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Home My WebLink AboutP2019-0192 - PermitsCity of Newport Beach - Building Division 1pilIII 11�111111111111111111111111111111111111111) 04 G� 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 U t'4ienYNlp Job Address: 37 CORSICA DR Bldg: 1 Floor: Suite: Description of Work: PLUM ADD LAUNDRY SINK FROM EXISTING 2" LATERAL IN GARAGE Inspector Area: 8 Code Edit 2016 Legal Description: TR 12306 LOT 2 UNIT 24 OF PROJECT LOCATED ON AP 442-053-15 TOGETHER Owner: SHAPIRO JULIE Contractor: DEGENNARO JAMES C Address: 37 CORSICA DR Address: 1816 EAST ROSEWOOD AVENUE NEWPORT BEACH, CA 92660 ANAHEIM CA Phone: Phone: 714-941-6022 Con State Lic:869840 Issued Date:06117/2019 Lic Expire: 12/31/2019 (� Bus Lic: BT30067522 Processed By: St�U" \ Lic Exp Date: 05/31/2020 PLUMBING Permit: P2019-0192 Project No : Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : STATE COMP Policy No:9221802 Expire: 11/21/2019 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: 0 $0.00 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: 1 $14.00 Dishwasher: 0 $0.00 Backflow up to 2": 0 $0.00 Sewer: 0 $0.00 Plan Check: $12.18 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: $61.18 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $61.18 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 6:00 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). ❑ 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 exemnt 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 legally, sell a strurture 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.htmi. Signature of rroperty Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I : ereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Section 7000) of Division 3 of the Business a Professions Code, and m r li_I eense is in full force and effect. / License Clajs License No Date G f'7 P ( Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO 57CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO R TO CRIMINAL PENALTIES AND CIVIL FINES UP TO E HUNDR U NO DOLLARS 1$100,0001, IN ADDITION TO THE COST LF COMPFPSCI01., DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: I have anC 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( performance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number is of Agent certify that, in the perfgggg mance of the work for which if I should become subject t e'vroikers'-e lature of ADolicant // Date issued, I shall not employ any person in any manner so as to become subject to ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisir 3reby affirm under Onalty of rhdUDLttlxereiSra construction lending agency for the performance of the work for which this permit is issued ider's Name Lenders Address 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 unty ordinances and state laws relating to building construction. I authorize representatives of this city or cou tytcrtiieaLioy1'ed property for inspection purposes. .nature of Property Owner or Authorized Age t L.�' Print Property Owner's or Authorized Agent's Nam workers' compensation laws of California, and 617• / 3097, Civil Code). WS Dze4,(-f-A ro 6�- /7 - /� ACTION DATE y DECLARATION OF COMPLIANCE IMTHCODEOF FOROFFfCEUSE91VLY FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMD RULE 1403. PERMITEXPIRED ❑ 1 SUBMITTED ASBESTOS N077FICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT €XTENDED ❑ ASBESTOS M017FICATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL G- I0 or CERTIFWAT€OF SIGNATURE: OCCUPANCYISSUED