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Home My WebLink AboutP2017-0177 - Permits*�a City of Newport Beach - Building Division *P2017-0177* a. .. 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 401 NEWPORT CENTER DR Bldg: 1 Floor: 1 Suite: A-101 Description of Work: COMM PLUMB/INSTALL AQ CUBE PUMP SYSTEM "WAHOOS FISH TACO " PLAN ATTACHED Inspector Area: 7 Code Edit 2016 Legal Description: P BK 221 PG 30 PAR 2 Owner: IRVINE COMPANY Contractor: LAS COLINAS Address: 550 NEWPORT CENTER DR Address: 600 S JEFFERSON #M NEWPORT BEACH, CA 92660 PLACENTIA CA 92870 Phone: Phone: 714-528-8100 Con State Lic:841904 Issued Date:07/13/2017 Lic Expire: 06/30/2018 Bus Lic: BT30059854 Processed By Lic Exp Date: 07/31/2018 PLUMBING Permit: P2017-0177 Project No : Inspection Requests Phone (949)644-3255 11NV® Worker's Compensation Insurance - Carrier : HARTFORD ACCIDENT Policy No:57WECPK9338 Expire : 12/01/2017 see • oo•moo 0 0 ° . e e•eee• • ° ° PERMITS EXPIRE 980 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 • ° °•° Bathroom Fixtures Kitchen Fixtures Misc. Misc. Other ° • ° ° ° ° • • ° Toilet: 0 $0.00 Kitchen Sink: 0 $0.00 Water Piping: 1 $6.00 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 $40A, . e Urinal 0 $0.00 Bar Sink: 0 $0.00 Water Heater: 0 $0.00 Greaselnterceptor:0 $0.00 Bath Tub: 0 $0.00 Vegetable Sink: 0 $0.00 Gas up to 4 outlets: 0 $0.00 P -Trap: 0 $0.00 Record Mgmt Fee: %!(10 0 Shower Stall: 0 $0.00 Ice Maker: 0 $0.00 Gas over 4 outlets: 0 $0.00 Sewer Investigation: $0.010 ° Wash Basin: 0 $0.00 Dishwasher: 1 $13.00 Backflow up to 2": 0 $0.00 Sewer: 0 $0.00 Plan Check: $16.53 Hydro -Mass Tub:O $0.00 Lndry/Trap: 0 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair:0 $0.00 Issuance: $33.00 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 : $276.00 TOTAL: $344.53 Plan Check Fee : $276.00 Fee Due at Permit Issuance : $68.53 PERMITS EXPIRE 980 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. 4 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 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). ❑ 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 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 Iegall 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.html. 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 theB iness no fessions C e, and my license is in full force and effect. .Licensg Class*.... 0 License No D�3 I'-� 1.-° Contractor ature WWZXERS' 130MRRNSATION DECLARATION AIARNI$IG: FAILURETO 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 COBT OGCOMPENSPJION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. II �hyerel)y affirm ander penalty of perjury one of the following declarations: �the and velli A-6%intain 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 fppf�gr( ormance of the )Work for which this permit is issued. Policy No. �ybave and•0111 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' compensatior ice carrieuand policy number are: Policy Number of :ertify thot, Oft performance of theork for which this permit is issued, I shall not employ any person in any manner so as to become SL if I sho�IQ bec le ct to the wolgrs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those of Date the workers' compensation laws of California, and 'l IECLARATION F EGAfZDIN(iCONSTRUCTION-MNDING AGENCY r 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 y my signature below, I certify to each of the following: 1 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 ordinance nd state laws relating to building construction. I authorize representatives of this city or "y'untty enter thea Ideon 7sperty, for inspection purposes. ,..,, Q Yt Q ,1,,.e ..r n...n., „� Aarenrlurl Ate- ---i—Print Prooertv Owner's or Authorized Agent's me % ' SE ,- ACTION DATE BY UCL.LAa r 1U1r yr wlwruwva.r vr» n —u , FEDERAL REGULATIONS PART 61 OF TITLE40AND AOMD.RULE 1463. ❑ I SUBMITTED AS13ESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMiT EXPIRED PERMITCANCELLED PERMITEXTENDED ❑ ASB ESTOSNOTIRCAAON/S NOT APPLICABLE TO PROPOS ED DEMOUTION. PERMITFINAL / CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED