HomeMy WebLinkAboutP2021-0539 - Permits(9)
City of Newport Beach - Building Division *P2021-0539*
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone(949)644-3288
Job Address: 2731 SEAVIEW AVE Bldg: 1 Floor: Suite:
Description of Work: PLUM 3 SHOWERS, 3 FAUCETS AND 1 BAR SINK
Inspector Area: 5 Code Edit 2019
Legal Description: RESUB OF CORONA DEL MAR BILK 133 LOT 19
Owner: DIANE CUNIFF Contractor:
PLUMBING Permit: P2021-0539
Project No : 2407-2019
Inspection Requests Phone (949)644-3255
If aP'Pl;ca r,rpp Wild '
o(I� /Dompf nsation
Address: 316 NARCISSUS AVE Addr 5 CORPORATE PLAZA EA50 Op/p Of 'Carrier: STATE CO
CORONA DEL MAR, CA 926 NEWPORT B A 92660 $ Policy No:906
Phone: :>'�- 94 800 Ex ' /01/2022
o ic:802367 to
whom
Issued Date:1210812021 �(e Ic xpire: 07/31/2022tx-
-- Bk,S.rL,ic: : BT02110534
Processed By: Fxp Date: 09/30/2022 All
Bathroom Fixtures
Toilet:
0
Bidet
0
Urinal
0
Bath Tub:
0
Shower Stall:
3
Wash Basin:
0
Hydro -Mass Tub:0
Floor Sink:
0
Floor Drain:
0
h;
Kitchen, Fixtures Misc Misc. �� J,�
Kitchen Sink 4 $64.00 ,.Water' Piping: 0 $0.00 Roof r 0
Garbage Disp 0 $0.00 Water Softener: 0 .0 se 0 $0.00
Bar Sink' "0 $0.00 Water Heater: 0 0 se IntJjgdeeol $0.00
vegetable Sink: 0 $0.00 Gas up 4 outlets: 0 00 P-����jj�(:YC A 0 $0.00
Ice Maker: 0 $0.00 Ga outlets: 0 $0.00 `1 Qe1,ver
Dish wa4hr 0 $0.00 Bacle up to 2": 0 $0.00 ewer: '00Ln (0 $Q.00 B ckflow over 2': 0 0 f&wer epair:0,.a —0 $6.O tar �e Bibb 0 0 � wer Abpg p11�6 $0.00wler: Q,—)$)M Dnnki [ (10 ��, "`"' 0 Addition $O:Ob
$150.00
Check Fee:
'a.
-
$0.00
Iht!Fee: $0.00
in1 $0.00
ck: $0.00
$38.00
:ntal Fee: $0.00
Fee Due at Permit Issuance : $150.00
/PER ARE "0 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
3
ons ours: 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 U 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).
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.html.
Signature of Prod^,r:}' 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 Professions Code, and my license is in full force
and effect.
_icjnse Class License No Dat —C7`20 2-1 Contractor SignatureA.
JLl-1_J
WORKERS' COTOPcNSATION DECLARATION
Y.ARAING: FAILURE O LE.:URE 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
COST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I nereoy, affirm under penalty of perjury one of the following declarations:
I 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 th
perform-, nce of the wc,P for which this permit is issued. Policy No.
have and will Inain,ain 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'
tanca carrier Ind policy number are:
Policy Number
Date
me of Agent rnone g
I 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
It, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pros lspns.
of Applicant
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
ender's Name Lender's Address
y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and cou ty ordinances and state laws relating to building construction.
I authorize representatives of this city or cou y o U the ab� -Id tifie property for inspection purposes.
ignature of Property Owner or Authorized Agent \\ Print Property Owner's or Authorized Agent's Narr
3097, Civil Code).
AMON
DATE
BY
DECLARATIONOF COMPLIANCE MTH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITLE 40 AND
AQMD RULE 1403.
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD..
PERMIT EXPIFED
PERMIT CANCELLED
PERMIT EXTENDED
❑ ASBESTOS N077FICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
CERTIFICATE OF
SIGNATURE:
OCCUPANCYISSUED