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Home My WebLink AboutP2022-0108 - PermitsCity of Newport Beach - Building Division 11�1111 11111111111111111111111111111111111111111111111 Jill 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 2 0 1 0 8 n,. Permit Counter Phone (949)644-3288 Job Address: 1101 BERKSHIRE LN Bldg: 1 Floor: Suite: Description of Work:. PLUMB/GAS LINE TO FIRE -PIT Inspector Area: 3 Code Edit 2019 Legal Description: N TR 3031 LOT 9 Owner: BOTSFORD SCOTT/BARBARA Contractor: THE POOL CONNECTION INC Address: 1101 BERKSHIRE LN Address: 7740 E DOHENY CT NEWPORT BEACH, CA 92660 ANAHEIM CA 92808 Phone: Phone: 714-301-9930 Con State Lic:1062685 Issued Date:05/17/2022 Lic Expire: 01/31/2024 Bus Lic: BT30078754 Processed By: Lic Exp Date: 05/31/2023 PLUMBING Permit: P2022-0108 Project No : 0978-2021 Inspection Requests Phone (949)644-3255 cc yy 0 Worker's Compensation Insurance - Carrier: STATE COMP.INS Policy No:9269572 Expire : 02/10/2023 ®s 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 : $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. • • L ® 9 ••Y 9 ^ o `u'J • a a .. • q �Je Y non p y a 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 permitsubjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, 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 70 4, 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 Contactor 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 o(�e 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 entirety by licensed contractoIrs. 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.html. 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 annd PPrroffessions Code, and my license is in full force and effect License Class License No Datesq/� ��- Contractor Sig natueP\ COMPENSATION DECLARATION 'ARNING' FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL 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: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Direi erjormance of the work for which this permit is issued. Policy No. have and will maintain workers' rance carrier aqd-pe.1jcy number IS of Agent certify that, in the rformance of the if I should become subject„ 01he wo lature of Applicant insurance, as required by Section 3700 of the Labor Code, for AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE of Industrial Relations as provided for by Section 3700 of the Labor Code, for performance of the work for which this permit is issued. My workers' Date which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and npensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. hereby affirm under benalty of perjury that there is a construction lending agency for the performance of the work f Ender's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have pr5q�Odecl is correct. I agree to comply with all applicable city and county nces totetate laws relating to building construction. I authorize representatives of this city or count to th entified r or inspection purposes. this permit is issued (Section 3097, Civil Code). M ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL RESULATIONSPART 61 OF TITLE40 AMD AQMDROLE14ji3. • PERMITEXPfRED ❑h3j3DMI7-FEDA$BESTOS NO nFICATON TO:: a ❑' EPA � • � i PERMIT CANCELLED • n • -' ❑•`AQMidi.• ° +� PERA41TEXTENDED v •�• NOT PROPOSED DEMOLITION.DOMISNOT APPLICABLE 70 - PERMIT FINALAAESTOS • CERTIFICATE OF SICNATbRE:o -. OCCUPANCYISSUED -,