HomeMy WebLinkAboutP2019-0345 - PermitsCity
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Permit Counter Phone (949)644-3288
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Job Address: 320 CATALINA DR Bldg: 1 Floor: Suite:
Description of Work: PLUMB - EXTEND GAS LINE FOR FUTURE BBQ
Inspector Area: 2 Code Edit 2016
Legal Description: N TR 444 LOT 8
Owner: VIKING INVESTORS Contractor: OWNER/BLDR
Address: 1104 W BAY AVE Address:
NEWPORT BEACH, CA 92661
Phone: Phone:
Con State Lic:O/B
Issued Date:12/18/2019 Lie Expire:
Bus Lie:
Processed By: � Lie Exp Date:
PLUMBING Permit: P2019-0345
Project No : 2118-2019
Inspection Requests Phone (949)644-3255
Worker's Compensation Insurance -
Carrier :
Policy No:
Expire :
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.
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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
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:
$42.00
Plan Check Fee:
$0.00
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.
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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, priorto its issuance, also requires the applicant for
the permit to file a signed statement that he or sheds 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 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 it was not built or
improved for the purpose of sale).
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
to an owner of property who builds or improves thereon, contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I exempt from licensure under the Contractors' State Lice a La for the following reason:
By my nature below I acknowledge that, except for my personal re 'de Cain whit I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal)
sell structure that I have built as an owner -b r if it has of bee o cted ' its ant' ty by I' ensed contractors. understand that a copy of the applicable law, Section 70 4 of the Business and
sessions Code, is available upon request wh his appl' ation n b It t t i site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Dat' �7
LICENSED CONT CTOR'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 Professions Code, and my license is in full force
and effect.
License Class License No Date Contractor Signatur
NORKERS' COMPENSATION DECLARATION
YARNING: 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
-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:
7 1 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 the
)erformance of the work for which this permit is issued. Policy No.
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'
rance carrier and policy number are:
of Agent
rfify that, in the performanq �tleI should become subject tb-t
Policy Number
Date
is issued, II all noy, employ any person in any manner so as to become subject to the workers' compensation laws of California, and
lions of S Ctisn 37 of the Labor Code, I shall forthwith comply with those provisions. e, ,
Tnature of Applicant Ar% ( ) �A �5/ L"`Uare
IECLARATION REGARDING CONSTRUCTION LENDING AGENCY 1
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 th ropertowner's behalf.
I have read this application and the information I Ikeve provid d is c t.
I agree to comply with all applicable city and count rdinan es sta laws relay to b Ing construction.
I authorize representatives of this city or count1to eat th o 1 �17p�p rt f action purposes.
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AC770M DATE BY DECLARATION OF COMPLIANCE MTL7 CODE OF FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART fit OPT,111E40AND...
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OCCUPANCYISSUED SIGNATURE: �:• ,•• �:- �•