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Home My WebLink AboutP2019-0001 - PermitsPERMITS 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. City of Newp,?rt Beach - Building Division II IIIIIIIII IIIIIIII /III IIIIIIIIIIIII III II PLUMBING Permit: P2019-0001 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0. 1 9 0 0 0 1 Permit Counter Phone - Project No : 1190-2018 (949)644-3286. FEES Inspection Requests Phone a (949)644-3255. Bathroom Fixtures Kitchen Fixtures Job Address: 57 BEACON BAY Bldg: 1 Floor: Suite: 4' r Description of Work: PLUM -LAWN SPRINKLERS/GAS LINE (X2018-1547) ATTACHED SOLID ROOF PATIO COVER 6 s _ Misc. h Inspector Area: 2 Code Edit 2016 <4,p , Legal Description: R BK 9 PG 42 PAR 57 8 °! Owner: BURKE MARTIN Contractor: CUNLIFFE CONSTRUCTION Worker's Compensation Insurance - Address: 57 BEACON BAY Address: 211 20TH ST Carrier: WIC EXEMPT NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92663 Policy No: Phone: 949-375-5027 Phone: 949-566-5323 Expire: Con State Lic:804062 . ° Issued Date:01/02/2019 Lie Expire: 02/28/2020 Bidet Bus Lie: BT30065433 ° Processed By:' Lie Exp Date: 12/31/2019 ° ° .° $0.00 ° °° °... ° . 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. 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 $O OOo ® o 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: 16.%0 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 LndryfTrap: 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: 1 $20.00 Drinking Fountain: 0 $0.00 - Additional Fee : $0.00 TOTAL: $62.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $62.00 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 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 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 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 if was not built or improved for the purpose of sale). ❑ 1, 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). I 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 covered by this permit, I cannot legall: sell a structure that 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirro Lfi8er,penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Co , and my I rise is in full fo and effect. (Lvivense Class • • License No Date h Contractor Signaturev Y ORjERS' COMPeNSATION DECLARATION �CAIR .1f�L1y 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 OSiJFA COMPENSOTJQr'i DAMAGES AS PROwDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. %re%affirm 80dp4 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 th 3Wormence of�tha work for which this permit is issued. Policy No. ogvp and will Inaintain 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' ,ante carrie - andpolicy number are: (gr _ Policy Number Expiration Date . . ify that, in the. performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and I should become subject to the workeo'compensation provisions of Section 3700 of the Labor Code, I shall forthwithcomply with those provisions. _ of Applicant IECLARATION REGARDING CONSTRUCTION LENDING AGENCY s 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 (Section 3097, Civil Code). ender's Name Lender's Address ly 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. 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 a ter the above -identified property for inspection purposes. innature of Prnnerty Owner nr Authnrized ADent / Print Prooertv Owner's or Authorized ADent's Name/ _ ACTION DATE BY flue Ur wmrUAR1.c Pw fn wvc. Ur FEDERAL REGULATIONSPART 61 OFTITLE40AND P£RMITEXPIRED AQMDRULE1403. i SUBMITTEDASBESTOS NOTIFICATION TO: PERMtTUNCELLED 0 EPA PERMITEXTENDED ❑ AQMD D ASBESTOS M07THCA170NIS NOT APPLICABLE TO PERMITRNAL io /oi PROPOSED DEMOLITION. OCCUPANCYISSUED I I II SfGNATURE: