HomeMy WebLinkAboutP2020-0038 - Permits� I City of Newport Beach - Building Division 111p111111111p11111111111111111p111p1p11111111 11
;��+ 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 0 0 0 3 8
'= a Permit Counter Phone (949)644-3288 CONSTRUCTION
NOISE
Job Address: 422 ORCHID AVE Bldg: 1 Floor: Suite: N SATURDAYS Description of Work: PLUM GASLINE TO FIRE PIT O
Inspector Area: 5 Code Edit 2016
Legal Description: CORONA DEL MAR BLK 442 LOT 16
Owner: REKLAW LLC
Contractor:
INSTANT LANDSCAPES
Address: 418 1/2 ORCHID
Address:
28562 OSO PKWY #D-243
CORONA DEL MAR, CA 92625
RSM CA 92688
Phone: 949-975-0123
Phone:
949-347-0700
Con State Lic:842586
Issued Date:02/21/2020
Lic Expire:
07/31/2020
Bus Lic:
BT30063469
Processed By: ��
Lic Exp Date:
12/31/2020
PLUMBING Permit: P2020-0038
Project No : 0790-2018
Inspection Requests Phone (949)644-3255
INSPECIUR
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Worker's Compensationlnsurance-
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Carrier: SIRIUS AMERICA INS
Policy No:190725-001 s °
Expire : 08/15/2020
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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
•eoo
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
Lndryfirap:
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.
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 L_) 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 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).
❑ 1 am exerr" tram licensure under the Contractors' State License Law for the following reason:
By my signaturg pglq* 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 legalh
sel6a 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
• • PTQFessions•Code�is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of PIOQert�?Owner or Authorized Agent Date
• • LICENSED CONTRACTOR'S DECLARATION
I her*eby affirm •uncle -penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with coon 7000) of Division 3 of the BusineA
f o e, y license is in full force
• •arltleffect. .. . 'A— �i' -Zp
License Class _ License No Date Contractor Signatu
9Vt XKJERS' C6W&SATION DECLARATION
IAKMNb: FAILURE TQ SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOV RTO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONHOU 0 DO S ($100,000(, IN ADDITION TO THE
jQSTAFF•OMPENS ATION4 DAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
;heteby affirm undeppmalty of perjury one of the following declarations:
at tine and wyymeintain 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 IN
16fe"ance of the noiR 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:
Number Expiration Date
ie of Agent Phone #
certify that, in the perfor ace of the work for which this p mit is issued, I shall not employ any person in any manner so as to become subject to
if I should become su ec to the workers' c . e.Labor Code, I shall forthwith comply with those provisis
nature of Applicant Da
CLARATION REGA G CO TRUCTION LENDING AGEN Y
)reby affirm under p alty erjury that there is a constructi ending agency for the performance of the work for which this permit is issued
Ider'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.
have read this application and the information I have correct.
I agree to comply with all applicable city and county o Inances an tate laws relating to building construction.
I authorize representatives of this city or county to ter the above -i ntified property for inspection purposes.
nature of Propertv Owner or Authorized Aqent Print PrODertv Owner's or Authorized Agent's Name
ACTION
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
BATE I/ I BY
FEDERAL REGULATIONSPART 61 OFTHLEW AND
AQMD RULE 1603.
❑ I SUBMITTEDASBESTOS NOTTF/CATION T0:
❑ EPA
❑ AQMD
❑ ASBESTOS NOTIFICA71ON IS NOT APPLICABLE TO
SIGNATURE:
workers' compensation laws of California, and
3097, Civil Code).
FOR OFFICE USE
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