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Home My WebLink AboutP2022-0098 - PermitsCity of Newport Beach - Building Division 1pli1111111111111111111111Ili 1111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 t'dc:lY{I N.1fiD Job Address: 1816 NEWPORT HILLS DR E Bldg: 1 Floor: Suite: Description of Work: PLUM GASLINE TO EXISTING BBQ Inspector Area: 4 Code Edit 2019 Legal Description: N TR 7031 LOT 71 Owner: CHU CLEMENT& ANNIE Contractor: OWNER/BLDR Address: 1816 NEWPORT HILLS OR E Address: ANNIE CHU NEWPORT BEACH, CA 92660 Phone: 949-720-0918 Phone: Con State Lic:O/S Issued Date:05/10/2022 Lic Expire: Bus Lic: Processed By: Lic Exp Date: PLUMBING Permit: P2022-0098 Project No : 1492-2018 Inspection Requests Phone (949)644-3255 r Worker's Compensation Insurance - Carrier : Policy No: Expire : , FEES Bathroom Fixtures Kitchen Fixtures Misc. Misc. Other �t Toilet: 0 $0.00 Kitchen Sink: 0 $0.00 Water Piping: 0 $0.00 Roof Drain: 0 $0.00 $-C:00 - , Bidet 0 $0.00 Garbage Disp: 0 $0.00 Water Softener: 0 $0.00 Grease Trap: 0 $0.00 $O.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: K80 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:O $0.00 Lndry/Frap: 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 : $0.00 TOTAL: $46.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $46.00 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 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). s 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 poly 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). I 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, 1 cannot legal) 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, Sect n 7044 of the Business and Professions Code, is available upon request Wkldrl this application uubmitted or at tje fggDwin��.site:http://www.leginfo.ce.gov/calaw.html. Signature of Property Owner or Authorized Age f k ,Z,— ` L k DEIA r 1 0 7 LICENSED CON'f< AC R'S DECLARATION I hereby affirm vrd r penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. -ic9rise Class _ License No Date Contractor Signature WORKERS' C OIJIPENSATION DECLARATION VIAPNING. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000), IN ADDITION TO THE .,OST'3? COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I i.eret:y affirm rrds� PPnalty of perjury one of the following declarations: Ihave 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 the 'p€nCrrnance ofrthe worst for which this permit is issued. Policy No. I 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' compensation rs-lranre carrier and policy number are: Policy Number cf Agent I certify that, jti ;he Performance of the work for which this permit is issued, I shall not It, if I should become subject to the workers' compensation projsiDOs of Section 370( nature of Applicant Date any person in any manner so as to become subject to the workers' compensation laws of California, and Labor Code, I shall forthwith comply with those provis' re. narrU\ I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code) Lender's Name Lender's Address By 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 and county ordinances and state laws relating to building construction. I authorize representatives of this city or county rAttof� ter bove-identified pr any for inspection purposes. Signature of Property Owner or Authorized Agent IX ` � i Print Property Owner's or Authorized Agent's Na ACTION DATE BY DECLARATIONOF COMPLIANCE IMTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40 AND AOMD RULE 1403. PERMIT EXPIRED ❑ / SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AOMD PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL 7. CERTIFICATE OF SIGNATURE OCCUPANCYISSUED