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Home My WebLink AboutP2018-0198 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIillillIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 8 0 1 9 8 m Permit Counter Phone (949)644-3288 Job Address: 28 PEPPERTREE Bldg: 1 Floor: Suite: Description of Work: PLUMB/GAS TO BBQ AND FIREPIT (S2018-0100) Inspector Area: V Code Edit 2016 Legal Description: Owner: JACOB SONENSHINE Contractor: CAPACI ENTERPRISES INC Address: 28 PEPPERTREE Address: 11841 KENSINGTON RD NEWPORT BEACH CA 92660 FEES LOS ALAMITOS CA 90720 Phone: Phone: 949-945-8362 Con State Lic:868248 Issued Date:06/05/2018 Lic Expire: 07/31/2018 Misc. Bus Lic: BT30040261 Processed By: Lic Exp Date: 07/31/2018 PLUMBING Permit: P2018-0198 Project No: 1330-2018 Inspection Requests Phone (949)644-3255 Vie. Worker's Compensation Insurance - Carrier: STATE COMP Policy No:9126663 Expire : 0310612019 plkl C-:. PERMITS ,EXPIRE 180 DAYS AFTER ISSUANCE OR (AST 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. C CBO ee (.CV LG CP EE. G E G G P V € C€ U U PPe ••e •• • e CVP C• 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 $6.00 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: $33.00 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: $39.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $39.00 PERMITS ,EXPIRE 180 DAYS AFTER ISSUANCE OR (AST 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. C CBO ee (.CV LG CP EE. G E G G P V € C€ U U PPe ••e •• • e CVP C• 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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). ❑ 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.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 with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date l� Contractor Signature, NORKERS' COMPENSATION DECLARATION YARNING: 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 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: :11 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 �ierfo ante of the ork for which this permit is issued. Policy No. e and will In In 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' compensatiol nsurance carrier aw number are!1 _ F Date of Agent � 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 , if 1 should become subject to the VpMers' co visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iatureofApplicant X Date�� ., AMA. I ,u ear. IKIIVC nnuc Te,1 .7MMu , vunnrm AMCKIIo �reby 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) ider'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 ordinances and state laws relating to building construction. I authorize representatives of this city or county `o ve-Iden 'tied pro - rty for inspection purposes. nature of Property Owner or Authorized Agent X Print Property Owners or Authorized Agent's Namewo Crc� G ACTION DATE BY DECLRRATLONOF COMPLIANCEMTH CODEOF FEDE.RAL.RF.GULATJONSPART 61OFTITLE40AND AWOU 1403.. . . . . E3 -p 11BMfTT&DASFIE,JTQS N071&ATI N TO: Cj GAA �•� ••• ��: �•� ❑ AQMD ❑ ASBESTOS NOAHCA'DONLS NOT APPLICABLE TO PR0F0S5aQEMQUT1gN. • • 0 a e , • •• .o. SLGN{t`IRE+. . : •. ••• s FOROFFICEUSEONLY PERMiTEXPtRED PERMITCANCEILED PERMiTEXTENDED PERMIT FINAL ZJ CERTLRCATEOF OCCUPANCYtSSUED