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HomeMy WebLinkAboutP2019-0302 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II .$ 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 9 0 3 0 2 Permit Counter Phone (949)644-3288 U �.t F''eir;iva� Job Address: 9 ROCKINGHAM DR Bldg: 1 Floor: Suite: Description of Work: SFR- CHANGE OUT KITCHEN SINK AND GARBAGE DISPOSAL (X2019-2595) Inspector Area: 8 Code Edit 2016 Legal Description: N TR 11449 LOT 26 Owner: OSBORN JEFFREY LEE Contractor: DEL SOL CONSTRUCTION INC Address: 9 ROCKINGHAM DR Address: 27106 PACIFIC TERRACE DR NEWPORT BEACH, CA 92660 MISSION VIEJO CA 92692 Phone: Phone: 949-454-1938 Con State Lic:970677 Issued Date:1011012019 Lic Expire: 03/31/2020 Bus Lic: BT30059058 Processed By: Lic Exp Date: 05/31/2020 PLUMBING Permit: P2019-0302 Project No : 1854-2019 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : STATE COMP Policy No:1441295 Expire : 10101 /2020 FEES I Bathroom Fixtures Kitchen Fixtures Misc. Misc. Other Toilet: 0 $0.00 Kitchen Sink: 1 $15.00 Water Piping: 0 $0.00 Roof Drain: 0 $0.00 W0.00 I Bidet 0 $0.00 Garbage Disp: 1 $15.00 Water Softener: 0 $0.00 Grease Trap: 0 $0.00 w0.03• 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: 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 LndryfTrap: 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: $65.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $65.00 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. 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 L,) 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 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 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 7 00) yf Division 3 of the,Business and Profess ns ode, and !cans 's in full force and effect. G / U Cont or -icense Class License No Date Signature NJRKFRS' COMPENSATION DECLARATION ,ARN.AJ: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL CST O° COMPENPPT11)N DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE and will ma;main 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 e of the work for which this permit is issued. Policy No. vP and will maintain workers' r Inca came: a„r: ,Juficy nu r b df Agent _ _ _ :ertify that, ' th erfo if I shout becom b;atntce othe 3ture of pplicant Ireby affirm der penalty of pi ' r Ider's Name . - my signature below, I certify to ea I am the property owner or on d I have read this applica and the i I agree to comply wi all applicable c I authorize represe tatives of this city nature of Propel OWner or Authorizer as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Policy Nuinper Expiration Date for which this pe ' Is issued, I shall�tdf employ any person in any manner so as to become subject to the workers' provisions of S9 & 3700 of the Labor Code, I shall forthwith comply with those provisions. T40N LENDING AGENCY 7 there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Address le —following: on the property owner's behalf rmation 1-have_nrigyded is�i _ nd coun ordinances and state laws relating to ilding construction. r unt o enter the above -identified prope Or inspection purposes. �+� 1 age Print Property Owner's or Authorized Agent's Na California, and 161`o ACTION 9Y DECLARATION OFCOMPLIANCE WITH CODE OF FOROFFlCEUSEDNtY - FEDERAL REGULATIONSPART 61 OF TITLE40AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS N071FICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED ASBESTOS RDNIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL �(,�/zQ {-�O'c we CERTIFICATECT SIGNATURE: OCCUPANCYISSUD