HomeMy WebLinkAboutP2020-0120 - Permits100 City ic cher opert Bea Beach, Building Division IIIIuIIIIIIIIIIIII�IIIIIIII�III�Illllllllllllll'lllll�
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s� � - Permit Counter Phone (949)644-3288
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PLUMBING Permit: P2020-0120
Project No : 1524-2020
Inspection Requests Phone (949)644-3255
Job Address: 1843 PORT MANLEIGH PL Bldg: 1 Floor: Suite:
Description of Work: PLUMB -GAS LINE TO FIRE PIT
FEES
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Bathroom Fixtures
Inspector Area: 4 Code Edit 2019
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Legal Description: N TR 7029 LOT 13
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Misc.
Other
Owner: RANSFORD AMY Contractor: INSTANT POOLSCAPES
Worker's Compensation Insurance -
0
Address: 1843 PORT MANLEIGH PL Address: 833 DOVER DR #24
Carrier: WC EXEMPT
0
NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92663
Policy No:(NO EMPLOYEES)
0
Phone: Phone: 949-795-0648
Expire: �••0 •
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Con State Lic: 1009644
$0.00
Bidet
Issued Date:08/31/2020 Lic Expire: 12/31/2021
$0.00
Garbage Disp:
�//may"� Bus Lic: BT30053469
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$0.00
Water Softener:
Processed By: '� Lic Exp Date: 12131/2020
$0.00
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$0.00
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Urinal
OP20
$0.00
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.
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
Lndry/Trap:
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 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.
•
I hereby afirmunder penalty of perjury that t amexempt from the Contractors` State License Law I
coon 70315, Business and Professions Cane: Any city or county that requires a permit to corestmc
permit to file a signedstatement that he or she is licensed pursuant to the provisions of the Contra
fesslonsCode) or.hat he or she is exempt from licensure and the basis for the. alleged exemption.
more than five hundred dollers (000).
he checkmark(s) I have placed next to the eipplicableftem(s)
any structum.prior to he issuance, also requires the applioantfor
(commencing with Section 7060) of Division S of the Business and
ny applicant for a permit subjects the applicant to -a civil penalty of
1, as -owner of the iroperty, 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,
Iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal elfod, builds or improves the property, provided that the
-
vvements. 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 theburden of proving that l was not built a
roved for the purpc se of sale)'.
I, as ovarecofthe property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business:and Professions Code: The Contractors.. State License Law does not
y to aTsgy..gigCof property who bolds ortreproves thereare,.and.who-eontracts.forthe projects with:a IleensedcoMiador pursuant to the Contractors'State-License Law).
I am et(g %from licensure under the Contractars'. State• License. Law forthefallowing reason:
ny signature belovr 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 leg
a stmcArriPlWat t 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.
assions Code; is available upon request When this application. is submitted or at the following Web site:hfip,fhnvw.leginfo.ca.gov/calaw.him[. �y
r penalty pf pedwy that I am licensed under provislons of Chapter 9 (commencing with Section
Class License No Date
PIMATION. DECLARATION
.Contractor
CNLL FINES CP TO
and
isioa ii), M Aaamom TO THE
,rebyftrpfuroer renalty of perjury one of the following declarations:
1 have reed will m intain a certificates of consent to self insure for workers' .compensation, issued by the Dlmctor of Industrial Relations as provided for by Section 3700 of the Labor Code, for th,
roemaAgI%grV b wo,k for which this pormit is Issued Policy No.
have and vnll mai italn workers' compensation insurance, as required by Section 8700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior
rrsnce carrier and rolicy number are:
Tier PolicytNumber .Expiration Date
�ileof Agent _ Phone #
cerfiy that, in the,lierfa an .the wor.. i which this permit Ts issued, 1 shall not employ any person In any manner so as to become subject to the works mpansation laws ofCalffomia, and. agre,.
l,'if i -should becorr\: su ed o the workers' co pen ,a0on gravis' . ofSecliorr 3700 of the Labor Code; i shall forthwith comply with those provisions. 2
re re;of Applicant Date _ `� I 7- 01
CLARATION RELY ING-CONSTRUC G AGENCY.
!reby atfirtm under p a of perjury that there is a canstmction lending agency for the performanceof the work for which this permit is Issued (Section 3097, NII ode).
ider's Name 11- 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 1 ham pray correct.
I agree to comply with,all applicable city and c ntyo antes an Fee=!.,.,. �tarnot-. ltdina constmetian_
l authorize representatives of this city or county erpetvse above+de tsled props or InsfieURITlawiamilLes.
ACTION DATE SY
CIARATION'OFGOMPUANCE WITH GORE OF FEUEF
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PERWIXPIRED
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PERMFI- MENDED - -
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PERMITFINAL
S NO'n CATION 15 NOT PU BLE TO
CERTIFIDITE OF ?
ROPOSED OE O ION
OCCUPANCY ISSUED
SIGNATURE:
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OFFICE: USE ONLY
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