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Home My WebLink AboutP2022-0132 - Permits�> City of Newport Beach - Building Division III�Illllllll�l[IIIII�IIIIIIIIIIII�IIIIIIIIIIIIIIIIIII 100 Civic Center Drive, Newport.Beach, CA 92660 1 Permit Counter Phone (949)644-3288 Job Address: 469 DESOLATER Bldg: 1 Floor: Suite: Description of Work: PLUMB/REPAIR (E) WATER SERVVCE LINE (ALL WORK INSIDE PIL) Inspector Area: 5 Code Edit 2019 Legal Description: N TR 1237 LOT 142 Owner: HARSHBARGER DAVID Contractor: SERVICE CHAMPIONS HTG Address: 469 DE SOLA TER Address: 3150 E BIRCH CORONA DEL MAR, CA 92625 BREA CA 92821 Phone: Phone: 714-777-7777 Con State Lic:799170 Issued Date:06/03/2022 C Lic Expire: 10/31/2023 Bus Lic: BT01080105 Processed By: \ a' Lic Exp Date: 07/31/2022 PLUMBING Permit: P2022-0132 Project No : Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier: EVEREST NATIONAL INS CO Policy No:RM8WC00054221 Expire: 04/01/2023 FEES Bathroom Fixtures Kitchen Fixtures Misc. Misc. Other Toilet: 0 $0.00 Kitchen Sink: 0 $0.00 Water Piping: 1 $8.00 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: 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 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. e y P O J W 6 0 e H O O w { O e y G O J 000 O•� OOG O O 00 OG- OWNER -BUILDER DECLARAIIUN 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 thaUlh'e lbf�,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 hundredldoll� si($500). ❑ I, as owner of the property, of my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Profession's 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 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 one year prior to completion of the improvements covered by this permit, I cannot legall 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 ava labV upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Date Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penaltty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 70 0) of Division 3 of the Business and s ode, and my license is in full force and effect. Date Contractor Signatur License Class License No WORKERS' COMPENSA NARNING: FAILURE TO SECURE W COST OF COMPENSATION, DAMAO I hereby affirm under penalty', LI I have and will mair perfo rice of the work I have and wi alnt� insurance Carrie and,{)o ame of Agent_ 11 certify that, in the pE at, if I should become DECLARATION 5' 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 'ROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hin, nne of the followina declarations: ate of consent to self -insure for workers' compensation, permit is issued. Policy No. 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' compensatio issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for ration Date ce',of t 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 t e rtee�s=ee sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1? % ignatu e of ECLARAT10N REGA rApplicant ING • e 'u th Is a construction lending agency for the performance of the work for which this permit is issue / `�/ vv i TION LEN - C�' (Section 3097, Civil Code). hereby affirm under penal p r� ry Ender's Name Lender's Address ly my signature below, I certify to each of the following: I am the property ownergr,: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 ail applicable city and county or�above-' state laws relatin I authorize representatives of this city or coun e property for insp�nppeu��ne�rsor % >ianature of Property Owner on Authorized e Prithorized Agent's Name / AL ON PDRIVITDCAIRED PER 11CANCIELLED PE.gA,'7FTEXTE`J rE,1 PEfttt ] F E'f t' Ai CER T.1 FG1' a E OF EstCUPANMTSSUED DA7,E Z BY u Lxr�, �1t — _ __ _. FEDERAL REGULATIO S PART 61 OF TI7L.E 40 AND: ❑ If L ilAt, l? A BCSTO!�, N071r,ICA7` QN TO.- 171 ❑: EPA:, r. _ :.. _. ., ' AQMD >I ❑ ASBESTOS N077FIt;ATION IS MOT APPLICABLE TO PROPOS7 ED }EI4ICiLIT13t . SIGNATURE. FOR 0FRCE USE ONLY