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Home My WebLink AboutP2019-0113 - PermitsCity of Newport Beach- Building Division IIIIIIIIIIIIIIIIIIIIII�IIIII�IIIIIIIII�IIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 9 1 1 3 ' Permit Counter Phone (949)644-3288: Job Address: 329 VIA LIDO SOLID Bldg: 1 Floor: Suite: Description of Work: PLUM BACK FLOW DEVICE TO DOCK Inspector Area: 1 Code Edit 2016 Legal Description: TR 907 LOT 913 AND POR OF LOT 914 Owner:. NICOLAS RONALD/KIMBERLY Contractor:. APEX DIVING & MARINE SERVICES Address: 329 VIA LIDO SOLID Address: 15061 SHERMAN WAY STE J NEWPORT BEACH, CA 92663 FEES VAN NUYS, CA 91405 Phone: Phone: 818-787-1794 o o m a0000 Con State Lic:1006937 Issued Date:04/15/2019 Lic Expire: 08/31/2019 !"'Q�� Bus Lic: BT30069290 Processed By: Lic Exp Date: 05/31/2019 PLUMBING Permit: P2019-0113 Project No: 2684-2018 Inspection Requests Phone (949)644-3255 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. y FEES ". o o m a0000 e Kitchen Fixtures e •aee Worker's Compensation Insurance - „ Carrier. STATE COMP eee• emsooc Policy No:9216743 Toilet: 0 Expire 08/24/2019 Kitchen Sink: 0 : Water Piping: 0 $0.00 comoco a ° $0.00 Bidet 0 • o ¢ mm ee000 ° 0 � eseoo 0 ° ° omm000 $0.00 mommom 0 o m o 0 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. FEES ". o o m a0000 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 Jce 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": 1 $16.00 Sewer: 0 $0.00 Plan Check: $0.00 Hydro -Mass Tub:0 $0.00 Lndryrrrap: 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: $51.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance i $51.00 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. 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 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). 111, 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 -Builder will 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, 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 signatu19'de1ryM 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 legall) sell a struct4iwt*at 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 Prpfessio4sCade, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ignature of Pretty Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION Nareby affirm undej penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with a tion 7000) of Division 3 of the Busine anr s n ode, • my license is in full force apd effect...... • Licence Class ' License No Date %J %7 Contractor Signature re WMPENSATION DECLARATION .. CNd�iyyly& FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ON KUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE Cb$'f OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37DB OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. figPe6°y affirm ouRderprnalty of perjury one of the following declarations: I We 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 IN 'PMomrence of�tRE)Vo4c for which this permit is issued. Policy No. ... ... 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' compensatior nsu nce carrier and policy number are: to of Agent _ certify that, in , if I should be Iature of APPI Policy Number Date this permit is issued, I shall not employ any person in any manner so as to become subject to ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisiy maby affirm under p f nalty of perjury that there% 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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and co nce d tate laws relating to building construction. I authorize representatives of this city or county nt b ntified property for inspection purposes. nature of Pmoertv Owner or Authorized Alien Print Propertv Owner workers' compensation laws of California, and 3097, Civil Code). . .n . %k ACTION DATE BY uct.Lsuwrtufv ur wrnruAlv.cvnrn a Vu yv run urrrr we..7 FEDERAL REGULATIONS PART 61 OF T17LE40AND PERA4ITEXPIR€D AQMO ROLE 1403. ❑ 1 SUBMITTED ASBESTOS M071FICATION TO: PERVITCANC€LIED ❑ EPA PERFAITEXTENDED ❑ AQMD ❑ ASBESTOS N077HCAIIOMIS NOT APPLICABLE TO PERA41TFINAL / _ -Q fdl- V6 PROPOSED. DEMOLITION. CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: