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Home My WebLink AboutP2019-0010 - PermitsCity of Newport Beach - Building Division I Il�lllllllllllllllllllllllullllllllllllllllll II PLUMBING Permit: P2019-0010 d 100 Civic Center Drive, Newport Beach, CA 02669 P•2 0 1 9 0 0 1 0 Project No: 0080-2019 Permit Counter Phone (949)644-3288 °e -*s� • e o c e• o c o• �. eo• • e • oo+ o+ wtraw.s Inspection Requests Phone (949)644-3255 e • e o 0 0 o a •o a e a e ee • m -i-•-s-r��-e ai Job Address: 100 COAST HWYWBldg: IFloor: tl+• eieite:2012 •°• •a• ep Description of Work: COMM PLUM- GAS LINE FOR FUTURE CONNECTION (RESTAURANT USE NOT AUTHORIZED) Inspector Area: 7 Code Edit 2016 Legal Description: Owner: VBASPROPERTIES Contractor: OWNER/BLDR-VERDULTGLENN Address: 100 W COAST HWY Address: 1775 NEWPORT BLVD NEWPORT BEACH CA 92663 COSTA MESA CA 92627 Phone: Phone: Con State Lic:O/B Issued Date:01/09/2019 Lie Expire: Bus Lie: Processed By: Lie Exp Date: Worker's Compensation Insurance - Carrier : Policy No: Expire : wr IVN n- iv 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 $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: 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: $6.09 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: $48.09 Plan Check Fee : $6.09 Fee Due at Permit Issuance: $42.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. OWNER -BUILDER DECLARATION.. .** • • •• •• ••• I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the relon*; indicetedbelowdiy thb checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, altel, iJlprov$, Qer4bIi$h„pr=egpir *y 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' SWa MC(Inse-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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or)+fJortl�ons of the woric� end the.stru¢iuce is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of propQV who; throlug$,e1n{Qoy$eS or perspnol 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 withirfgV yge%of cofrjpletibQ!the Own r-Euilder will have the burden of proving that it was not built or improved for the purpose of sale). lr-�-l',�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 r a ly`6o 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 ar\(� exempt from licensure under the Contractors' State License Law for the following reason: my s'gnature below I acknowledge that, except for my personal re 'dente i ich I must have resided forat-least one year prior to completion of the improvements covered by this permit, I cannot legalll a structure that I have built as an owner -builder if it has rip enc cted in its entirety b ie sed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request n this appllc on i t theiGli Ing Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent �� a LICENSED CON T DECLARATION I hereby affirm under penalty of perjury that I am li d under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 performance of the work 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' compensatioi insurance carrier and policy number are: of Agent _ ftify that, in the to of Applicant Policy Number Date I not employ any person in any manner so as to become subject to the workers' compensation laws of California, and 3700 of the Labor Code, I shall forthwith comply with those provi ion c areby affirm under parr perjury that there is a construction lending agency for the performance of the work for which this permit is issued lder's Name v 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 beh If. I have read this application and the information I have 'd Urfa I agree to comply with all applicable city�D my ordin -as t• construction. I authorize representativeko 1LT'�or co ty en = R jnalart�U�Ilding y for inspection purposes. mature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam ACTION I DATE EY DECtARATIDN OF COMFIfANCEW/TNCODEOF 11 FEDERAL REGULATIONS PART fitOF TITLE40AND PERMIT EXTENDED ❑ I SUBMITTEDA5BESTOS N077FICATION TOr ❑ EPA ❑ AQMD ASBESTOS 14017RCA710MIS NOT. APPLICABLE TO PROPOSED DEMOLITION. OCCUPANCYISSUED I I I I SIGNATURE: 3097, Civil Code). [ Date e- 1�f