HomeMy WebLinkAboutP2019-0116 - Permits#u� City of Newport Beach- Building Division
U%i100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 1906 SEADRIFT DR Bldg: 1 Floor: Suite:
Description of Work: PLUMB WATER SOFTNER
Inspector Area: 5 Code Edit 2016
Legal Description: N TR 2813 LOT 9
Owner: STONEWOOD LUXURY HOMES LLC Contractor: Y`y lu
Compensation Insurance - •s
Address: 22 LARCHWOOD Address: 13` DISTRIBUTION WAY#0
IRVINE CA 92602 u> /ISTA CA 92081/ aGo10 O
Phone: 714-904-8994 .„Phdlr 760-754-1�&0 E
Issued
*P2019-0116*
Processed
Bathroom Fixtures
Toilet;
0
0.00
Bidet
0
00
Urinal
0
$ 00
Bath Tub:
0
$ 0
Shower Stall:
0
$0. 0
Wash Basin:
0
$0.
Hydro -Mass Tub:O
$0.0
Floor Sink:
0
$0.00
Floor Drain:
0
$0.00
Con State Lic�:99'
Lic Expire: 11
Fixtures
RCKen Sink: 00 eigipi .. 0 $0.00
Gar a Di 0 W r Softener. 1 $7 °
Water Heater: $ 00
Va e e Si 0.00 Gas up to 4 outlets
c M 0 $0.00 Gas over 4 outlets. 0.0�
er. 0 $0.00 o up to 2": 0 $0.0 IV
Lndryrrrap: 0 $g0� �n�0 w over 2 0 $0.00
Regulator: �a-• °Hose Bibb: 0 $0.00
L rinkd 60 .00 rdorinking Fountain: 0 6''
� rK std<�e
$ l 0 Plan c Feer $000
PLUMBING Permit: P2019-0116
Project No : 0459-2018
Inspection Requests Phone (949)644-3255
pp�� FJ a
it "n
Carrier: SENTIAeL INSURANCE
Polll—p�E4RT5551
plre : O2/11/20
mom®
m a
•.mm
eomo
i
ooam
0
Misc. � .,
Roof $0.00
: s --
3e 6J$0
Pi 0 0
w0.Sewer:
Worker's
Ot or
m
co• e
$0.W
$0.00
i�*cor
MgmtFee;m°$0.'00
esti
tion: $0.00
ck: 0.30-600nce:
$35.00
Supplemental
Fee: $0.00
Fee Due at Permit Issuance : $42.00
• � FE MITS-SYMRE 1 p AF ISSUANCE OR LAST VALID INSPECTION
t "
Construction -Hours: !V Friday 7:00 a.m, to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m.
m C
00000.o
a o
OVa•O
m
o<mma
oCC600
O O
m
ooa•
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 it was not built or
improved for the purpose of sale).
1, as owner of the property, am exclusively contractingwithlicensed 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 entirely 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 affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S tion 000) of Division 3 of the usiness and Profession and my license is in full force
and effect.
License Class License No D e Contract, rSigna re
WORKERS' COMPENSATION DECLARATION
.•
NARNING: FAILURE i0 SECUY.E 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
CAST OF CqMPENSATTM, IIAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
WV firm urRJBr eenalty of perjury one of the following declarations:
171 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
ryladce of the Aork for which this permit is issued. Policy No.
• aveand wilt maMAain 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
nvurava carrier and policy number are:
Darview • : • • • • Policy Number Expiration Date
ehI that, in the performance of a Aork for which this permit is issued, I shall not employ any person in any manner so as to becom subjec o the workers' compensation laws of California, and
if I sflould bECOMM .qubject to e wo kKs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply" with those prov' ions. P P P
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, 1 certify to each of the following:
I am the property owner or authorized to act on tFle-prgparty owner's behalf.
I have read this application and the informatiohave provided is correct.
I agree to comply with all applicable city and c unordinances and state laws relating to building construction.
I authorize representatives o�f ��is city or county t enter arty for inspection purposes.
;kmature of Property Owner' .,e�thorized Agent Print Property Owner's or Authorie ei d Agent's Name
ACTION Cis
DATE BY
DECLARAT1017 OF COMPUANCEWITH CODE OF__/
FOR OFFICE USEH,IJILH
FEDERAL REGULATIONS PART 61 OF TinE-40"AND
AQMD RULE 1403.
P€RM/TEXPIR€D
i SUBMITTEDASBESTOS NO77FICATION TO:
❑ EPA
❑ AQMD
❑ ASBESTOS M017RCATIONIS NOT APPLICABLE TO
PROPOSED. DEMOLITION.
PERMITCANCELtED
P£RMITEXTENDED
PERMIT FINAL
CERTIRCATEOF
SIGNATURE:
OCCUPANCYISSUED