HomeMy WebLinkAboutP2020-0056 - Permits�wrrrp City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIINIIIIIIIIIIIIIIIIIII PLUMBING Permit: P2020-0056
A� r� 100 Civic Center Drive, Newport Beach, CA 92660 II P 2 0 2 0 0 0 5 6 I III
p Project No : 2830-2019
.F'i '>. � Permit Counter Phone (949)644-3288
eylt�ru4�r. Inspection Requests Phone (949)644-3255
Job Address: 3403 FINLEYAVE Bldg:1 Floor: Suite:
Description of Work: PLUMB - GAS LINE FOR BBQ
Inspector Area: 1 Code Edit 2019
Legal Description: CANAL SECTION BILK 434 LOT 2
Owner: SPIELER NORMAN Contractor:
Address: 5550 TOPANGA CANYON BLVD 3350
Carrier: STATE FARM
WOODLAND HILLS CA 91367
Phone:
Issued Date:04/2112020
Processed Bv: JA
AMERICAN WEST SERVICES
Address:
NEWPORT BEACH CA 92660
Phone:
949-683-7410
Con State Lic:748965
Lic Expire:
05/31/2022
Bus Lic:
ST98041665
Lic Exp Date:
03/31/2021
Worker's Compensation Insurance -
921 BAYWOOD DRIVE
Policy No:92GKH3474
Expire: 03/08/2021
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Monday- Friday 7:00 a.m, to 6:80 p!nryand 8Jtdr1'dVfrom'6:00 am& to 6:00 p.m.
• • • + e• o + c e +
c + o o e o
+ s e e o o s o++ c
c c c c o 0 0
c c •o e+ o o c
+ 0 0 o e c
ac oc+ o + u oe c+o
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:O
$0.00
Lndrylrrap:
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:
$42.00
Fee Due at Permit Issuance: $0.00
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Monday- Friday 7:00 a.m, to 6:80 p!nryand 8Jtdr1'dVfrom'6:00 am& to 6:00 p.m.
• • • + e• o + c e +
c + o o e o
+ s e e o o s o++ c
c c c c o 0 0
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+ 0 0 o e c
ac oc+ o + u oe c+o
more
ase and professions Codel The Contradom' StateLicense Law does not apply to an owner oT properrywno, lnroygn employees vl parsunml nnu,l, punas w nu} wvoa „c w� v, r u 4
vements are not Intended or offered for sass_ if, however, the building or Improvement soldvfdhfnone yearofcamptedon, the Owner -Sunder will have the bunlan ofprovingthat ttwas not built or
ved for the purpose of sale).
as owner of the property, em exclusively contracting with licensed Contractors to construct the project (Section 700, Business and Professions Code: The Contractors' $lateLicense.Lawdoes not
to an owner of property who builds or improves thereon,. and who contracts for the projects with a licensed CcntraatorPursuant to the Contractors' Stats License.Law);
am exempt from ficensurs under the Contractors' State License Law forthe-following reason:-
/ signature below I acknowledge that, except'formypersonal residence in which I must have resided for at least one year prlorto comptegoh of the Improvements Covered by this perm$ F cannot le
structure that( have bull as an owner -builder if It has 66t been constructed In its entirety by licensed;ccntractors,; I Understand that copy ofthe applicabia law, Seatipn'704A ofthe'Buslness and
salons Code, Is avallable upon request whari this application is submitted or at the following Web site bitp:/Aiww:leginfo,ca.govlcalaw htmi.
TaM
MD CONTRACTOR 5 DECLARATION
affirm underponaityof perjurythat IAM licensed under provisions of Chapter 9 (commencing with $ectlorr7000)of Division 3 of the Business and Profea l Code, and my libceense is Infultforce
at.Class t7^ C`.7 �� 3 License No,t'sf �t �l �.f Data^Z -Z d Coriti'actor.Slgnatur® ��f!% rn y� Ir{
-RS' COME ENSATION DECLARATION
.vnn„¢.Tn.wv.wnvvvaa rnvivFuSAnnu:MWRAnF1Art=MUL AND:SHALLSUB.rECTANEMPLOYERTO trMONALPENALTIES AND:c114L MES VP TO'ONe HUNOREDTNOUSAND: nOLLARSTs1oo;000), INAODITION TO. RIX
hereby affirm.underpenalty of perjury One of the following declarations:
-1 have and wig-maintalme certificate of consent:to self -insure for workers'. compensation, Issued by the Director of Industrial: Relations as provided for ,by:$action 3700. of the Labor Coder for th(
�rmance of the work tarwhtob this permit J$ issued,: Policy No,
I rave and will maintain workere compensation insuranoe, as required by Section 3700of the Labor Code, fob the performance of the work for which this permit la iseudd, My workers' compensatior
no fierandpoli�y numbarare; ,/7 i�
'artier 't'ca "{-� Y u- 2.nA. o11cy Numtiar. q ^ ^ s �" -Expiration Dag f r�'' C h i ,
Jame of Agent S Y /' C ✓i' A Al phana# `7 �7'-,t)
:1Icar* that, frtthe perhimtanceofthe rkfarwh-itthis Penn itleissuad,isshall not:employany parsontnAny mannersoastobedomaaubjec€tathe Workers! oomparisationldws.ofCalifomie,and Agra,
hat if f should�b000mesubject to the war ra' compansa�on- prr visions of Section 3700 of the: Labor Code, I shall forthwith camplywith 111056 provisions.
signatureDfAppgcant� -%11M i/V,le-WkO/k
)ECLARATION RE13AR ING CONSTRUCTION LENDING AGENCY
hereby affirm under penaltyof perjury that therein a construction tending agency for the performance of the work for which thls pemmlt Is Issued'(Section 3097, Crvii Code).
Ka.-- Landaea Address
my signature below, l eartiry to each at the r000m
I am the property owner or authorized to act on tl
I have road this, applicatlonand the information l
t agree to comply with all applicable` city and cou
I authorize representatives of this city:Or couttly i
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