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HomeMy WebLinkAboutP2022-0027 - Permits (3)City of Newport Beach - Building Division *P2022-0027* PLUMBING Permit: P2022-0027 T 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0276-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 ' V \n 'n Job Address: 105 VIA QUITO Bldg: 1 Floor: Suite: kJ - � � Description of Work: GASLINE TO FIRE PIT & BBQ 4. v r d "'mot ~'f Inspector Area: 2 Code Edit 2019 Legal Description: N TR 907 LOT 137 Owner: GRAY MICHAEL Contractor: SWEVEN REMODEL INC Worker's Compensation Insurance - Address: 105 VIA QUITO Address: 6150 CANOGA AVE STE 231 Carrier: NORGUARD INS CO NEWPORT BEACH, CA 92663 WOODLAND HILLS CA 91367 Policy No:SWWC272380 Phone: Phone: 866.479-3836 Expire : 06/08/2022 , Con State Lic:1052069 ' Issued Date:02/02/2022 Lic Expire: 04/30/2023 Lic: BT30076176 Processed By: Lic Exp Date: 08131/2022 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 $8.00 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 Lndry/Trap: 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 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). I, 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). I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature oelow 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 legalh £at; a structure that . 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 Ccde, 's available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Si�,nat4re of Prop-rty Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION i hereby affimr, under 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 asld effect. ,t 'i."+Fe Class . License No _ Datf % AZ % 2 Z Contractor Signature ItcrKERS' COMPENSATION DECLARATION /-- % 7 't RT%3 FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SiAN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND ED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OS, OF �OMPENSAnON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm un,ier penalty of perjury one of the following declarations: . ' have and will nantain 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 erformance of ttfe work forwhich 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' compensatior Is nce carrier and policy number are: arder Policy Number Expiration Date ame of Agent Phone # I certify that, in the performance 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' compensation laws of California, and agree eat, if I should become su lact to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prove ons. ��11 ignature of ApplicantC7•_ 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). 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 and county dinances and state laws relating to building construction. I authorize representatives of this city or county ter t above -identified proper y�for inspection purposes. ,�/ p �OqA/q� ,Z inn or„ro of ❑r. n. ,, rn.,nnr nr a, ar,nri—re An=nr �t z . � _ . Drier Drnn.A,, rn.,n nr n,ah,.r,�o,r An—V. u.m� I7f°YI Tam I h Fi I l✓1 / I n. l ACTION DATE 8Y DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 51 OF TITLE 40AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATIONTO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS N07IRCATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL 2 2, ti.L� CERTIFrCATEOF SIGNATURE: OCCUPANCYISSUED