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Home My WebLink AboutP2022-0026 - PermitsCity of Newport Beach - Building Division "P2022-0026` 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 4621 ORRINGTON RD Bldg: 1 Floor: Suite: Description of Work: GASLINE TO FIRE PIT Inspector Area: 5 Code Edit2019 Legal Description: N TR 3357 LOT 67 Owner: WELLING GLEN & LAURI Contractor: PATTERSON CONSTRUCTION Address: 4621 ORRINGTON RD Address: 15 CORPORATE PLAZA STE.150 CORONA DEL MAR, CA 92625 NEWPORT BEACH CA 92660 Phone: Phone: 949-723-1800 Con State Lic:802367 Issued Date:02/02/2022 Lic Expire: 07/31/2022 s Lic: BT02110534 Processed By: Lic Exp Date: 09130/2022 PLUMBING Permit: P2022-0026 Project No : 2010-2019 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : STATE COMP Policy No:9065406 Expire : 08101 /2022 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 Lndry/Trap: 0 $0.00 Backflow overt": 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 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). I am exen.pt from licensure under the Contractors' State License Law for the following reason: 4y my signature Delow 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, Se11 n 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 Ccde, s available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Sijnat�:re of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 1 herehy affirm nder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profe ions Code, and tense is in full force anu effect. Z) g./� Lcen�e Class License No Date lI Contractor Si natur W"-P;tERS' COMPENSATION DECLARATION — 'nf.ti.hv. 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 DST OF COMPENSATION, 1 -AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm urider penalty of perjury one of the following declarations: have and mill :namlain 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 Trance of th"e'work forwhich 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 and policy number are: Policy Number Expiration Date of Agent Phone # I certify that, in the performance of 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 It, if I should become t ork mpensatio ro isions of Section 3700 of the Labor Cade, I shall forthwith comply with those provi su Ct to (nature of Applicant Date :CLARATION REGA I C(5NSTRUCTI GAGE CY ereby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sect on 3097, Civil Code). nder'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 correct. I agree to comply with all applicable city and county ordinances and state �II I authorize representatives of this city or county Venter thla Dgf-ideptifIEC of Property Owner or Authorized relating to building construction. ;epection purposes. Print Property Owner's or Authorized Agent's Name AC77ON DATE BY DECTAPATIONOFCOMPLIANCE MTNCODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40ANO AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS N077FICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED l ❑ ASBESTOS N077RCA77ON IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTI,RCATEOF OCCUPANCYISSUED I SIGNATURE: