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Home My WebLink AboutP2018-0404 - PermitsCity of Newport Beach- Building Division IIIII�IIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIII I' 100 Civic Center Drive, Newport Beach, CA 92660 P 2 8 1 8 6 4 6 4 a Permit Counter Phone (949)644-3288 �"t4xr.7ee�' Job Address: 121 OLD COURSE DR Bldg: 1 Floor: Suite: Description of Work: PLUMB/GAS LINE TO FIRE -PIT, BBQ B WATER LINE TO BBQ Inspector Area: 8 Code Edit 2016 Legal Description: N TR 15387 LOT 44 Owner: BREWSTER LEWIS Contractor: SCHWARZ POOLS Address: 121 OLD COURSE DR Address: PO BOX 28437 NEWPORT BEACH CA 92660 SANTA ANA CA 92799 Phone: Phone: 714-241-7665 e Con State Lic:967325 Issued Date: 12/11/2018 Lie Expire: 09/30/2020 ° Bus Lie: BT30038738 Processed By: Lie Exp Date: 03/31/2019 o°e<e °•• PLUMBING Permit P2018-0404 Project No: 2890-2018 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : STATE COMP Policy No:9108043 Expire: 04/18/2019 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 ° c FEES°p. ° e c -f me°oco o°e<e °•• Bathroom Fixtures ° ooeooa o•O,°,°c 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 FEES°p. o°e<e °•• Bathroom Fixtures Kitchen Fixtures Misc. Misc. Other � ` e•e 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: 1 $7.00 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:1 $35.00 Issuance: $35.00 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: $77.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $77.00 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. V •• 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 lfem,(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 appliciM 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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the. improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signaturg below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall) sell g$tluot ire that I have built as an owner -builder if it has not been constructed in its entirely 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. • • Gignaturs of PrDperty Owner or Authorized Agent y Date .• LICENSED CONTRACTOR'S DECLARATION % . I hereby af$irm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingw' h Secti n 70 0) of Division 3 of the Business a96/P s ' Code, and my license is in full force • •• and effeict. License Glass••: License No Date �$ /T v Contractor Signatur �—" �I(ORKERq' COMPENSATION DECLARATION RNING: FP1I!gA9 TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO E HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO 1 • � "W OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. m • hareby affirm under penalty of perjury one of the following declarations: •, .• Iave anal •vCiR 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 • Tpe ance of the.work for which this permit is issued. Policy No. • • gave and`�ill.raaintain 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 ensu ce carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the perf anc of a work for which this permit is issued, I shall not employ any person in any manner so as to become subject to tl � worl ers' c mpensation laws of California, and al that, if I should become s ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi S. Signature of Applicant ;W__ Date/� DECLARATION REGA NGC STRU TION LENDING AGENCY I hereby affirm under p nal perjury that there is a construction lending agency for the performance of the work for which this permit is issued Section 3097, Civil Code). Lender's Name Lender's Address By my signature belo , I certify to each of the following: I am the property owner or authorized to act on th property owner's behalf. I have read this application and the information ave provided' correct. I agree to comply with all applicable city and c my or nd state laws relating to building construction. I authorize representatives of this city or cou to `iified property for inspection purposes. 1_7#�- �.Qj-, AC17ON DATE By DECLARATIONOFCOMPLiANCEWITNCODEOF FOR 13FHCE U15 Nty FEDERAL REGULATIONS FART 61 OFTITLE40AN AQMD RULE 1403. PERMITEXPIRED ❑ ISUBMITTEDASBESTOSNOBFLCATIONTO: ❑ EPA ❑ AQMD - PERMITCANCELLED P£RiWITEXTENDED ElASBESTOS N071HCA170NIS NOT APPLICABLE TO PROPOSED OEMOI.7T70N- FERN8IT FJNAL --'L - CERTIFfCATE OF OCCf1PANCYfSSUED SIGNATURE: _