HomeMy WebLinkAboutP2022-0096 - PermitsCity of Newport Beach - Building Division *P2022-0096*
r
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
PLUMBING Permit: P2022-0096
Project No :
Phone (949)644-3255
Job Address: 2581 BAY SHORE OR Bldg: 0 Floor: Suite: �\6- e{V1nd
Description of Work: PLUM: (N) GAS LINE FOR (E) BBQ. \{ dppO\Ga 1000�o C
InspectorArea: 2 Code Edit 1
Legal Description: N TR 1102 LOT 15 O
Owner: WIESE GRANT & JILL Contr 0 E ��ry er's Compensation Insurance -
Address: 2591BAYSHOREDR ass: IE 'ty to Carrier: '
NEWPORT EACH, CA 92 ORM AT C Policy No:
Phone: 949.244-9036 Phon 949- 44- Expire:
State ic:0/ "
Issued Date:05/09/2022 ®�}`� Lic Expi -
s Lic `
Processed By: 5 Exp e: `
of
�rry.JQ
Bathroom Fixtures 'Kit an F' res sc. FEES sc. \,0#-- to
Toilet: 0 $0.00 Kitch Sin ' 0.0 Water Piping: $0.000of 0 $0.00 0
Bidet 0 $0.00 Garba a Di 0.00 Water Softe $0.00 eas rap: 0 0 0.00
Urinal 0 $0.00 Bar Si $0.00 Water ,H $0.0 G ea nterce
Bath Tub: 0 $0.00 Vegetab Sink: 0 $0.00 ,���pp,`��'�� to utlets: 1 $8.0 0 \`ib cord Mgmt Fee: $0.00
Shower Stall: 0 $0.00 Ice Make 0 $0 ��c`over,,8 ts: 0 r Investigation: $0.00
Wash Basin: 0 $0,00 Dishwash w�BgcV1 gi�r1�'to 11, Sewer: 0.00 Plan Check: $0.00
Hydro -Mass Tub:0 $0.00 Lndry/Trap. .00 kTjow over 2� .0 Se Ito air:0 $0.00 Issuance: $38.00
Floor Sink: 0 $0.00 Regulator: $0.00 Hose i 0 $0.00 a andon: 0 $0.00 Supplemental Fee: $0.00
Floor Drain: 0 $0.00 Lawn Sprinkl 0 $0.00 rinkin ntain: 0 0 ditional Fee : $0.00
TOTAL: $46.00 , „}p,', Plan ck $0.00 Fee Due at Permit Issuance : $46.00
EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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 reaso icated below by the check rk(s) I have placed next to the applicable items)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alt rove, demolish, or repair any str ct , 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 Con State Lic n ¢¢llaw (Chapter 9 (c@ Icin 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 ex on. Any violatiN���tion 7036%kvVf,� plicant r a permit subjects the applicant to a civil penalty of
not more than five hundred dollars $500). `{ p0 'UU
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all o4 br�(� porti�Itsrgttco O and the structur ' no 'ntended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License La not apply to an owner of props tryiv�' tTrifugh employees' or al effort, ilds or improves the property, provided that the
improvements are not intended or offered for sale. If, how ve wilding or improv is sold wit n year of completion, caner -Builder will h ve She burden of proving that it was not built or
improved for the purpose of sale). ,
❑ I, as owner of the property, am exclusively c in h n ractors to construct the project (S c,�'W,y���,��+ Business and Professions Code: T Contractors' State License Law does not
apply to an owner of property who build pro s re o contracts -for the projectsvth a I ed Contractor pursuant to the Contractors' State icense Law).
❑ 1 am exempi rro,n licensur rthe C ac r License Law�for the following reason,]
4^ ry eignature SDlo,_i I ledge that, ex eF y p sonal re`siderice in which I must have resided for at least one year prior to completion of the i
sell a structi-re th ave built as ran o till er If It 'not been constructed in its entirety by licensed contractors. I understand that a copy of the
_ Professions Cod Is av t l equest wh. a:; Is a plication Is submitted or at the follow Usf( http://www.leginfo.ca.gov/cal2W.html.
Sigrature of Pr pert wneluthortzed Agent`, - - _ r
I fiereby affirm under p natty j
and effect.
