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Home My WebLink AboutP2022-0095 - Permits.,, City of Newport Beach - Building Division 1111111111111p1111111111111111p111p1111111111111 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 2 0 0 9 5 Permit Counter Phone (949)644-3288 ci Job Address: 1411 LINCOLN LN Bldg: 1 Floor: Suite: Description of Work: PLUMB/BBQ & FIRE -PIT Inspector Area: 3 Code Edit 2019 Legal Description: N TR 3851 LOT 23 Owner: OLSON/MATTE] Contractor: SCHWARZ POOLS Address: 1411 LINCOLN LN Address: PO BOX 28437 NEWPORT BEACH, CA 92660 SANTA ANA CA 92799 Phone: Phone: 714-241-7665 Con State Lic:967325 Issued Date:06/06/2022 Lic Expire: 09/30/2022 Bus Lice 30038738 Processed By: IV c Ex- Cam- p Date: 03/31/2023 PLUMBING Permit: P2022-0095 Project No: 1211-2022 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier: BENCHMARK vii,§I�so e PolicyNo:CST r Expire : 10/29/ ° . • ° ° ° °° • °°.. FEES °°oo°V 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 R9.00°• o°°°° Bidet 0 $0.00 GarbageDisp: 0 $0.00 Water Softener: 0 $0.00 Grease Trap: 0 $0.00 i0.1)0°° °°°° 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 $8.00 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: $38.00 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: $46.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $46.00 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 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). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portior Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, t improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year improved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Col 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 sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contra( Professions Code, is available upon request when this application is submitted or at the following Web site:httpJA Signature of ProvertyOwner or Authorized Agent • LICENSED CONTRACTOR'S DECLARATION .. 1 here* affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section anciaffect. ,';'•, LLQenV Class • •• License No Dat QOUKARS' COMPENSATION DECLARATION WARNMN : FAILURF,1.0 &%RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL DOS( OF 80MPENSMM,DAMAGEs AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Iherej affirm und� r penalty of perjury one of the following declarations: „1;@,?e and Mi11 th9intain a certificate of consent to self -insure for workers' compensation, issued by the Dire( pe;%Q jnce of the work for which this permit is issued. Policy No. Aavo and wilt maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for 44g6 carrier5fld policy number are: Gather. • ' ': Policy Number me of Agent • • I certify that, in the performan f work for which this permit is issued, I shall not employ any person in any It, if I should become sub1 o erscompensation provisions of Section 3700 of the Labor Code, 1 shall mature of AoDlica t of the work, and the structure is not intended or offered for sale (Section 7044, )ugh employees' or personal effort, builds or improves the property, provided that the completion, the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not )r pursuant to the Contractors' State License Law). year prior to completion of the improvements covered by this permit, I Oannol I understand that a copy of the applicable law, Section 7044 of the Business eginfo.ca.gov/calaw.html. of Division 3 of the Business and Pro slon ode, and my license is in full force 'L Contractor Signature _ --4� TIES AND CIVIL FINES UP TO ONE H_WbRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE of Industrial Relations as provided for by Section 3700 of the Labor Code, for performance of the work for which this permit is issued. My workers' Date so as to become subject to the workers' h comply with those provisions. CLARATION REGARDING C� STRUCTION LENDING AGENCY a'IF areby affirm under penalty of perjury that there is a construction lending agency for the performs ce of the work for yvhich this permit is issued (Sect on 3097, Civil 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 cArect. I agree to comply with all applicable city and&county ordina d tate laws relating to building construction. I authorize representatives of this city or co enter entitled property for inspection purposes. (nature of Property Owner or Authorized Age rn / �"�^'�--�—Prjht Property Owner's Or Authorized Agent's Nam laws of California, and L ACTION DATE Y DECLA ..ION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERA REGULATIONSPART61OFT17LE40AND AQMD RULE 1403. PERMIT EXPIRED ❑ 1 SUBMITTED ASBESTOS N077FICATION TO.' ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEKTENDED ❑ ASBESTOS NOTIRCATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATEOF SIGNATURE:. OCCUPANCYISSUED