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Home My WebLink AboutP2020-0079 - PermitsCity of Newport Beach - Building Division *P2020-0079* 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 122 36TH ST Bldg: 1 Floor: Suite: Description of Work: PLUMB GAS TO FUTURE BBQ Inspector Area: 1 Code Edit 2019 100 Legal Description: NEWPORT BEACH CITY BLK 35 LOT 14 Owner: WATERMAN SCOTT Contractor: PREMIER BUILDERS Address: 122 36TH ST Address: 8832 LA GRAND AVE NEWPORT BEACH, CA 92663 GARDEN GROVE, CA 92841 Phone: Phone: 714-653-8019 3m Con State Lie: 995068 Issued Date:06/08/2020 Lie Expire: 07/31/2020 Bus Lie: BT30062843 Processed B). Y Lic Exp Date: 04/30/2021 PLUMBING Permit: P2020-0079 Project No : 2001-2019 Inspection Requests Phone (949)644-3255 Dir 1\1 I Worker's Compensation Insurance - Carrier : STATE COMP INS FUND Policy No:9214301 Expire : 07/13/2020 <o a ° ^mo 0 M 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. 3m •oaoc 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 $8.00-- .00°oBidet Bidet 0 $0.00 Garbage Disp: 0 $0.00 Water Softener: 0 $0.00 Grease Trap: 0 $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 Lndryfrrap: 0 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair:0 $0.00 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: $42.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $42.00 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. )WNER-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 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 lot more than five hundred dollars ($500). 1 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-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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: 3y 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 legal) 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.htmi. Signature of Property Owner or Authorized Agent Date .••* LICENSED CONTRACTOR'S DECLARATION I hereby aff`m.ur&r penalty of perjury that I am licensed under provisions of Chapter 9 (commend with Se tion. 00) of Division 3 of the Business an ions Code I d my tic nse is in full force and effec ,,, Lidense Class-, ` License No D e � i�S/ of Contractot Signature VORKERS' COMPENSATION DECLARATION IpRNING: FAILUQJQ SECURE WORKERS' 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 :OST OF COMPS SATIDN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. h{ereby affirm under penalty of perjury one of the following declarations: a06 ve ar v4((I,r1laintain 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 V (fiance of: the work for which this permit is issued. Policy No. have and vii11 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' compensation Iguravice carli _&r d ,V num er ar� & 1 n r ( � ;arsior• ,,,. i�� IOtt�C-- , \ r Policy Number (J� 4 l Expiration Date Agent certify that, in the performance oe work for which this permit is issued, I shall not employ any person in any manner so as to become subje t to the workers' connensation laws of California, and , if I should become subject to th orJrerW' i Ipensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those za;isions. / / ((9 CLARAT(0III( REGARDING QQNyRVAGENCY rreby affirm under penalty of perju th t there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 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 property owner's behalf. I have read this application and the information I hav4Nrgvlded is correct. I agree to comply with all applicable city ang county r n nc and at aws relating to building construction. I authorize representatives of this city o c unty to en t E b 1 ro rty for inspection purposes. nature of Property Owner or Authorized t Print Property Owner's or Authorized"Ag n s Name V� Civil Code). ACTION DATE RY DECLARATION OF COMPtIANCEWITH CODE OF FOROFFICEUSEOXY FEDERAL REGULATIONSPART 01 OFTITL.E40AMD AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS MOIIRC4170MIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERIWIT FINAL 2a /C, CERTIFICATE OF SIGNATURE: OCCUPANCYISSUED