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HomeMy WebLinkAboutP2019-0035 - PermitsCity of Newport Beach - Building DivisionIIGIIIIIIIIIIIII IIII IIII�IIIIIIIII I II� Jill °f ! 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 �Iad#aritF�'� Job Address: 2 CAPE ANDOVER Bldg: 1 Floor: Suite: Description of Work: PLUMB - GAS LINE TO BBQ Inspector Area: 3 Code Edit 2016 Legal Description: N TR 15012 LOT 7 Owner: RAVVIT CRISTOPHER Contractor: CONTEMPORARY POOLS & SPAS Address: 2 CAPE ANDOVER Address: 8 CALLE AMEND NEWPORT BEACH, CA 92660 SAN CLEMENTE CA 92672 Phone: Phone: 949.463-0569 Es Con State Lic:456476 Issued Date:01/31/2019 Lic Expire: 02/28/2019 Bus Lic: BT96011220 Processed By: 11ALic Exp Date: 09/30/2019 PLUMBING Permit: P2019-0035 Project No: 3002-2018 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : STATE FUND Policy No:1016832 Expire : 04/01/2019 a• 0 o Es FEESx Misc. Ot 3 Bathroom Fixtures Kitchen Fixtures Misc. 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 Shewgr,Stall: o6 � `,$0.00 Ice Maker: 0 $0.00 Gas over 4 outlets: 0 $0.00 Sewer Investigation: $0.00 Wssbjz sin: `6 '$0.00 Dishwasher: 0 $0.00 Backflow, up to 2": 0 $0.00 Sewer: 0 $0.00 Plan Check: $0.00 Hydro -Mass Tub�O <30.00 Lndry/Trap: 0 $0.00 Backflow overt": 0 $0.00 Sewer Alter/Repair.0 $0.00 Issuance: $35.00 FI[)n[SirLK: 10 10.00 Regulator: 0 $0.00 Hose Bibb: 0 $0.00 Sewer Abandon: 0 $0.00 Supplemental Fee: $0.00 Flpo� Drain: G $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. ° o ca o coca 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 penaltyof 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). ❑ 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 legall, 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:hftp://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and fessions Code, and my license is in full force and effect. -- License Class License No Dat l Contractor Signa NORKERS' COMPENSATION DECLARATION YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE SANG DOLLARS ($100,00D), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have 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 IN mrformance of the work for which this permit is issued. Policy No. :1I have 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' compensatior isurance c m r and policy number are: :arrier P� Policy Number 'i l I ;L Expiration Date-* Jame of Agent Phone # I certify that, in the performan of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre that, if I should become subject t he workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 17 , • Signature of Applic n �I ggtil) 1 1 , •000 •� :.o°oo DECLARATION CTION LENDING AGEN Ending ���i u • • • • o I hereby affirm under penally of perjury that there is a construction agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ' ' • ° 00 Lender's Name Lender's Address By 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. : ..... •°.°° have read this application and the information I have provided is correct. • • „ ' °, •' I agree to comply with all applicable city and county ord ces and state laws relating to building construction. ° ', ; lI I authorize representatives of this city or county I: ente ova-identifie roperty for inspection purposes. ignature of Property Owner or Authorized Agent - ' t Property Owners or Authorized Agent's Na Da ACTION DAIr DECtARATION OF COMPLIANCE MTH CODE OF FORD CE USFDN1Y • ° FEDERAL REGULATIONS PART 61 OF TITLE40AND •....� AQM0 RULE1403. PERMITEXP/RED --- ❑ ISUBMTTEDASSESTOSM071FICATIONTO: PERMIT CANCELLED ❑ EPA ❑ AQMD PERMITEXTENDED ❑ ASBESTOS M017RC4170MIS NOT APPLICABLE TO PERMITFINAL r .9 PROPOSED DEMOLITION. CER77FICATE OF OCCUPANCYISSUED SIGNATURE