HomeMy WebLinkAboutP2021-0520 - Permitsrtx.,irk� City of Newport Beach - Building Division 111p111111111p11111p111111111111111111111111111111 PLUMBING Permit: P2021-0520
100 Civic Center Drive, Newport Beach, CA 92560 P 2 0 2 1 0 5 2 0 Project No : 2593-2021
Permit Counter Phone (949)644-3288
r
Inspection Requests Phone (949)644-3255
Job Address: 2547 EASTBLUFF DR Bldg: 1 Floor: Suite:
Description of Work: COMM PLUM EXTEND NEW 2" GAS LINE W/SHUTOFF VALVE FROM BACK WALL INTO TENANT SPACE
Inspector Area: 7 Code Edit 2019
Legal Description: PM 49-22 PARS 23 & POR PAR 1
Owner: IRVINE COMPANY Contractor: CULVER B J CONSTRUCTION INC
Address: P.O. BOX 2450 Address: 9461 HUGHES DR
NEWPORT BEACH CA 92660 CORONA CA 92883
Phone: Phone: 714.225.7866
Con State Lic:755479
Issued Date:01/13/2022 Lic Expire: 07/31/2022
Bus Lic: BT30063517
Processed By: S1, Lic Exp Date: 06/30/2022
Worker's Compensation Insurance -
Carrier: STATE COMP INS FUND
Policy No:3000156
Expire : 02/01/2022
INSPEUIUR
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
$8.00
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:
$38.00
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 :
$235.00
TOTAL:
$281.00
Plan Check Fee :
$130.50
Fee Due at Permit Issuance : $150.50
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.
fN ER-S UI LDER DECLARATION.
I hereby affirm: underpenalty of perjury that I am exempt fmm:the Contractors! State License Law for the reason(s) indicated below by the pheokmark(s) I have placed next to the applicable Ilem(s)
ction 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
permitto file a signed statement that he Crshe.is licensed pursuantto the provisions of the Contractors' State. License Law (Chapter 9 (commencing With Section 7000) of Divislon 3'of the Business and
Fesslons Code) or that he orshe is exempt from licensors and the basis for tha. alleged exemption. Any vlolation Of Section by any applicant for a permit subjects the applicant to a civil penalty of
more than five hundred. dollars ($500);
1, as owner of the property,. ar myemployees 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,
!nest and Professions. Code: The Contractors' State License Law does not apply to an owner ofproperty Who, through employees'or personal effort, builds or improves the, property,) provided that the
rovementsrare not Intended or offered for sale., If; however, The building or Improvement is sold within one year of completion, the Owner•Bullder will have the burden of proving that itwas not built or
raved forthe purpose of -sale).
I,.as owner of the property, am Exclusively contracting with licensed Contractors to. construathe project (Section 7044, Business and Professions Code; The Contractors' State. License Law does not
ly to an owner of property who builds or Improves thereon, and who contracts for the projects with a.11censed Contractor pursuant to the Contractors'' State License Law).
Cam exempt from Ilpensure under the Contractars'Stale Lleense. Lawfor the following reason:
ny signature below I'acknowledge -that, except for my personal residence in which I must have resided for at leastand year prior to completion of the Improvements coveredbythis permit. I. cannot legalli
a structure that.) have built as an owner -builder if it hasnot been constructed In Its entirety by licensed contractors.' I understand that a copy of•the.applicable law, Section 7044 of the Business and
fesslons Code, is avallable,upon request when this application Is submilted or at the following. Web site:http://www;loginfo.ca,gOV/cataw,html..
Tature of. Property Owner or Authorized Agent
� FIVAFn rnntTaerrnarse ITV>u AonTlnKI Data
.hereby affirm under penalty of perjury that I am licensed under proVislons of Chapter 0.(Commencing With Section.'7000) of. Division 3 of the -Business and,Rtofessions and my license is In full force
not effect. L'
Icense Class � License No %'S. s7 %�oate— Contractor Signatur
VORKERS' COMPENSATION. DECLARATION
TANNING; FAILURETO SECURE WORKERS' 4TJMPENSATION COVERAOE'M UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL'FINES UP TO ON HONORED TNOUSAND MLLARS (sloo,D00), IN;AODITION TO THe
OST OF COMPENSATION, DAMAGES AS PROVIDED FORIN SECTION ITUS OF THE LABOR CODE,. INTEREST, AND. ATTORNEIPS FEES,
hereby affirm underpenalty of perjury one. of Die 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 bode, for thr
,frmance of the work. for which this permit is issued, Policy No.
7f lave and 'w ill maintain. workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perfcmlancs of the work for which this permit is Issued. My workers' compensation
once' carrier and policy number am: U
arrler-S'r^—j ' l—u rV.(D Policy Number 3000 2 0?—C7 Expiration Date
ame of Agent Phone #. 1
if I
Is issued; I shall not employ any person in any manner so.as tabecome subjectto the workers' compensation' laws of California, and egret
dons of Section 3700 of the Labor Code, I shall forthwith eomplywith those provisions. /
7nature of Applicant Datey '�/� i ? z
tCL4RATION'REG R I CONSTRUCTION.LENDINGrAGENCY—
areby affirm under pen of perjury that. them Ts a construction lending: agency for the perfonnancwof thework for which thispenult is issued (Section 3097, Civil Code).
rider's Name aLender's Address
MY signaturebelow,cartlly to the following:
I 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.
1 agree to complywith all applicable city and county prdlnances-and state laws relating to building construction.
I: authorize representatives of thiscity or county to enter the above-identifled property for inspection purposes.
(nature of Property Owner or Authorized Lpteny Print Property Owners orAuthorzed A enfs Nam North, j3 Izz,
ACT}Oftl DA'rr By DECLARATIO CO 1lANCE1M HCODEOF FDROFACFUSEONLY
FEDEPALREGULATIOIVSPART 61 OF.TITLE40AND
PERAfITEY.PIRED- AQMDRULE 1403.
PERnrtruNc9tLEn EI ISUBMI'TTEDASBESTOS NOTIFICAT(ON� TO•
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PERPAlTE TENDED CI AOMD
El ASBESTOS N077F1CAPON1S.NOTAPPLICA&.ETD
PER)M1T-FlNAI _ PROPOSED DEMOUTION.
OCCUPANCYISSDEO
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