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
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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
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CERTIFICATECT
SIGNATURE:
OCCUPANCYISSUD