HomeMy WebLinkAboutP2020-0151 - PermitsCity of Newport Beach - Building Division 1pil111111111111111111111111111111111111111111111111
2 K 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 0 0 1 5 1
Permit Counter Phone (949)644-3288
Job Address: 304 NARCISSUS AVE Bldg: 1 Floor: Suite: Description of Work: GASLINE TO FIRE PIT IbAAA
Inspector Area: 5 Code Edit 2019
Legal Description: CORONA DEL MAR BLK 241 LOT 6
Owner: LIS LEON
Address: 699 LOMBARDY PL
SAN MARINO CA 91108
Phone:
Issued Date:10/15/2020 � 6 Processed BY:
Contractor:
THE STONEHILL COMPANY
Address:
2816 E COAST HWY, STE F
CORONA DEL MAR CA 92625
Phone:
949-630-2196
Con State Lic:917685
Lic Expire:
06/3012022
Bus Lic:
BT30025084
Lic Exp Date:
06/30/2021
PLUMBING Permit: P2020-01
Project No : 0371-2019
Inspection Requests Phone (949)644-3255
Worker's Compensation Insurance -
Carrier : BENCHMARK INS CO
Policy No:CST5017779
Expire : 11/13/2020
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
$7.00
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
Lndryfrrap:
0
$0.00
Backflow over 2":
0
$0.00
Sewer Alter/Repair:0
$0.00
Issuance:
$37.00
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: $44.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $44.00
PERMITS EXPIRE 160 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 rroperty, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business andProfessions 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
:n�nvementc 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 t;ie purpose of sale).
L! I, Ps 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).
0 I am exempt hom licensure under the Contractors' State License Law for the following reason:
By n iy 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 legallt
&all a structure heat 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
Drofessimis 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 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 t Section 7000) of Division 3 of the Business d edissi8r s Code, and my license is in full force
aid effect, ,r`` f
License Clads License No Date U J Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDkED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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,
performance of the work for which this permit is issued. Policy No.
have 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'
mace carrier and policy number are:
Policy Number
Date
ame of Agent rnune e
3 certify that, in the perf rnance 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' compensa
tat, if I should beco rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Kee
Ion
ignature of Applicant �� IECLARATION REG DI N ION LENDING AGENCY
hereby affirm under enalty perjury that there is a construction lending agency for the performance of the work for which this permit is issuection 3097, Civil Code).
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 owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city anp coTty ordinances and state laws relating to building construction.
I authorize representatives of this city or cc ty -I�property for inspection purposes. !\
'signature of Property Owner or Authorized Age t� Print Property Owner's or Authorized Agent's Name
laws of California, and
ACTION
DATE
- BY
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFACE USE ONLY
FEDERAL REGULATIONS PART 41 OF TITLE 40 AND
AOMD RULE 1403.
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AOMD
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
❑ ASBESTOS H017RCATIONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
PERMITFINAL
L
CERTIRCATEOF
CCCUPANCYISSUED