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HomeMy WebLinkAboutP2019-0055 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII II o 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 9 0 0 5 5 t Permit Counter Phone (949)644-3288 Job Address: 3703 SEASHORE DR Bldg: 1 Floor: Suite: Description of Work: PLUMB REVISE GAS LINE TO NEW FIREPLACES (1 @ EACH LEVEL) Inspector Area: 1 Code Edit 2016 Legal Description: NEWPORT BEACH CITY BLK 37 LOT 2 Owner: HAJJAR GEORGE P Contractor: OWNER/BLDR Address: 2405 BELLEVIEW RD Address: HAJJAR GEORGE P UPLAND, CA 91784 Phone: 909-921-4254 Phone: Con State LIc:O/B Issued Date:02/14/2019 Lic Expire: Bus Lic: Processed By S Lic Exp Date: PLUMBING Permit: P2019-0055 Project No: 0261-2018 Inspection Requests Phone (949)644-3255 INO CT4U,kR Worker's Compensation Insurance - .... Carrier: ° .... ° Policy No: mo ommmc Expire: e o m��oVo m e m FEES ° m omeeo• o 0 Kitchen Fixtures Misc. 00 0 Misc. mmem Other m e0000 $0.00 oomo m $0.00 Water Piping: oe000 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Frlday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. e o m��oVo FEES ° 000.o. 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!0& 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 $7.00 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: $35.00 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: $42.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $42.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Frlday 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 resson(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 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 sale compensation, will do U 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 ovements 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 I pr ed for the purpose of sale). I, as o -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 apply 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). ❑ 1 am exempt from licensure under the Contractors' State 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 coverec by this permit, I cannot legall, sell a structure that I have built as an owner -builder if it snot been con cted in it �ptve"y licensed contractors. I understand that a copy of the applicable law, Se 44 of th Busine sand Professions Pt1Ae, 1% available upon re uest €ri t i Ir�ation is s t ora - following :http://www.leginfo.ca.gov/calaw.html. C ay �Signalure of ProperlyOwner or Authorized ent [�._.---- Date •••••• •. LICENSE NT'S DELL ON S hereby affirm unAer penalty of perjury that I am li ed under prov' i of Chapter mmencing with Section 7000) of Division 3 of the Bus in¢ss and Professions Code, and my license is in full force L•icerBB Class License No D t Contractor Signryk¢g N6RK%RS' CDIIAPENSATION DECLARATION Iff AARNIAC: FAILURE•Tp.S;,CURE 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 DOS'YORCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm underpenalty of perjury one of the following declarations: �%Rtvp and wi),I•maigtain 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 0ormance of *evxvlsfor which this permit is issued. Policy No. av�and will•roain;in 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' compensatiol fAhte carriel'agc:golicy number are: ar r Policy Number Expiration Date of Agent Phone # certify that, in the performance of the work for which this p rmit is issued, I shall not employ any person in any manner so as to become subje t to the workers' compensation laws of California, and agre :hat, if I should becom "subject a workers' c p nsation is'Lns of Section 3700 of the Labor Cade, I shall forthwith comply with those p visions. �T �` signature of Ap rat — ate7 / f 7ECLARATION RE A ING CTI L NDI AGEN _ hereby affirm under penalty perjury that the e i a constructs - 1 nding agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name / Lender's Address 3y 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 1 have provided is correct. I agree to comply with all applicable city and county rdinances and state lay/./s� relating to building construction. 1 authorize representatives of this city or county� nler the abo dentifi[e/Q/49foperty fpr inspection purposes. ;L�nQ _ _ ,J tf signature of Property Owner or Au razed Agent!""//1 // r_..1� in Property Owners or Authorized Agent am J&e&C I Vl/7!)il!✓t�LffnC/ I/ ACi10N DATE CLARATIONOFCOMPLIANCEtMT HCODEOF FOR OFRCE USE DAILY FEDERAL REGULATIONS PART 61 OFTITLE40AND AQMDRULE1403. P€RMIT£XP1R€D 1SUBMLTTEDASBESTOS NOTIFICATIONTO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXT£NDED ASBESTOS 0 OPOSEDDEMOLITJON R©NLS NOT APPLICABLE TO PERMIT FINAL l �/ CERTIFICATE OF SIGNATURE: OCCUPANCYISSUED