The URL can be used to link to this page

Home My WebLink AboutP2020-0161 - Permits�wwlv,Pr City of Newport Beach - Building Division 111111111111111111111111111111111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 0 0 1 6 1 v Permit Counter Phone (949)644-3288 Job Address: 2720 PEBBLE DR Bldg: 1 Floor: Suite: Description of Work: PLUMB GAS TO FIRE PIT (X2020-1929) Inspector Area: & Code Edit 2019 Legal Description: N TR 3660 LOT 44 Owner: SHOKRIAN MAHIN Contractor: AMERICAN DESIGN & CONSTRUCTION INC Address: 2720 PEBBLE DR Address: 4519 FIRESTONE BLVD STE B CORONA DEL MAR, CA 92625 SOUTH GATE, CA 90280 Phone: 949-278-1187 Phone: 323-567-0557 Con State Lic:1066281 Issued Date:10/23/2020 Lic Expire: 06/30/2022 Bus Lic: BT30073311 Processed By: Lic Exp Date: 10/31/2021 PLUMBING Permit: P2020-0161 Project No : 1543-2020 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : EXEMPT Policy No: Expire: 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 $0A)G u J Bidet 0 $0.00 Garbage Disp: 0 $0.00 Water Softener: 0 $0.00 Grease Trap: 0 $0.00 $0.00 u 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 $0.00 Sewer Investigation: ° °$(P.00 Wash Basin: 0 $0.00 Dishwasher: 0 $0.00 Backflow up to 2": 0 $0.00 Sewer: 0 $0.00 Plan Check: , v*U.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 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 Iicensure 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, as 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, 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). ❑ 1 am exempt from Iicensure 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 [egall) 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 (comme King with S coon 7000) of Division 3 of the Busin ss and Prate sions Code, and my license is in full force and effect. License Class _ - fle�n Q o-12 License No ( U (P (Cl 2 � � Da t O r - QZ0 Contractor Sig lure NORKERS' GUiihi-ENSATION DECLARATION 4ARNING. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOY R TO CRIMINAL PENALTIES AND CIVIL FINES UP T O H THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE "OST OF ^OMPENRATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: .] I ;rave 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 th, aeAomance of the Wodc for which this permit is issued. Policy No. 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' carrier z,id nulicy number are: Policy Number Expiration Date u1 Agent _ _ _ rnor ff) that, in4lIS performance of he work for which this permit is issued, I shall not employ any person in any manner so as to become I rhould beyimi subject to thvorkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with tho CLARATM REGARDI�CTION LENDING AGENCY Ireby affirm under penalt of pe ry 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 the property owner's behalf. 1 have read this application and the information I have provided is correct. I agree to comply with all applicable I nd cou Ey ord' nces and state laws relating to building construction. I authorize representatives of this c' or c u to eedw -Identified property for inspection purposes. nature of Property Owner or Authorized A t Print Property Owner's or Authorized Agent the workers' compensation laws of California, and lO-(, -LQ ZO 3097, Civil Code). f�W ACDON T BY DECLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONXYJ FEDERAL REGULATIONS PART 61 OFT77LE40AND AQMD RULE 1403. PERMIT EXPIRED ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS N0nRCAT7ON1S NOT APPLICABLE TO PROPOSED DEMOUTION. PERMITCANCELLED PERMITFXTENDED PERMITFINAL CERTIFICATE OF SIGNATURE: OCCUPANCYISSUED