HomeMy WebLinkAboutP2021-0030 - PermitsCity of Newport Beach - Building Division 111111III 11111111111111111111111111111111111111111111
100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 1 0 0 3 0
Permit Counter Phone (949)644-3288
Job Address: 6 WINGED FOOT LN Bldg: 1 Floor: Suite:
Description of Work: GASLINE TO BBQ & FUTURE POOL EQUIPMENT
Inspector Area: 4 Code Edit 2019
Legal Description: N TR 7638 LOT 80
Owner: TROTTA RENATO Contractor: OWNER/BLDR
Address: 6 WINGED FOOT LN Address:
NEWPORT BEACH, CA 92660
Phone: i(fc(/Wq- pq/�- Phone:
Con State Lic:O/B
Issued Date:02/16/20211 Lie Expire:
Bus Lic:
Processed By: Lic Exp Date:
-Clu
PLUMBING Permit: P2021-0030
Project No : 2212-2019
Inspection Requests Phone (949)644-3255
Worker's Compensation Insurance - ,
Carrier:
Policy No:
Expire
FEES
rr "
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:
0
$0.00
P-Trap: 0
$0.00
Record Mgmt Fee:
$0.00
Shower Stall:
0
$0.00
Ice Maker:
0
$0.00
Gas over 4 outlets:
1
$1.75
Sewer
Investigation:
$0.00
Wash Basin:
0
$0.00
Dishwasher:
0
$0.00
Backftow up to 2":
0
$0.00
Sewer: 0
$0.00
Plan Check:
$0.00
Hydro -Mass Tub:0
$0.00
Lndryrrrap:
0
$0.00
Backilow 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: $38.75
Plan Check Fee:
$0.00
Fee Due at Permit Issuance: $38.75
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 (_) all of or U 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
roved 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
4a^ 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 exRmnt from licensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, exce t fo my personal residence in which I must have resided for at least one year prior to completion of the improvements covered y this permit, I cannot legal,
sell a structure that I have built as an owner-b it r if it as not been con ucte e i ety by licensed contractors. I understand that a copy of the applicable law, Se to 7044 of the Business and
Frofessinns God9, is available upon request w n this fc ti u i ed t the of g Web site:http://www.leginfo.ca.gov/calaw.html. d /�
Signature of P', operty Owner or Authorized Agent Date !/
LICENSED CONT T R'S DECLARATION
I hereby affirm under penalty of perjury that I a lice sed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cod , and my license is in full force
and effeci.
Li^c nse Class License No Date Contractor Signature
?.ORKERS'. COMPENSATION DECLARATION
"/..r.N.NG: FAILURE 70 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
COST O� COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
I :cave and will mcintain 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
nv6ance of t,Ta'*o,k 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
1e of Agent
certify that, in the perform nce of the work for which
, if I should becoRle �ubjeKtaihe woftA:.eemrp
Date
I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
ction 3700 of the Labor Code, I shall forthwith comply with those pro, ipns. n
iignatureofApplica t 1 vry
IECLARATION RE O STRUCTIO LENDI G AGEN &Y
hereby affirm under nalty o perjury that there is a construction lending agency for the performance of the work for which this permit is issued
ender's Name Lenders Address
ly 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 count o di nces and elati building construction.
I authorize representatives of this city or coun t r yy,ta� v I n Ifi p p pection purposes.
;innahlm of ProDertv Owner or Authorized id ./i'6�1� rint Property Owner's or Authorized Agent's Nam
ACTION I DATE V BY
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
61 OF TITLE40AND
AQMD RULE 1403.
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
3097, Civil Code).
USE ONLY
FFA
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