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Home My WebLink AboutP2021-0004 - Permitsw City of Newport Beach - Building Division *P2021-0004* - 100 Civic Center Drive, Newport Beach, CA 92660 iN Permit Counter Phone (949)644-3288 V, Job Address: 3720 LILAC Bldg: 1 Floor: Suite: Description of Work: PLUMB GAS TO FIRE PIT Inspector Area: 6 Code Edit 2019 Legal Description: TR 11949 LOT 3 UNIT 61 OF PROJECT LOCATED ON AP 458-652-11 TOGETHER Owner: GOLDMAN JULIE Contractor: J HOBSON REMODELING & DESIGN INC Address: 3720 LILAC Address: 6462 ACACIA LN CDM CA 92625 YORBA LINDA CA 92886 Phone: Phone: 714-225-6365 Expire : 06/14/2021 Con State Lic:930528 Issued Date:01/05/2021 Lie Expire: 10/3112022 X Bus Lie: BT30045866 ProcesseAy:_ �? ... �.. 4• •-•- . Lie Exp Date: 01/31/2021 PLUMBING Permit: P2021-0004 Project No : 0740-2020 Inspection Requests Phone (949)644-3255 I @9 F CT Worker's Compensation Insurance - Carrier: EVEREST Policy No:7600017748181 m m mor••o _®-tee -tee oeom m o sam•cc 0 Bathroom Fixtures Kitchen Fixtures ° a Misc. o Misc. mm ° mm omoe 0 $0.00 o m n $0.00 mmmm m m $0.00 Roof Drain: 0 $0.00 Wff Bidet 0 a °ao eo•oo 0 a Water Softener: 0 $0.00 Grease Trap: 0 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. mor••o _®-tee -tee FEES ° Bathroom Fixtures Kitchen Fixtures Misc. Misc. Other ° mm Toilet: 0 $0.00 Kitchen Sink: 0 $0.00 Water Piping: 0 $0.00 Roof Drain: 0 $0.00 Wff 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 Backilow 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 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. OWNER -BUILDER DECLARATION I hereby affirm under penally 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 (_) 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). f I 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.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm tallie penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business a tlPrfeions Code, and my license is in full force and effect. •••••• _ kicense.Class License No D - S^ 2 Contractor Sigfiature IVORKLRS' COMPEOISATION DECLARATION NARNINIS: 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 *ST QF•QOMPENSATIUN, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm uPaAr•pAppalty, of perjury one of the following declarations: .. a� I 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 thi armancedle of lworkfar which this permit is issued. Policy No. » . .. 0e 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' compensatior IartiIS carrier and policy number are: 7arr1er • • • • • • Policy Number - Expiration Date cerfify that, In Iiia psrfqq ance 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 I should become. sy(l�ject to the wompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Appli Nq1 ". �- CLARATION REG NG 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 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 rovided is correct. I agree to comply with all applicable city and coun dinances and tate laws relating to building construction. I authorize representatives of this city or county ter t ve-identified property for inspection purposes. '(1 d Anon1 Print Prooertv Owner's or Authorized Agent'sxxe ACRON PERMIT EXPIRED P€RMfT CANCELLED PERMfT:EXTENDED PERMIT FINAL CERTIF/CATEOF OCCUPANCYISSUED BY AQMD RULE 1407. ❑ I SUBMITTEDASBESTOS NORFICATION TO: ❑ EPA AQMD ASBESTOSNORFICARON IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: FOR OFFICE