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Home My WebLink AboutP2019-0216 - PermitsCity of Newport Beach - Building Division I11111111 111111111111111111111111111111111111111111111 it 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 9 0 2 1 6 j; Permit Counter Phone (949)644-3288 x Job Address: 15 ROCKY POINT RD Bldg: 1 Floor: Suite: Description of Work: PLUM GASLINE TO BBQ Inspector Area: 4 Code Edit 2016 Legal Description: N TR 7386 LOT 86 Owner: LOHIYASUNITA Contractor: SANTANIELLO JAMES Address: 15 ROCKY POINT RD Address: 3419 VIA LIDO #115 CORONA DEL MAR, CA 92625 FEES NEWPORT BEACH CA 92663 Phone: Phone: 714-815-5097 •°°e Con State Lic:361862 Issued Date:07/15/2019 Lie Expire: 08131/2020 /\ Bus Lie: BT30036015 - Processed By: sr5 " Lie Exp Date: 03/31/2020 PLUMBING Permit: P2019-0216 Project No : 1152-2016 Inspection Requests Phone (949)644-3255 i. Worker's Compensation Insurance- • ••• Carrier: WESCO •••• d"eooc Policy No:W WC3401372 e E Expire : 02101/2020 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. FEES •°°e Bathroom Fixtures Kitchen Fixtures Misc. Misc. Other oc ea O°•O 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: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. 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 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 L) all of or L) 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: 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 struafum filet 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 Profession3 Ubee, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Sigslcture ofaProp" Owner or Authorized Agent Date +• LICENSED CONTRACTOR'S DECLARATION J hgrpby affirm tinder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Sec' n 7000 of Division 3 of the Business Profs ions Code, and my license is in full force •afid effect. License Class ••*•• License No Date G Contractor Signatu NOPtkERS'•C,QMFENSATION DECLARATION VAWMG: FAILURE }q gE�CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANO CIVIL FINES UP TO NE H EO THOUSAND DOLLARS (E700,0001, IN ADDITION TO THE {QS•Tpt COMPEfJSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. .ge,V affirm under penalty of perjury one of the following declarations: 31 have and TMI•Aliintain 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 ye mance of the work for which this permit is issued. Policy No. fifig and 0:gI.r$aifitain 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 ns ce carrier and policy number are: Policy Number me of Agent Phone # Date certify that, in the pertm of the work for which is permit is issued, I shall not employ any person in any manner so as to become subject to the workers' co pensati n laws of California, and I, if I should becomknalty ect to he workers' comp ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio _ nature of Applicant Date lJ C CLARATION REGAG NSTRU N L AGENCY areby affirm under p o perjury at there is a construction lending agency for the performance of the work for which this permit is issued ( ction 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 or act on the roperty owner's behalf. ��r�� ✓ v I have read this application and the inform n I h provided is correct. 1 agree to comply with all applicable cit nil count o dinances and state la relating to building construction. /d�,Hj I authorize representatives of this city r county t e er the a -Iden ' property for inspection purposes. / 7 nature of Property Owner or Authorized A Print Property Owner's or Authorized Agent's Name ate ACTION DATE Y DECLARATIONOFCOMPLIA CE THCODEOF FOR OFFICE USER NLY FEDERAL REGULA77ONSPART 61 OF TITLE40AMD AQMO RULE 1403. PERMITEXPIRED — ❑ t SUBMITTEDASEESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIRCADONIS NOTAPPLICA13LE TO PROPOSED DEMOLITION PERMfT FINAL 0Z CERTIRCATEOF OCCUPANCYISSUED SIGNATURE: