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HomeMy WebLinkAboutP2020-0179 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 r'rcieou�'� , Job Address: 387 VISTA BAYA Bldg: 1 Floor: Suite: Description of Work: PLUMB/TO BBQ & FIRE -PIT IN REAR YARD Inspector Area: 3 Code Edit 0 Legal Description: N TR 2609 LOT 15 III'�P2�II02I�II0�IITDI0ILI7I� II Owner: DOBSONIKRAMER Contractor: SANTANIELLO JAMES Address: 433 HARBOR ISLAND Address: 3419 VIA LIDO #115 NEWPORT BEACH, CA 92660 1 NEWPORT BEACH CA Phone: Phone: 714-815-5097 Con State Lic:361862 Issued DateA1/17/2020 Lie Expire: 08/31/2022 Bus Lie: BT30035016 Processed By: C Lie Exp Date: 03/31/2021 PLUMBING Permit: P2020-0179 Project No: 2048-2020 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Cn Carrier: STATE COMP INS 92663 Policy No:9266012 r y r+ Expire: 01/01/2021 1 0 -7 Bathroom Fixtures X 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 omo •m• ••• m ccm o a o 0 o m o e me c. 0 0 • o c eo 00 •o 0 0 0 c • 0 0cm o m •o• • • • (oo <.o m m o e e <. o mo c m c 0 000 om oe o • ew rm 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/Trap: 0 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair:0 $0.00 Issuance: $37.00 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: $44.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $44.00 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 omo •m• ••• m ccm o a o 0 o m o e me c. 0 0 • o c eo 00 •o 0 0 0 c • 0 0cm o m •o• • • • (oo <.o m m o e e <. o mo c m c 0 000 om oe o • ew rm OWNER -BUILDER DECLARATION I hereby affirm under penally 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 appl giant 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). 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:http://www.leginfo.ca.gov/calaw:h(ml. 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 Se tion 7000) of Division 3 of the Busin s and Profes ons Code and my license is in full force and effect. License Class License No Dat Contractor Signatu NORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU RED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: I 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 th pe rmance of the work for which this permit is issued. Policy No. I have and will fain 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' compensatio insurance carrier a policy numb r re: Carrier olicy Nujnb i Expiration Date Name of Agent i Phone # I certify that, in the perform a of a work for which this rmit is issued, I shall not employ any person in any manner so as to become subject to the workers' comp nsation laws of California, and agre that, if I should become sub' t to th workers' compensa' provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro s. 7 Signature of Applicant Darts ` �/ /AL Tc DECLARATION REG D G C NSTRU DING AGENCY I hereby affirm under onalty o perjury that the 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 below, 1 cerMy to each of the following: I am the property owner or authorized to act on the pro arty owner's behalf. I have read this application and the information I e pro ided is correct.`,//p 1 agree to comply with all applicable city and co ty ordi nces and s e laws relating to building construction. 1 authorize representatives of this city or count ante the ove-I Q;--h—led property for inspection purposes. Q; --h— ..r Dr..,. w n., .,r n,nHnrl,ad Anmf Print Prooertv Owner's or Authorized ADent's Namdi; __ D AGDON PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUEO DATE —I C- RY OFTITLE40AND • • • µr166r�Rutc cava. • • • • • ❑ j $USMfTf04WESTOS A1011FICATION TO. • • •• EPA ❑ AOMD ❑ ASBESTOS M07IRCAITOMISNOT APPLICABLE TO .. ..• •P proWPOPMOLITION, • • • • if GMgTUR% ;