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Home My WebLink AboutP2021-0505 - PermitsCity of Newport Beach - Building Division J11�1111 11111111111111111111111111111111111111111111111 Jill er` d 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 1 0 5 0 5 Permit Counter Phone (949)644-3288 a Job Address: 1822 BUTTONSHELL LN Bldg: 1 Floor: Suite: Description of Work: PLUM -GAS LINE TO BBQ/FIRE PIT Inspector Area: 3 Code Edit 2019 Legal Description: N TR 3763 LOT 69 Owner: SHEA PETER Contractor: LANDCRAFTERS INC Address: 1822 BUTTONSHELL LN Address: 29512 ANA MARIA LANE NEWPORT BEACH, CA 92660 LAGUNA NIGUEL CA 92677 Phone: Phone: 949-249-1086 Con State Lic:754071 Issued Date:10/19/2021 Lic Expire: 09/30/2022 Bus Lic: BT30039467 Processed By: Lic Exp Date: 05/31/2022 PLUMBING Permit: P2021-0505 Project No : 2460-2021 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier: EMPLOYEE SERVICE GROUP Policy No:WC5897031 Expire : 1210112021 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 $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 LndryfFrap: 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. 9qq q "gyp l3�• q O®Q 69 �J 4 0 O p q 0 g G qqq B Qq O q 4 q q qq q q v4 t)u0 ® a W ObB BOO Yq qq1 • • • q• •q Y•• 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 stem(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). - 1 L-1 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, thr improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year o improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7C apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Conti ❑ 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 c sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contract( Professions Code, is available upon request when this application is submitted or at the following Web site:http://wv Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sggq��ction JJJC and effect. 10 / ,9 /Z License Class License No Date // / the work, and the structure is not intended or offered for sale (Section 7044, 1h employees' or personal effort, builds or improves the property, provided that the rmpletion, 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 cannot I understand that a copy of the applicable law, Section 7044 of the Business of Division 3 of the Contractor Date is in full force ZKERS' COMPENSATION DECLARATION I \ ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PIEALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ! y affirm under penalty of perjury one of the following declarations: ave 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 thl la ance of the work for which this permit is issued. Policy No. e 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 at5te carrier and policy number are: Policy Number Exoiration Date of Agent certify that, in the pl if I should become this permit is issued, I shall not employ any person in any ation provisions of Section 3700 of the Labor Code, I shall ignature of Applicant v IECLARATION REGARAINGCPKSTRUCTION LENDING AGENCY hereby affirm under perpIty of perjury that there is a construction lending agency for the performance of the work for Ender's Name Lenders Address 1y my signature below, I certify to each of the following: I am the property owner or authorized to act o e ;rope owner's be I have read this application and the infor tion I h vi 1 c e I agree to comply with all applicable cit and coun ordi c a ate laws relating to building construction. I authorize representatives of this city o7 co my ente ab -id 1e operty for inspection purposes so as to become subject to the workers' cppmpe sation laws of California, and i comply with those provisions. this permit is issued (Section 3097, Civil Code). signature of Property Owner or Authorized Age Print Property Owner's or Authorized 4j n.ro to ACTION DATE L BY DECLARATION OF COMPLIANCE 144TH CODE OF FOR OFFICEUSE ONLY w ... ... FEDERAL REGULATIONS PART 61 OF TITLE40AMO AQMD RULE 1403. PERMITEXPIREI: • • • • • �� • ISUBTTEDASBESTOSNOnFICATIONTO: ElMt ❑ EPA ❑ AQMD ❑ ASBESTOS NORRCATtON IS NOT APPLICABLE TO PROPOSEDDEMOUTION. PERMIT CANCF.'ZED : •. • • `• ° ° : PERMITEXTEAID D PERMITFINAL •, ,° CER77FICATEDF °e° • ° • s • • o OCCUPANCYISSU€D s e° +� a m• a 4 a SIGNATURE.