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Home My WebLink AboutP2022-0151 - Permitsir City of Newport Beach -Building Division *P2022-0151* PLUMBING Permit: P2022-0151 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1899-2020 4. `* Permit Counter Phone (949)644-3288 t'rSrua+v'n ,' Inspection Requests Phone (949)644-3255 Job Address: 317 APOLENA AVE Bldg:1 Floor: Suite: Description of Work: ELEC/PLUM: GAS LINE FOR BBQ. °°• °° ° o°°°•o • ° Inspector Area: 2 Code Edit2019 ••° ° ° •°° Legal Description: BALBOA ISLAND SEC 3 BILK 16 LOT 28 Owner: ROSE DAVID Contractor: WATERPOINTE CUSTOM HOME Worker's Compensationlnsurance- m°°°m• Address: 219 MARINE AVE #A Address: 3500 E COAST HWY #110 Carrier: STATE COMP INS FUND °, V,° NEWPORT BEACH CA 92662 CORONA DEL MAR CA 92625 Policy No:1952335 Phone:- 949-706-1984 Phone: 949-644-8900 Expire : 05/01/2023 ° °• • Con State Lic:947494 ° ° Issued Date: Lic Expire: 05/31/2024 � Bus Lic: BT30036114 • • ° Processed By: Lic Exp Date: 06/30/2022 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 $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 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 : $52.00 TOTAL: $98.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $98.00 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. 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 lot 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 f)fvressions 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 improvemer"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 i2VI(Ived for top g4rpose of sale). I, as owner oll 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 exerupt f"n licensure under the Contractors' State License Law for the following reason: 3.v 1-14 signaturpAkjv 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 1 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 ..FJrofessiooa Coda, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. �Wggture of Property Owner or Authorized Agent Date • LICENSED CONTRACTOR'S DECLARATION t hereby aff �rrn 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 Code, and my license is in full force and effect... . Me4e Class. License No Date I Zt ZZ Contractor Signature k 05RKERS"GOMFIENSATION DECLARATION VARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($1(10,000), 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 thl )ertdrmance 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' ranee carrier and policy number are: Policy Number of Agent Date certify 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 , if I should become subject to thq workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant a 121t2Z DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I 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 (Section 3097, Civil Code). 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. 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 state laws relating to building construction. I authorize representatives of this city or county to ant: er�h�"'abov�-i�ifed property for inspection purposes. Gt 1 �,- 1 ` (1 Ll Signature of Property Owner or Authorized Agent )C � t Print Property Owner's or Authorized Agent's Name X W _ ```dc, Date ZZ AC77ON DATE BY DECLARATION OF COMPLIANCE IAIITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TIRE 40 AND AQMDRULE 1403. PERMITEVNRED ❑ I SUBWTTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIRCATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTTFICATEOF SIGNATURE_ OCCUPANCYISSUED