The URL can be used to link to this page

Home My WebLink AboutP2021-0289 - Permitsr �p City of Newport Beach - Building Division 111111111111111111111111111111111111111p111111111111 d 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 8 TWIN LAKES CIR Bldg: 1 Floor: Suite: Description of Work: SFR GAS LINE FOR FIREPIT Inspector Area: 6 Code Edit 2019 Legal Description: N TR 7510 LOT 12 Owner: PICKART TIM Contractor: VICTOR O LAREY Address: 8 TWIN LAKES CIR Address: 1742 PINE ST CORONA DEL MAR, CA 92625 HUNTINGTON BCH CA 92648 Phone: 714-473-1938 Phone: 714-305-4955 Con State Lic:514239 Issued Date:09113/2021 Lie Expire: 07/31/2023 y/ Bus Lie: BT30058476 Processed By: v Lie Exp Date: 0313112022 PLUMBING Permit: P2021-0289 Project No: Inspection Requests Phone (949)644-3255 9494 Worker's Compensation Insoce - a99944 Carrier: STATE FUND PolicyNo:1868014 0 Expire :1112312021 LU b 8 8 0 4 94848 °BJi• 4 �q Ar ° °Op38 f!� •JJ ° `30°9O0 4 Bathroom Fixtures Kitchen Fixtures Misc. FEES Misc. Other ° oe49 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 $8.00 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 over2": 0 $0.00 Sewer Alter/Repair:0 $0.00 Issuance: $38.00 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: $46.00 Plan Check Fee : $46.00 Fee Due at Permit Issuance : $0.00 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. ER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 U 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 signaturgiJVjpw 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 structure thEtt 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 Me, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw. html. Siglqure of etojVrty Owner or Authorized Agent Date •••" LICENSED CONTRACTOR'S DECLARATION %hereby affirm Qnder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prof 6n ode, an my license is in full force Md effect. . • L{ L.icefte Class'••• License No Date Contractor Signature NORKERS' COMPENSATION DECLARATION NAII8111 y: FAILUP4Ed06ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE pQ$T.W COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ,4we4y.affirm under g1nalty of perjury one of the following declarations: 111 ha;e and 'ZIL 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 the nce of ttjP wort{ for which this permit is issued. Policy No. t.••.. Vurance e 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 carrier and policy number are: ie of Agent certify that, in the performance qJ the work , if I should become subject a orkers' lature of Applicantg®_. Policy Number Date 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 �nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. hereby affirm under penalty of perjurythat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ender'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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordin ce�,and state laws relating to building construction. JJ I authorize representatives of this city or county to enter IgiSov id�ifie operty for inspection purposes. q /� Siqnature of Property Owner or Authorized Agent (((((( �U P.rirtf Property Owner's or Authorized Agent's Name %r Date/ AEON DATE BY DECLARATION OF COMPUANCE LYITH CODE OF FOR OFFICE USE ONLY FEDERAL REGUL4TIONSPART 51 OF T/7LE40AND AQMD RULE 1403. PERMITEXPIRED ❑ I SUDMITTEDASB€STOS N077FICATIONTO:. ❑ EPA ❑ AQMD.. PERMITCANCELLED _ PERMIT0(TE1VDE7 PROPOSED .DEMOLITION.ASBESTOS RONIS NOT APPLICABLE TO PERMITFINAL 5-12 CERTIFICATEOF SIGNATURE: OCCUPANCYfSSUED