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Home My WebLink AboutP2021-0557 - PermitswEwt�trt. City of Newport Beach - Building Division `P2021--0557" c >- 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 PLUMBING Permit: P2021-055 Project No : 2994-2021 Inspection Requests Phone (949)644-3255 8' Job Address: 32 TWILIGHT BLUFF Bldg: 1 Floor: Suite: Description of Work: PLUMB - GAS LINE TO FIRE PIT Inspector Area: 5 Code Edit 2019 Legal Description:`r' Owner: KASHANI HAMID Contractor: BLUE FOUNTAIN POOLS AND SPAS INC Worker's Compensation Insurance - Address: 32 TWILIGHT BLUFF Address: 1151 S GRAND AVE Carrier: STATE COMP. INS NEWPORT COAST CA 92657 GLENDORA CA 91740 Policy No:9231003 Phone: Phone: 909-648-4882 Expire : 05/08/2022 Con State Lic:1004554 Issued Date:02/28/2022 Lic Expire: 06/30/2023 Bus Lic: BT30065960 Processed By: Lic Exp Date: 02/28/2022 �. 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 $3.0b ' 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.Db Hydro -Mass Tub:0 $0.00 Lndry/Trap: 0 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair:0 $0.00 Issuance: ; $3&00 Floor Sink: 0 $0.00 Regulator: 0 $0.00 Hose Bibb: 0 $0.00 Sewer Abandon: 0 $0.00 Supplemental Fee:. $0.b0 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 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). L7 I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 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 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 legati, 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 (commencing with Sec on MIA) of Division 3 of the Business and Professions Co nd Icense is in full force and effect. / r� License Class License No Dat€ 7ia l?j Contractor Signatur9Z WORKERS' COMPENSATION DECLARATION TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,000I, IN ADDITION TO THE ATION DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. affirm under penalty of perjury one of the following declarations: have any wile 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 'mance of the work for which this permit is issued, Policy No. ave 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' compensa race carrar ar,d policy number are: ,.a of Agent _ certify that, in '.he perform nce of , it I'should br?comc subj o the tature of Applicant Policy Number Date permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensab laws of California, and 1 provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions./2 / 2-- CLARATION REGARjr Iq C JS R6CTIOR'LENDING AGENCY Ireby affirm and 3r penalty kperjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). 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 rty owner's b a . I have read this application and the information ve pr vid is c rec I agree to comply with ail applicable city and co my ordi ces a s e I s relating to building construction. I authorize representatives of this city or count t n e SLID e ' enti d property for inspection purposes. /7�� nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Ngrfie �k (/ �d ACTION DATE 8Y DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART61 OF TITLE40AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS N077FICATIONTO: ❑ EPA ❑ AQMD PERMiTCANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIFICA77ONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL -1 CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED