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HomeMy WebLinkAboutP2022-0118 - PermitsCity of Newport Beach - Building Division I 111�1111 III 11111p11111p11111111111p11111p11111111111 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 2 0 1 1 8 ' Permit Counter Phone (949)644-3288 Job Address: 316 ISLAND AVE Bldg: 1 Floor: Suite: Description of Work: GASLINETO BBQ AND FIRE PIT Inspector Area: 1 Code Edit2019 Legal Description: EAST NEWPORT BILK A LOT 78 Owner: GLADDY KRISTY Contractor: DIAMOND WEST CONSTRUCTION Address: 410 112 CLUBHOUSE AVE Address: 6676 VAN BUREN BLVD NEWPORT BEACH CA 92663 RIVERSIDE CA 92503 Phone: Phone: 951-906-2774 Con State Lia927263 Issued Date:05/31/2022 Lic Expire: 0713112022 Lic: BT30075938 Processed By: Z�fBus Lic Exp Date: 07131/2022 PLUMBING Permit: P2022-0118 Project No : 0265-2022 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier: NO EMPLOYEES Policy No: Expire : ° ° . FEES a`° 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 $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:O $0.00 Lndryfirap: 0 $0.00 Backflow, over 2": 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 : $0.00 Fee Due at Permit Issuance : $46.00 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 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 (_) 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-Builderwill 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). I am exempt from licensure under the Contractors' State License Law for the following reason: By my signatijw 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 stmctylye tfiat 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.htm]. .Sig Rature cQ P[opeky Owner or Authorized Agent Date • LICENSED CONTRACTOR'S DECLARATION .I hereby affimfunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing ith action 7000) of Division 3 of the Business and Professions ode, and my license. is in full force • And effect! .I�icer>jse Cla4.License No Date s 2- Contractor Signature WORKERS' Cs�O14P•ENSATIONDECLARATION wAMr{p: FAILURE TO SLCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU DRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE �W.OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. IJ"%* affirm 1lindeppenalty of perjury one of the following declarations: * I hgve an N1,11 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 paifem nce of tpe wock for which this permit is issued. Policy No. r• fiaave and w*w4aAain 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' compensatiol M u e carrier and policy number are: Policy Number Agent Date 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 become subjec;ao thq Urkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisys. of DECLARATION REtApd[NG CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued Ender's Name Lender's Address y 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 c unty ordinances and state laws relating to building construction. I authorize representatives of this city, or co to enter the 'shove -identified property for inspection purposes. kmature of Property Owner or Authorized Age t Print Property Owner's or Authorized Agent's Nam ACTION DATE BY 1. 1 FEDERAL REGULATIONS PART bt OF TITLE40 AND AOMD RULE 1403. PERMT EXPIRED ❑ I SUBMITTEDASBESTOS NO7IRCATION' TO: ❑ EPA ❑ AOMD PERMIT CANCELLED PERMITEXTENDED ❑ ASBES70SN07INCA7I0NISNOTAPPLICABLETO PROPOSED DEMOLITION: PERMIT FINAL '(�J CE.RTIFICATEOF SIGNATURE . OCCUPANCYISSUED 3097, Civil Code).