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Home My WebLink AboutP2019-0300 - Permits�., City of Newport Beach - Building Division I1pIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 PLUMBING Permit: P2019-0300 Project No: 2215-2019 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier: STATE COMP INS FUND Policy No:3000156 Expire : 02/01/2020 E - Job Address: 2620'. SAN MIGUEL DR Bldg:1 Floor: Suite: Description of Work: COMM PLUMB/ REMOVE & REPLACE (E) GAS LINE Inspector Area: 7 Code Edit 2016. Legal Description: P BK 119 PG 49 PAR 1 Kitchen Fixtures Owner: IRVINE COMPANY Contractor: CULVER BJ CONSTRUCTION INC Address: 550 NEWPORT CENTER DR Address: 5550 E EDGEMAR AVENUE NEWPORT BEACH, CA 92660 Other ANAHEIM HILLS CA 92807 Phone: Phone: 714-225-7866 Kitchen Sink: Con State Lic:755479 $0.00 Issued Date:10/16/2019 Lic Expire: 03/31/2020 Roof Drain: 0 $0.00 Bus Lic: BT30063517 Processed By: Lic Exp Date: 06/30/2020 PLUMBING Permit: P2019-0300 Project No: 2215-2019 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier: STATE COMP INS FUND Policy No:3000156 Expire : 02/01/2020 E - 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. 00 •04 b 00• y Ct_O i160 Y 00 O O O E G OG P :u0 6 4 ep ' .Eta c 00 O b o Ob pB0 p: O 9 O€'.O C p O O . 90 9G0. 9 P YU q0 ObG 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: $0.00 Hydro -Mass Tub:0 $0.00 Lndrylirap: 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 : $105.50 TOTAL: $147.50 Plan Check Fee: $64.00 Fee Due at Permit Issuance: $83.50 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. 00 •04 b 00• y Ct_O i160 Y 00 O O O E G OG P :u0 6 4 ep ' .Eta c 00 O b o Ob pB0 p: O 9 O€'.O C p O O . 90 9G0. 9 P YU q0 ObG 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 acivil penalty of not more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 1t 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). ❑ 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 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 Professio s'C de, and my license is in full force and effect. License Class License No Dat l Contractor Signatur NORKERS' COMPENSATION DECLARATION YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE le UNLAWFUL, AND SHALL SUBJECT AN EMPL R TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ON HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :OST OF COMPENSATION, 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: 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. e of the work for which this permit is issued. Policy No. 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' compensate Ler and policy number are: - Policy Number Date certify 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 if I should become subject to thoKorlors' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Da CLARATION RE CONSTRUCTION LENDING AGENCY ;reby affirm under p alty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Se)Aion 3097, Civil Code): lder'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 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 d s ate laws relating tobuilding construction. I authorize representatives of this city or county t�nter the ov entified property for inspection purposes. nature of Property Owner or Authoriz( Print Property Owner's or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCE I4MTH CODE OF FOR OFFICE USE ONLY ... FEDE,R,QLREGULACA010PART61OFTITLE40AMD AQAtO RQLF•• 1603. •; • P€RMITEXPIR€D . # UQ IT fDdVB*7pS N077FICATION TO: }❑] PERMtTCANCE[tED . AQMD PERMITEXTENDED El ASBESTOS NOTIFICATIONIS NOT APPLICABLE TO • PROPOSEDIDEN&LITM. i • • • • : PERNI1TF1filAL �. •• CERTfFICATEOF • • • •. OGCUPANCYISSUED • �IGMJAJRE: • • +