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Home My WebLink AboutP2021-0247 - PermitsCity of Newport Beach - Building Division *P2021-0247* 100 Civic Center Drive, Newport Beach, CA 92660 W " n Permit Counter Phone (949)644-3288 Job Address: 1827 BUTTONSHELLLN Bldg: 1Floor: Suite: INSPECTOR Description of Work: PLUM GASLINE TO FIRE PIT/BBQ Inspector Area: 3 Code Edit 2019 Legal Description: N TR 3763 LOT 87 Owner: DELATORRE JD Contractor: LANDCRAFTERS INC Address: 1827 BUTTONSHELL LN Address: 29512 ANA MARIA LANE NEWPORT BEACH, CA 92660 LAGUNA NIGUEL CA 92677 Phone: 9491239-0375 Phone: 949-249-1086 Con State Lic:754071 Issued Date:07/29/2021 Lic Expire: 09130/2022 Bus Lic: BT30039467 Processed By: -Lic Exp Date: 05/31/2022 FEES PLUMBING Permit: P2021-0247 Project No : 1611-2021 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier: EMPLOYEE SERVICE GROUP Policy NowC5897031 Expire : 12/01/2021 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:O $0.00 Lndry/Trap: 0 $0.00 Backf ow 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 U 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). 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: 6y my signature oe,ow 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 legally �;; i structure CLLt 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 r;Ode, is available upon request when this application is submitted or at the following Web site:http:llw .leginfo.ca.gov/calaw.html. Sgnab ire of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hereby affirn, under penalty of perjury that I am licensed under provisions of Chapter 9 (commenci ith S ction 7000) of Division 3 of the Business a d Prof ssions Code, and my license is in full force eroneffect. �/ ; L inge Clasa _ License No Oat Contractor Signatur WORXERS' COMPENSATION DECLARATION :Var1r1r'C: 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 ($100,000), IN ADDITION TO THE '.:OST OF COMPENS TION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ,I hereby affirm ui,Cer penalty of perjury one of the following declarations: I have andwill 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 performance of the walk for which this permit is issued. Policy No. 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' carrier and policy number are: me of Agent I certify that, in the pl it, if I should become Policy Number Expiration Date 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 Pe wo erg compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisipps. nature of Applicant / Date L CLARATION REG DI ON DING AGENCY areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (S c' n 3097, Civil C Idler's Name Lender's Address 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 rdinan as and state laws relating to building construction. authorize representatives of this city or county me e/�=de/n�tified property for inspection purposes. nature of Property Owner or Authorized Agenf !/ //./ i Print Property Owner's or Authorized Agent's Name vqj/ r I r�'✓ AC77ON DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE O Y FEDERAL REGULATIONS PART 61 OFTITLE40AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NORFICATION TO: ❑ EPA ❑ AOMD PE,RP,AIT CANCELLED PERP07EXTENDEO ❑ ASBESTOS N077FICA77ON IS NOT APPLICABLE TO PROPOSED DEMOLITION, PERMIT FINAL pA, k(` CERT(FICATEOF CCCUPANCYISSUED SIGNATURE: