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HomeMy WebLinkAboutP2021-0518 - PermitsCity of Newport Beach - Building Division *P2021-0518* G 100 Civic Center Drive, Newport Beach, CA 92660 r„. Permit Counter Phone (949)644-3288 - u ° PLUMBING Permit: P2021-0518 Project No: 2581-2021 Inspection Requests Phone (949)644-3255 Job Address: 19 CARMEL BAY DR Bldg: 1 Floor: Suite: • Description of Work: GASLINE TO FIRE PIT & BBQ Inspector Area: 6 Code Edit 2019 Legal Description: N TR 7510 LOT 23 Owner: PHARRIS JOHN/PAMELA Contractor: INSTANT POOLSCAPES °°•°•• Worker's Compensation Insurance - • • Address: 19 CARMEL BAY DR Address: 833 DOVER DR #24 ° Carrier: WC EXEMPT °• °°, • ° ° NEWPORT BEACH CA 92625 NEWPORT BEACH CA 92663 Policy No:(NO EMPLOYEES) ..... Phone: Phone: 949-795-0648 Expire: °• ° Con State Lic: 1009644 °°, °° °•��° IssuedDate:11/02/2021 LicExpire: 12/31/2021 '"° °°•°°• BusLic BT30053469 •••°•• Processed By: SntLic Date: 12/31/2021 °°°°•• • ° • UO©U00 • 0000 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:O $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: $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 L) all of or L) 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). 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 owp:C jfooperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I aeI exempt fromlicensure under the Contractors' State License Law for the following reason: �§ Prly**nature• Delow4 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 structureVai2 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 Cede, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.htmi. 'Siglidture of PrgpeC% 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 an essi e, a�mylicens�ull force • • Bald effect. • . • `\ �-�_ -Z , .UQws9 Class •' • License No Date Contractor Signa re WV@Rd(ERS' COMPEEAN'SATION DECLARATION NARNIN(i FAILURF'TO,SEyURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE PJ)§%q F�COMPENSAVION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. I rtreby 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 performance of the work for which this permit is issued. Policy No. I 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' urance carrier and policy number are: certify that, in the performance of the if I should become subject to t" re of Policy Number Date 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 provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. CLARATION REGJ nalco1NG AGENCY :reby affirm under pety f per at there is a nstruction lending agency for the performance of the work for which this permit is issued (Sectio 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 provide I agree to comply with all applicable city and county ordd nces and state laws re ting to building construction. I authorize representatives of this city or county•^ er the above -id entifed pr96rty for ws4act'nn purposes / nature of Property Owner or Authorized Agent \ Print Property Owner's or u Prorized Agent's Name (..� ACTION DATE BY'DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF IfTL.E40AND AQMD RULE 1403. PERMIT EXPIRED ❑ / SUBMITTEDASBESTOS NOTIFICATION TO:. ❑ EPA ❑ AQMD PERMITC1INCELLED PERMITEXTENDED ❑ ASBESTOS N071FICATION IS NOT APPLICABLE TO PROPOSEDDEMOLITION. PERMITFINAL CERTIFICATEOF SIGNATURE. OCCUPANCYISSUED