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Home My WebLink AboutP2021-0089 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIVIIIIIIIIIIIIIIII III ' d 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 1 0 0 8 9 "q Permit Counter Phone (949)644-3288 a2U2-1 )Wy� Job Address: 1848 PORT KIMBERLY PL Bldg: 1 Floor: Suite: E1 Description of Work: PLUMB/GAS LINE TO BBQ & FIRE PIT Inspector Area: 4 Code Edit 2019 Legal Description: N TR 7029 LOT 29 Owner: HYKES AMY Contractor: INSTANT POOLSCAPES Address: 1848 PORT KIMBERLY PL Address: 833 DOVER DR #24 NEWPORT BEACH, CA 92660 FEES NEWPORT BEACH CA 92663 Phone: Phone: 949-795-0648 Con State Lic:1009644 Issued Date:04/08/2021 Lie Expire: 12/31/2021 Bus Lie: BT30053469 Processed By: Lie Exp Date: 12/31/2021 PLUMBING Permit: P2021-0089 Project No: 0765-2021 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier: WC EXEMPT Policy No:(NO EMPLOYEES) Expire 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. oco 000 0 0 0 co < o < c e c o a e a Gc. o ooV o � o oc oo< o oco c c < coo c�c c. e c oc o c ov oeo c o eeo oco coo 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:q $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. oco 000 0 0 0 co < o < c e c o a e a Gc. o ooV o � o oc oo< o oco c c < coo c�c c. e c oc o c ov oeo c o eeo oco coo 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 penally 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 (_) 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). 1, 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' Stale 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 legalh 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.html. 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 a ro dons Co' e, an my 22nse n I ull force and effect. S-_ License Class License No Date O Contractor Signal e NORKERS' COMPENSATION DECLARATION VARNING: 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 9706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 the )erformance of the work for which this permit is issued. Policy No. JI 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 nsurance carrier and policy number are: Policy Number Date c ify 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 agre that, i I should become subject to the work o an 'sieas-ef Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r� r atureofApplicant Date DECLARATION REG DING CO RUC AGEN I hereby affirm underpenalty of p 'ury that there is a cons ruction lendin a erformance 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 owners behalf. I have read this application and the information I have proy� isorre. cc I agree to comply with all applicable city and county or 'fiances and state I ws relatin to ng.ceastaustioa —F ,Z I authorize representatives of this city or county to ant r the above-ide 'Pert' for inspection purposes. ISionature of Prooerty Owner or Authorized AGent % _. Print perty Owner's or Authorized Agent's Name ACTION I DATE I PERMIT EXPIRED I �k l I PERMfT CANCELLED PERMIT EXTENDED OCCUPANCYfSSUED FEDERAL REGULATIONSPART 61 OF TITLEgaAND AQMDRULE 1403, • • •.• • • . ❑ ISUBMITr€DASB€STOSNOTIFICATION:fQ ' ' �'• • • •� ❑ EPA AQMD ASBESTOS M017RCA710MIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: USE ONLY