constructed in its entirety by licensed contractor
•••
t3refessions W11% is available upon request when this application is submitted or at the following Web site:http://wan
Signature of Property Owner or Authorized Agent
• LICENSED CONTRACTOR'S DECLARATION
�I hereby affirm;.Vcfe� penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ection 70(
` •and effect. ••"
I Liycense Class••• • License No Date
VRI4ERS' COMPENSATION DECLARATION
...
WARNING: FAILURE SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PED
37P6 FPCOMPENSgTI1T OM DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
herebpaftirm Unrle'r penalty of perjury one of the following declarations:
work, and the structure is not intended or offered for sale (Section 7044,
.mployees' or personal effort, builds or improves the property, provided that the
letion, the Owner -Builder will have the burden of proving that it was not built or
Business and Professions Code: The Contractors' State License Law does not
)r pursuant to the Contractors' State License Law).
year prior to completion of the improvements covered by this permit, I cannot leg
I understand that a copy of the applicable law, Section 7044 of the Business and
eginfo.ca.gov/calaw.html.
Date
of Division 3 of the Business
Contractor Signature
and my license is in full force
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
'I 'Fiare and willntain 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
r? M•nance ofll&swo* 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 are:
rrier Policy Number Expiration Date
me of Agent Phone #
that, in the performance of the work for which this permit is issued, I shall not employ any person in any
ould becoAsfibject1'6VgP workers' compensation provisions of Section 3700 of the Labor Code, I shall
of
so as to become subject to the workers' compensation laws of California, and
i comply with those proviso
/jns�) '1
nit.
�reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued
Ider's Name Lender's Address
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.
3097, Civil Code).
I agree to comply with all applicable city and co my 9rdinances and state laws relating to building construction. _
I authorize representatives of this city or county t t hhee o Id lied property for inspection purposes. I
Signature of Property Owner or Authorized Agent I/ 1 Print Property Owner's or Authorized Agent's Name O \("'-" Dat
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 614F T17LE40 AND
AQMDRULE 1403. I
`
PERMIT EXPIRED
❑ ]SUBMITTED ASSES I QS N37IFICARON TO:
❑ EPA
PERMIT CANCELLED
❑ AQMD
PERA41TEXTENDED
[3 ASBESTOS N071FICA71ON IS NOT APPLICABLE TO
PROPOSED DEMOLITION-
PERA4fIRNAL
CERTlFfCATEOF
SIGNATURE:
OCCUPANCYISSUED