HomeMy WebLinkAboutP2019-0099 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
F Permit Counter Phone (949)644-3288
Job Address: 1906 SEADRIFT DR Bldg: 1 Floor: Suite:
Description of Work: PLUMB/CHANGE OUT (E) WATER SOFTNER
Inspector Area: 5 Code Edit 2016
Legal Description: N TR 2813 LOT 9
0 _
Owner: LUXURY HOMES STONEWOOD
Contractor:
Address: 22 LARCHWOOD
Address:
IRVINE CA 92602
0
Phone:
Phone:
0
Con�►at�
Issued Date:04/0112019 xpire:
g *Bus
(7j
Lic:
Processed By: x
Lic Epp t
Bathroom Fixtures
Toilet:
0 _
$.%0
Bidet
0
' $0.0
Urinal
0
$0.0
Bath Tub:
0
$0.00
Shower Stall:
0
$0.00
Wash Basin:
0
$0.00
Hydro -Mass Tub:O
$0.00
Floor Sink:
0
$0.00
Floor Drain:
0
$0.00
TOTAL:
P 2 0 1 9 0 0 9 9��
PLUMBING Permit: P2019-0099
Project No
Inspection Requests Phone (949)644-3255
as
\e. o
ECOWATER SYST a p(}��C \ l(Oh Compensatio Insurance-
1351
nsurance-1351 DISTR N WAY #9 �� ` OC Carrier : SENT L SURANCE t
VIST.. 2081 O $ 0 0 Policy EGRT 51
N 754-1960 a: 02/11/2020
�
11 30 1 100'
@T 0058818'.� kd
04/30/209 t .
M1111 -R-1
1
e ixt g W M' VI
c I X vp� !so. '1�° Other
n k: $0.00 1 $0.00 oof Drai0 0.00 $0.00
sp: p��@q r r: 1 $7.00 Gr �°r� 0 $0.00 $0.00
ink. 0.0", ter Hater. 0 $0 �9ttercV CIA0.00
aj k: `< i .00r as up to 4 outlets: 0 -Trap: t� 5 0 $0.00 cord gm Fee: $0.00
er. 0 0�+ Gas over 4 outlets: 0 6wo a' n: $0.00
Fa Pr -0 0.00 Backflow uq�t@ 2": 0 00 Bawer. 0 0.0 Ch $0.00
0 $0.00 Back Jeri 0 $0.00 Sewer Alter/ Ir:O Qy I ce: $35.00
w 0 $0.00 Hs� b ° 0 $0.00 Sewe andon: QR). %%Ko Supplemental Fee: $0.00
Sprinkler: 0 $ O gDrld)kin Fountain: 0 $0.00 itional Fee%t. 0
�v.� �`
00 �m r d r aZ `� PPlan Check Fee $0.00 as Due at Permit Issuance : $42.00
980 DAYS-AIFTER49TUANCE OR LAST VALID INSPECTION
ay m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m.
c v moo vmo mm
O OO tlmU U m L f:G
C G G J O 0 O L
A C C
vG
m mu mm U m B m p
®Gm UV Op V ® GpU 40
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).
❑ 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).
d 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 legalll
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 affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and �4nse is in full force
and effect. /
License Class License No Date —f f Contractor Signat
NORKERS' COMPENSATION DECLARATION
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
:OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
mance of the work for which this permit is issued. Policy No.
ave and will�i'�ain workers' cg4ngsation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensal
H.tce carrier a1tD Dolicv number are.& ) e 0-%_ /) a
is of Agent
certify that, in the p ormanc(
, if I should become subject to
of
Date
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
kers' compensation g2gk ons of Section 3700 of the Labor Code, I shall forthwith comply with those pro iy sionS.
iCLARATION REGA,paWSeONSTRUCTION LENDING AGENCY '
areby 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).
nder'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 propert� owner's behalf.
1 have read this application and the information I have vi ad is correct.
I agree to comply with all applicable city and county r than�d state l�relatingto building construction.
I authorize representatives of this city or county t t r the a�be -identifier inspection purposes.
(nature of Property Owner or Authorized Agent pert) Owner's or Authorized Agent's Name
ACTION
DATE BY
DECLARATION OFCOMPLI NCEMTNCODEOF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OFTIILE40AND
.UWORULE.1403. •
:.❑ fo5UBMITtEDZS'OEST4SM0211CATfONTO:
: : • • : : :
PERMITEXPIRED
PERMITCANCELLED�•�
.
APa
PERMITE.YTENDED
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
•• ••a • • • •••
a
PERMIT FINAL
CERRFICATEOF
OCCUPANCYfSSUED
SIG*ATU*E o . a •