License Class
NORKERS' COMPENS. TIO
rARMNG: FAILURE TO SEu1RE W KERS' I
JOSTOFCOMPENSPT'9N,CWAG ASPRC
neFeoy:affirm under penalty o erjur
I have and w,d maintain a rtifi,
rerformance of the work for whit rm
�I have and will maintain worker I
nsurance carrier and policy numbs
;arrier
dddame of Agent
at-cettify that, in the performance of
hat, if I should become subject to the
signature of Applicant x r---.(.,
i'S DECLARATION --I
under provisions of Chapter
No
M
7000) of Division
1ERAGE IS UNLAWES„AHO SHALL SUBJECT AN EMPLJT T RIIv1Y�'AVPaNAI
ION 3706 OF THE LABOR CODE, INTEREST, AND ATTORN Y'S FE ��✓///
wing declarations: 1 ��
to self -insure for worker ' :N �ation, issued by the Director of
I. Policy No. ,,p�er ''
Durance, ay�ie� %i d ection 3700 of the Labor Code, fu4h pe
UP TO
Date
its covered by this permit, I cannot legal[,
law, Section 7044 of the Business and
�_ Dat",!c 5 I -I I� a -a
Code, and my license is in full force
($100,0001, IN ADDITION TO THE
3700 of the Labor Code, for
this permit is issued. My workers'
which this Nninit is issued, I SDi employ an son' manner so as to become subject to the workers' compensation laws of California, and
compensation provisions o ction 3700 of abD , I shall forthwith comply with those provisions.
.D'). _ _ na'te x r�-) J 1
)reby affirm under penalty of perjury't"t t rAl!'3 constructiongWpi the performance of the work for which this permit is issued (Section 3097, Civil Code).
tder's Name Lender's Address
my signature below, I certify to each df`.;fkle lows
I am the property owner or authorized¢',. Ct n t erty owner's behalf.
have read this application and the infohinlati 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 to enter the abcvs-identified pro erty for inspection purposes.
nature of Property Owner or Authorized Agent X 1!_A Pr9perty Owner's or Authorized Agent's Name e _ / Date
ACT70N
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF
FOROFFICEUS€ONLY
FEDERAL REGULATIONS PART 61 OF TIRE 40 AND
AQMD RULE 1403,
PERMITEXPIRED
❑ I SUBMITTED ASBESTOS NO77FICATION TO:
❑ EPA
❑ AQMD
PERA4IT CANCELLED
PERMITEXTENDED
❑ ASBESTOS NOITFICATION IS NOT APPLICABLE To
PROPOSED DEMOLITION.
PERMIT FINAL
CERTIACATEOF
OCCUPANCYISSUED
SIGNATURE:.
LO
rn
F °P
x z
OF
W Vo
Q/ U M
am)
4
` A O O 0
Oz50->
Z
a ` 9z
OC7� cmi
X U
rW >Am°'0
F o
0��a)3
d
F > c
~ O
V O s
U o
0
a
2. ` d - 'o = a � Y d ,"d0 'O y 7 d T
V- a m O ,tJ, d m c d a U Cc:) .O C
O ? d 0 o O C - T � m O C ca L` 3 . C O 'O T m
° y w is m° y° '3 ° d y p d a J a '� m E
ocLLy o� E am 3 3 �- d -o 0m 3J8 O do Eo
c_ rn d> o° r d E o y° o m m o c a r d cd _ Y
d Q E C m° Z C d 0) V .0 m y d o y C m C J y >. 3 N d d '° J
d C C U
d �� Ccn O y d3 �o o c oc .�=� `m c cm
r¢ m H M o f WAD .� J y m U ° ` >. -O O C O) N
>Y �Oo ,Z+ ra'o o"� `dam �y �j p,o cE� mLc0 ,yw
10,
cc am°- 0-' d nycn�O cL oc cv3 Ecc °c
�� cVd O °-`6Eyd o� �0 -4:° cyac 'E�
'o m c>a c� z ° °-c °� d° m TE d 3 y `� 3 m= d o
Z Y m d o
