HomeMy WebLinkAboutP2020-0116 - Permits` City of Newport Beach - Building Division II�III�IIII IIII IIIIIIIII�IIIIIIIII III II II ProjectBIN 5 Permit:
ermp : P2020-0116
o4p „� 10t'. Civic Center Drive, Newport Beach, CA 92660
'y `, Permit Counter Phone (949)644-3288
��..+ ,�." Inspection Requests Phone (949)644-3255
Job Address: 1924 BERYL LN Bldg: 1 Floor: Suite
Description of Work: PLUMB -GAS LINE TO FIRE PIT
i;
Inspector Area: 3 Code Edit 2019
Legal Description: N TR 1806 LOT 33 - "//-
tf applicable: �
Owner: BRONCO NATALIE ac or: CALIFORNIA POOLS Worker's CompensatioZsyrnak reTUnd
Address: 1424 BERYL LN ddress: PO BOX 1765 Car lee gGOE{Ft.l
NEWPORT BEACH, CA 92660 ate T14STtFtI A 92781 rr Policy No:9069093
Phone: hone $ Expire, 081 1120z1 $
on 5 262
12 r f t0 W�OYi1. !
Issued Date:09121/2020 c Exre 31/2021 _
s LI 006 441;
Processed By: L Ex lr i� 1120)2 i 'PE TOR
s_
s
J " ,IFEES
Bathroom Fixtures Kitchen Fixture Ig--,.; MidMisc her
Toilet: 0 $0.00 Kitchen Sink: Water Piping: 1 $7.00 Roo 0 $0.00
Bidet 0 $0.00 Garbage Disp: $0.00 Water Softener: 0„ $0;00 Gre a Tr`�p: ' 0 $0 OQ $0.00
Urinal 0 $0,00 Bar Sink: .00 star Heater: 0 $Ob0 Grea Interceptor 0 $0.00-
Bath k }}C,U{
Tub: 0 $0.00 Vegetable Sink: o . (10 to 4 outlets 0 $0.00 P-Trap: 0. $0.00 "UrRecotd Mgmt Fee: $0.00
r
Shower Stall: 0 $0.00 Ice Maker. $ %�'lkover 4 outlets 0 $0.00 Sewer Investigation: 004 ,.
Wash Basin: 0 $0.00 Dishwasher: $ Bj trkfigw,up tot": 0 ; $0.00 Sewer: 0 $0 00 Plan C 00
Hydro -Mass Tub:O $0.00 LndrylTrap: 0 $0.00 Bta%%lfow over 2": 0 $0.00 Sewer Alter/Re ai 00 ""�7ssuanc $ 0
Floor Sink: 0 $0.00 Regulator: 0 $0.00 Hose Bibb. 0 $0.00 andon: 0 $0 00 Shp a Fee -0 00 '
Floor Drain: 0 $0.00 Lawn Sprinkler: 0 $ .0 Dn_
nkin F 0.00 Additional Fee -$0.00
p 40
TOTAL: $44.00 Plan Check -Fee . .00 F'e'e Due at Permit Issuance: $44.00
PERMITS EXPIRE 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Monday- Friday 7:00 a.m. to,000 pm. and Saturday from 8:00 a.m. to 6:00 p.m.
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) Indicated below by the checkmark(s) I have placed next to the : pplicable 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 requ'res 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 applice it 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 sale compensation, will do U all of or U portions of the work, and the structure is not intended or ffere
iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, bu'I emprdvess 01
rovements are not intended or offered for sale. if, however, the building or Improvement is sold within one year of completion, the OWI Ida ave the burden of pi
roved for the purpose of sale).
I, as Owner of the property, am exclusively contracting with licensed Contractors to constru a ion 7044, Business and Pr $signs Code: The Contractors'
ly to an owner of property who builds or improves thereon, and who contracts Odtha s with a licensed Contractor rs lie' �'�rlQ am' State License Law)
U I am exempt from licensure under the Contractors'
By my signature below I acknowledge that,. exas
sell a structure that I have built as -an -`owner -builder if it
Professions Code, is available upon request when this
Signature of Property Owner or Authorized;
LICENSED CONTRACTOR'S DECL'yl' � ION
I hereby affl" under penalty of perjury that I am license
and effect- ii
License Class G53 k I ico
:RS' COMPENSATION
FAILURE TO SECURE WORKER
hereby of nn under penalty of peduw one of
I have and will maintain a certifi- ato 0
rmanm of the work for which the rml,
..�lll ave and will maintain workers' penx
ne of Agent — W" SIh0I
certify that, in the performance
If I should become ub to I
iature of AaDlicam�e
!reby affiml under penalty of perjury III
ider's Name
my signature below, I certify to each 01
I am the property owner or authorized
1 have read this application and the in
I agree to Comply with all applicable c
I authorize representatives of this city
ieansiftvu for th IlrN, asap: `" r_ Ind
Iran at resid ncein is u�.fiave resided-ferat'Yeast one year prior tor�t??mp,I IQ"f d coven
not been c of i tensed contractors. I and � tQli as b ily btthe`appliicable law, Section
cation is or at the following Web site:httD:/Am .leuinfo. oov/calaw.hfml
d undpt pro'vaiens of Chapter9(commenang with Sfe�ction 7000DiWatvtt 8'ofTh Businessand sions Code,
No 99 Zle Z Date r;'_ 'L 21 ' L Contractor Slgnalu�
i GE IS UNLAWFLIL, AND SHALL SUBJECT AN EMPLOYER TO OMMMAL PENALTIES AND CIVIL FINES UP To ONE HUNDRED THOUSAND Dot
i 37M OF THE LABOR CODE, INTERIM AND ATTORNEY-S FEES.
ng declarations
I
for sale (Section 7044,
proper[ e, provided that the
ving that it was not built or
jssued=by the Director of Industrial Relations as provided for by Section 3700
Section 3700 of the Labor Code, for the perfornnimce of
in any manner sd k&46 O&;Frhe at
I shall forthwith Comply with those
is a construction lending agency for the performance wetktor which this permit is
Le
t9vt�e��pr owner's behalf. -
In 1 have provided is conec _
:ounty o n state -" "-" ur ding Consimction.
ter t1 eabOv"4d ntffied property for inspection purposes.
o ., Mr�P'✓�r Print Property Owners or Authorized Agent
the workers'
License Law does not
his permit, 1 cannot legalh
of the Business and
ry tcense is in full force
ptIX',apel, IN ADDITION TO THE
the -Labor Code, for the
Noibers' compensatiiol
ws f California, and Rare,
\ are 9l l
ACDON
DATE
BY
FEDERAL REGUI_g77ONS.P4RT5TnTH PE
OF TJ_40AND
AQMORD'.E4403.
❑ f SUa wi rE7b SL�5TUF N0i7FfC9TioN TC-
-PA
❑ AQMD
❑ ASBESTOS NO17FTCATIONIS NOT APPLICABLE TO
PROPOSEODEMOLI17ON.
SIGNATURE:
FORORgCE USEOttLY
PERMITEXPIRED
-
PERMITC4NCELLED
PERMITOLTENOED
PERMrrFBVAL
CERTIFICATE OF
OCCUPANCYISSUED—�"�
-7