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Home My WebLink AboutP2020-0076 - PermitsCity of Newport Beach - Building Division 111p1III 11111p11111111p11111111p111p1111111111111PLUMBING Permit: P2020-0076 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 0 0 0 7 6 Project No Permit Counter Phone (949)644-3288 AS BUILT PERMIT Inspection Requests Phone (949)644-3255 EXPOSE Aft STRUMURAL Job Address: 20451 BAY VIEW AVE Bldg: 1 Floor: Suite: .ECTRICAL, PLUMBING, AND Description of Work: PLUM GASLINE TO BBO/FIRE PIT (STOP WORK) 120-1 MECHANICAL COMPONENTS Inspector Area: 8 Code Edit 2019 Legal Description: N TR 1501 LOT 24 Owner: ANDREWS JOHNSON Contractor: OWNER/BLDR Worker's Compensation Insurance - Address: 20451 BAY VIEW AVE Address: Carrier : �qy NEWPORT BEACH, CA 92660 Policy No: 1 ', Phone: 914-980-0653 Phone: Expire Con State Lic:O/B Issued Date:06/04/2020 Lic Expire: Bus Lic: Processed By: SaY\NLic Exp Date: �J 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 $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: $7.00 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: $35.00 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: $49.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $49.00 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 cNil penalq of Lakmore than five hundred dollars ($500). 74 as owner of the property, or my employees with wages as their solecompensation, will do (_) allof or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Bust ss 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 owne. of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 0 1 am exempt rro,n licensure under the Contractors' State License Law for the following reason: B•✓ ,i.y si(nature b.;:3.v I acknowledge that, except for y personal residence in which I must have resided for at least one year prior to completion of the improvements covered by is permit, I cannot legally sell a structure thrt !nave built as an owner -build if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 044 of the Business and Professions Code, is available upon request whe this application is s led r at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTR CTOR'S DECL ION her37y affirm under penalty of perjury that I am I' ensed under provi ions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Co e, and my license is in full force eid effect. I irense glass License No Date Contractor Signature NOR'TERS' COMPENSATION DECLARATION V\RNING:,-AILURE,TO S-GURE 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 :OST OF COMPENSA-Ir1N, D;IMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby cffirm unr'er penalty of perjury one of the following declarations: 1 have and wid 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 tha rerformance of the work for which this permit is issued. Policy No. have 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' rance carrier and policy number are: Policy Number Expiration Date of Agent Phone # certify that, in the perforyllance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to th workers' compensation laws of California, and if I should become su ect to thj hers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision iature of Applicant _ iECLARATION REGAVING C9,NSTRUCTION LENDING AGENCY hereby affirm under p naty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued Ender's Name Lender's Address y 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 rdinances and state laws relating to building construction. I authorize representatives of this city or county to njefjR ab ye- Ktified property for inspection purposes. ignature of Property Owner or Authorized Agent i` n Print Property Owner's or Authorized Agent's Name 3097, Civil Code). Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 01 OF TITLE40AND AQMD RULE 1403. PERMIT EXPWED ❑ 1 SUBANTTED ASBESTOS H071FICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIFIC4710NIS NOT APPLICABLE TO PROPOSED DEMOLITION, PERMIT FINAL (� CERTIFICATEOF SIGNATURE: OCCUPANCYtSSU£D