C O T T N m LL ... O L O O n y T C) O L -O° 3 to n C O U L y 0
d� O y wT' d om .c. .n oa�a dEo mcE9 we
y a V aa) a° Z N N N L m d d °' ° n L a N 'O O M din L j
LU a) cc ma _ a Ln Lmc .00 T cad w-m mC 0 cr
W E °'- Cc0)� ona-owm °o �� ° E2 cam- Jd°� 3N
Q p !9 d A m O N C N` tdn d L CO Y d y w CO
d E U O (� E -0 r m C° C al G C' C a> - 0 O d C L U 0 y
O 0 0) 0 m 0 V LL !�` C) .. E N( T y ii y m U C Y m m 3 O U 3 C d .� C
'O T ► C m m E a) U '- y d N d n J a m
aV W "O 3 w > O° 76
W n y= .O n° �O y d C 3 1] a) N y .O > d d d L J O L y
°° d O, a > o m= i c 0C° o rn- c° f0w"a na
d :=�Y a) tm O "" a-o)'n apya. >` o)y-do Jody �BacE do
y a ��¢N J0�w Q cEc�T` 'Sm mco m dcJ Tdd� Name =VE
vl'^ y o 7" o f H° U >' �i c m L d C- d -O d° d 2 m° m ° T `O d d J
O C V' .O O_ _ +.' O Z C C= p J E �' ` _ Q m y 2y U T O. "' C .0 U= r-+ n y y O
•C E >' W d J O C C d 0 O r N .d. y U C'� O E o O C m)°a y
W L� m m J O y E O
y 0 GwnL.d� nmm`3 C a E0.- =QC CaO(D O y iU p oo°) w UcOy dC0dy0
F EaE Itz 3 a° E cm0 Jmcamdc a °Em °E0
Z apaE
mwacmU1 U'coocd .UYNcy°a)foa)E p O d
°mCd C C0 d y CD d p L y 3-° m E y a) CD
a OwCCn C U-n 3 cm~a a Z W a) E° m o oE EO od U tJ 3 n E
m•Y 0°�0cptedc°a)EEap`c CL dE cay a>a)0
UmE o°-0 Ca) 0) a a)
E T0 OC m O n J
rd E a) m mc
C w
d a d
3°o�°0y�X. W ami mat0m�c and mE �� ca �orn>>. m�E`m
pcn:4�y._cd`o ZZ�j Z E �,3 �� `� �E �'oE cCo mom �'mo�
.0 D E 3 M° 'N O j 7 (7 'd0 "O C y N p V O C L d c m y d w m a` a m a m
°. U d d J d C C m 01 O p J m N O m On j a' J d J y J y la w L N -E y a O y
onn oE• o°c F= -co O�ay -mw c -Om a� E'-co do
d m o m T m 3 .N :: U N '° an d- y - V U m - C C y - ;M m U --a U
`m c CD CD c d-> a) W c c c E °c)� N¢ d m m E 0 am) ms �� o c m c
Q d3 m �� O 3 m a> ca a-- m3L C d
0 3d 3ccuc gryy, cm oc �c>, o
0 y ET aon O po:�omo Yea L Ym m- yTa3U
a
l�.
w
0
v
m
J
w
w
0
a
O
N
0
i
O
w
(D
m
L
o m w o m
J
m �c0 o0moa
N N J O
O O NO
O j
N
J'S Ow.0 Sm
N c �� O <
c Q v 0 CD a'
w(Dm 3�3
D'in
0 p a o w C v
0w< 0< m m
a_ N D m
N D)V w y N t0
m0CD 0',
.w
v v
N n
COD3v;N OQ
0 N
.0..�` NO N w
O 3 N O N
O W NCL � ti.N-O'
a,
v CD
CD 0 w
w(oa
vop00
O
M
G S p v o
0 j CJ-• 0 .0..
m=mo o w;
3 � _ ° 0 aCD
CD
n O, J G O
0
O w ID S,< w O
O w C M
ID O N
0
(D N O w �
N C
.L C C p- D0
w 0 3 `< 01 O
C w J
C
N C Ip y N
w
J,
CCDCD �.
D w n O S
wao0c
-0 — 0 3 0
o 0 6 0$ s 3
CD N w 0 w w 0
2: O O w J J
(D n � (D
ID
J 3 0 a
O
S
(D ' N - - w J -
n
a v
p(O c'(fl 0-�3
m w� m°'�
CD (D N
a w w
o ° CD m
S w <D w
v� dN -00
m — w n
V W w C
OG N O N 7
CD c Q G 01
ID
m
O w ? p
J
w nw
N N O
O
3 �J •<m
3 C J D C
CD n 0
O w w
Q -
O N N ry n
v � 0 o J
m 0
cc 0 w
d N N 0 3
O J N w
w Os �g
a N 0
N D) .O n
�o 20
a J 3
0
S
m2 m9
O fwii N n
O W TX
3 0 M N (O
O w w w c
v o 3 mCD
O J wJ C 4
7 w y O N
p( 0
0 o Cl ( n
c �. 0.:Z —
3mm
m m w
J 'o
N
vID rd.w 0
n I o Ca 5
m
0 N
. w d a o
0 M� )m
0
0
J
n 3
0 3 °
C W J
w D
�m am w >N a
o
wa0-3
W N O
O J O
v , � N
O a {D w
O N w w
N -_ J
n E. 3
- J
N O
OA w O O
o "0
Do 0. a;,,,
0 0 3 3
a m o m