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Home My WebLink AboutP2019-0340 - Permitsty'"IY�i' City of Newport Beach - Building Division II�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II 3 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 s fi '�trans'P Job Address: 1708 NEWPORT HILLS DR W Bldg: 1 Floor: Suite: Description of Work: GASLINE TO BBQ/FIRE PIT Inspector Area: 4 Code Edit 2016 Legal Description: N TR 7032 LOT 15 Owner: WILSON KELLAN BRADSHAW Contractor: INSTANT POOLSCAPES Address: 1708 NEWPORT HILLS DR W Address: 28562 OSO PARKWAY #D243 NEWPORT BEACH, CA 92660 FEES RSM CA 92688 Phone: Phone: 949-795-0648 Con State Lic: 1009644 Issued Date:12/10/2019 Lic Expire: 12/31/2019 IFW., Bus Lic: BT30053469 Processed By: Lic Exp Date: 12/31/2019 PLUMBING Permit: P2019-0340 Project No: 2707-2019 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : WC EXEMPT Policy No:(NO EMPLOYEES) Expire : IN'SPEC.O e e OCf9VOA0 m c ee° 0 O 6{f C Fe eye ee e cern, ffGC: ®Vose on eoe� 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 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 $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) crap: 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,,Mm(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 Givil penalty of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved fors hp.°%I mole of sale). ® 1, asrowner of thepproperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not :°.'::gU is an ovitrl4r t1r operty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). Q 1 Am exempAlrofn licensure under the Contractors' State License Law for the following reason: 0y 1*4gnature Whhoaw� I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit. I cannot legal) ,Sell struchfe{}.'�t S: have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and &Cfessiorrs•(f ,ie available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw. html. `81g*1ure of Prcf1J <Owner or Authorized Agent Date m j' LICENSED CONTRACTOR'S DECLARATION r 1.1 eldby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with tion 7000) of sion 3 of the Business an fofession Code my license is in full force nd a. aeffect. ,Vi$ens°r'„Class �. � License No Date t-- G I 1 Contractor Signature W RIIERS' COMPL�NSATION DECLARATION WPRiIIiIDB FAILUR@4f0E�eRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOO HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE Ce31•UF COMPE A' 1'V DAMAGES AS PROVIDED FOR IN SECTION 37D6 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 Ice 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' compensa carrier and policy number are: Policy Number Date is of Agent vnone s certify that, in the performance a work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the . if I should become sFlbie o the wo ers' compensation proms of Section 3700 of the Labor Code, I shall forthwith comply with those provisionV nature of Applicant us CLARATION REG DING GENCY areby affirm underenalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued S tder's Name e 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 have provide correct. I agree to comply with all applicable city and count ordin as and state lL g to building construction. I authorize representatives of this city or county t ent re/he fo ' coon purposes. nature of Pronertv Owner or Authorized Acent Print Property Owner's or Authorized Agent's Name compensation laws of California, and C ts 3097, Civil Code). ACTION DATE &Y QECLARATION OF COMPLIANCEIMTHCODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART G1 OFT17LE40AND AQMD RULE 1403. PERMIT EXPfRED ❑ f SUBMITTED ASBESTOS N071FICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXT£NDED ❑ ASBESTOS N077ACA770MIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL 2 CERTIFLCATE OF SIGNATURE: OCCUPANCYISSUED