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HomeMy WebLinkAboutP2020-0167 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II -+ q 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 0 0 1 6 7 Permit Counter Phone (949)644-3288 Job Address: 217 ORCHID AVE Bldg: 1 Floor: Suite: Description of Work: PLUMB -GAS LINE FOR FIRE PIT Inspector Area: 6 Code Edit 2019 Legal Description: RESUB OF CORONA DEL MAR ELK 141 LOT 13 Owner: ZILKER INVESTORS LLC Address: 2618 MARIA ANNA RD AUSTON TX 78703 Phone: Issued Date:11/0212020 Processed By: Contractor: CLEAR VIEW BUII Address: 2033 E 3RD ST 1J LONG BEAC Phone: 310-956-596 Con State Lic:899333 Lic Expire: 06/3012021 Bus Lic: BT30065872 Lic Exp Date: 01/31/2021 PLUMBING Permit: P2O2O-016 Project No : 2623-2019 Inspection Requests Phone (949)644-3255 '\r 0f'N( VMorker's Compensation Insurance - �GGP��l1 EXy STATE MP INS FUND cN5378Pire FEES Bathroom Fixtures Kitchen Fixtures Misc. Misc. Toilet: 0 $0.00 Kitchen Sink: 0 $0.00 Water Piping: 0 $0.00 Roof Drain: 0 Bidet 0 $0.00 Garbage Disp: 0 $0.00 Water Softener: 0 $0.00 Grease Trap: 0 Urinal 0 $0.00 Bar Sink: 0 $0.00 Water Heater: 0 $0.00 Grease Interceptor:0 Bath Tub: 0 $0.00 Vegetable Sink: 0 $0.00 Gas up to 4 outlets: 1 $7.00 P-Trap: 0 Shower Stall: 0 $0.00 Ice Maker: 0 $0.00 Gas over 4 outlets: 0 $0.00 Sewer Wash Basin: 0 $0.00 Dishwasher: 0 $0.00 Backflow up to 2": 0 $0.00 Sewer: 0 Hydro -Mass Tub:0 $0.00 Lndry/Trap: 0 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair:0 Floor Sink: 0 $0.00 Regulator: 0 $0.00 Hose Bibb: 0 $0.00 Sewer Abandon: 0 Floor Drain: 0 $0.00 Lawn Sprinkler: 0 $0.00 Drinking Fountain: 0 $0.00 Additional Fee : I SPECD 1 ®R Other $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Record Mgmt Fee: $0.00 Investigation: $0.00 $0.00 Plan Check: $0.00 $0.00 Issuance: $37.00 $0.00 Supplemental Fee: $0.00 $0.00 TOTAL: $44.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $44.00 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' Stale 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 licensuro 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 (_) 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-Builderwill 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). ❑ 1 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 legally 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://w .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 Section 7000) of Division 3 of the Business and Profession de an Tny license is in full force and effect. License Class License No Datele O Contractor Signature - z �- -�-- � WORKERS' COMPENSATION DECLARATION JN NARNING: 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 IS100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ❑- 1 have and will 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 the 5erf�Wmance of the work for which 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 ape: ie of Agent certify that, in the performance of the , if I should become subject to the wp of Applicant Policy Number Date 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 tt�e rov ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. CLARAT10N REGAROINIG CONSTRUCTION LENDING AGENCY ✓ ` 3reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). lder's Name Lender's Address my signature below, 1 certify to each of the following: I am the property owner or authorized to act on the property owners 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 laws relati to building construction. I authorize representatives of this city or county Jo enter thhq0Wav€-�IGe -ap rtv for inspection purposes. A ACTION DATE BY DECLARATION OF COMPLIANCE KITH CODE OF FOR OFRCE USE ONLY FEDERAL REGULATIONS PARTS! OF TITLE49 AND AQMD RULE 7403. PERMIT EXPfRED ❑ I SUBMtTTEDASBESTOS NORFICATION TO: ❑ EPA ❑ AQMO PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS N07IRCA170M IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTiFICATEOF SIGNATURE: OCCUPANCYISSUED