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Home My WebLink AboutP2021-0137 - PermitsCity of Newport Beach - Building Division I 111�111111111111p11111p11111111111p11111p1111111p 11 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 1 0 1 3 7 Permit Counter Phone (949)644-3288 tY �'{xiasra�� Job Address: 1407 SANTIAGO DR Bldg: 1 Floor: Suite: Description of Work: PLUMB -GAS LINE - 2 STUBS (BBQ & FIRE PIT) Inspector Area: 3 Code Edit 2019 Legal Description: N TR 3851 LOT 53 Owner: WHEELER SHARI Contractor: RICK DORN CONST Address: 1407 SANTIAGO DR Address: P O BOX 10047 NEWPORT BEACH, CA 92660 FEES WESTMINSTER CA 92685 Phone: Phone: 714-585-7322 Con State Lic:357535 Issued Date:04/2812021 Lic Expire: 05/31/2021 Lic: BT30074323 Processed By: 2rBus Lic Exp Date: 02/28/2022 PLUMBING Permit: P2021-0137 Project No: 0387-2021 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : WC EXEMPT Policy No:(NO EMPLOYEES) Expire : 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. m m . o0o m m moc ° c o " o mom cc coc c c c ° c � c °mo mm® o ® mmo mm° mmm 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. m m . o0o m m moc ° c o " o mom cc coc c c c ° c � c °mo mm® o ® mmo mm° mmm OWNER -BUILDER DECLARATION i . „ 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 iteK(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 `) 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). ❑ 1, 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 entirely 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 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 Professions Co and my license is in full force and effect. License Class License No Date Contractor Signature NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO RTO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND ED 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. 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 ormance of the work for which this permit is issued. Policy No. 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' compensa Trance carrier and policy number are: Agent Policy Number Expiration Date Phone # tify that, in the performance 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 I should become subject to the workersf;emperysation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provirsions. of CLARATION REGAR9fNQXIffITS7W=TION LENDING AGENCY :reby affirm under penalty of perjulty that there is a construction lending agency for the performance of the work for which this permit is issued (Section 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 to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and stat 4e r sting to building construction. I authorize representatives of this city or county to enter the above;Wrtifiopfoperty for inspection purposes. J nature of Prooertv Owner or Authorized Agent _ / Print Property Owner's or Authorized Agent's Nar'+z ACTION DATE ' BY ULCLAHAI IOIV Ot COMPUANCt W1 r H COOL Ut e,l FOR OFFICE USE ONLY FEDERAL RFGULAIIONSPART61 OFTITLE40AND PERMITEXPIRED AQMDRU4'Et40 • ❑ is HOT -FI Ai1UNTtj: PERMIT CANCELLED ❑ EPA • ... • • 0 • : • PERMITEXTENDED ❑ AQMD ❑ ASBESTOS N071FICA170MIS NOT APPLICABLE TO PERMIT FINAL PROPOSED DEMOUT/ON. • .•• • a •• OCCUANCYf f SIGNATURE: •• • • • •• e • • e e OCCOPANCYISSOED - • • • • • • • • • •