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Home My WebLink AboutP2021-0149 - Permits (2)City of Newport Beach - Building Division11PIIIIIIIIII 11111111111111111111111111111111111111 Jill ` a 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 1 0 1 5 9 Permit Counter Phone (949)644-3288 -tsay�#viu�`t o(. coymoow� CI Job Address: 18 CORMORANT CIR Bldg: 1 Floor: Suite: Description of Work: PLUMB GAS TO FUTURE BBQ IN THE REAR YARD Inspector Area: 3 Code Edit 2019 Legal Description: N TR 12529 LOT 9 Owner: VOSS MELANIE& MICHAEL Contractor: OWNER/BLDR Address: 18 CORMORANT CIR Address: SIMONIAN PATRICIA NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lic:O/B Issued Date:05/19 2021 Lie Expire: °O•°° Bus Lie: Processed By: Lie Exp Date: PLUMBING Permit: P2021-0159 Project No: 1753-2020 Inspection Requests Phone (949)644-3255 1 C�� Worker's Compensation Insurance - Carrier : Policy No: Expire : b n IDblbbc b (� b PERMITS EXPIRE 980 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 °O•°° ` 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 $QpDP° Bidet 0 $0.00 Garbage Disp: 0 $0.00 Water Softener: 0 $0.00 Grease Trap: 0 $0.00 $0 -OD .... Urinal 0 $0.00 Bar Sink: 0 $0.00 Water Heater: 0 $0.00 Greaselnterceptor: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: 1. 1 ; 1W.00 ° Shower Stall: 0 $0.00 Ice Maker: 0 $0.00 Gas over 4 outlets: 0 $0.00 Sewer Investigation: b $0.00 ..... Wash Basin: 0 $0.00 Dishwasher: 0 $0.00 Backflow up to 2": 0 $0.00 Sewer: 0 $0.00 Plan Check:°d0 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 980 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 LZMRP than five hundred dollars ($500). 4JKS 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, usiness 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' §Iefkicense La for the following reason: By my signature below I acknowledge that, except for pers nal resid a in which I must have resided for at least one year prior to completion of the improvements covey by this permit, cannot legal) sell a structure that I have built as an owner -b ilde if it s notpeen nstructed in its entirety by licensedTontractors. I understand that a copy of the applicable law, Se tio�r7 7044 of the Business and Professions Code, is available upon req at t ' ap tic Ion' ubmitted or at the followin Web siteJ.http://www.leginfo.ca.gov/calaw.html. _ Signature of Property Owner or Authorized LICENSED N RACTOR'S DEC RATION 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 ode, and my license is in full force and effect. License Class License No D' ^/ Contractor Signature WORKERS' O(SAMNSATION DECLARATION .... RARNING.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 TOTHE qmb?;OMPEN JQr`bN!DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I thereby affirm dndei-penalty of perjury one of the following declarations: Neve and will maintain a certificate of consent to self -insure for workers' fonpance of L ,v{grg for which this permit is issued. Policy No. �twe 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' usl+ce carrier analpkcy number are: �� compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Policy rowhlc rmi Is issued, I-sball not employ any person in any manner so as to become st. compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those CLAR4TION REGARDING CONSTRUCTION LENDING AGENCY :reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is 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 thro erty owner's behalf. I have read this application and the information I ave ovide Is correct. I agree to comply with all applicable cityd c my dinanceand state laws relating to building onstruction. I authorize representatives of this city o cou ntpr�fle a ve-identified property for inspectio purposes. re of Property Owner ACTION 156617 BY PERMITEXPIRED PERMIT CANCELLED PERMITEXTENDED PERMITFINAL - CER77FICATEOF OCCUPANCYISSUED or 61 OF TITLE40ANO AQMD RULE 1403. ❑ I SUBMITTEDASBESTOS NO7BFICATION TO:. ❑ EPA AQMD ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE:. Date the workers' compensation laws of California, and ins/ (Section 3097, Civil Code). US€ONLY