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Home My WebLink AboutP2020-0022 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIII II PLUMBING Permit: P2020-0022 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 0 0 0 2 2 Project No: 7182-2019 F _ Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 INSP CTOFF Job Address: 663 VISTA BONITA Bldg: 1 Floor: Suite: L Description of Work: PLUM/REPLACE GAS LINE TO HOUSE Inspector Area: 8 Code Edit 2016 Legal Description: TR 5877 (L.L.84-214030) PAR 35 AND PAR 35G Owner: TALAYEH ESMAILISHAHROO Contractor: OWNER/BLDR Worker's Compensation Insurance - Address: 76 IELLE CIR Address: Carrier NAHEIM 92808 Policy No: Phone: Phone: Expire: Con State Lic:O/B ° Issued ate:01/3112020 Lie Expire: Bus Lie: ° Processe Lie Exp Date: VL 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 00 Bidet 0 $0.00 Garbage Disp: 0 $0.00 Water Softener: 0 $0.00 Grease Trap: 0 $0.00 $0 ^0 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 $7.00 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 Lndryfrrap: 0 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair:0 $0.00 Issuance: $0.00 Floor Sink: 0 $0.00 Regulator: 0 $0.00 Hose Bibb: 0 $0.00 Sewer Abandon: 0 $0.00 Supplemental Fee: $10.00 Floor Drain: 0 $0.00 Lawn Sprinkler: 0 $0.00 Drinking Fountain: 0 $0.00 Additional Fee: $0.00 TOTAL: $17.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $17.00 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. 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 -Builder will have the burden of proving that it was not built or 6�Qved for the purpose of sale). X, 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 signature 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 structure that 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 wh t . ation is sub a or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Prope,:/ Owner or Authorized Agent n Date�— LICENSED CONTRA TOR'S DECLARATION I affirm under renalty of perjury that I am li nse l under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Co e, and my license is in full force and effect. Liuensd Class _ License No Date Contractor Signature WORKERS' COMPFNSATION DECLARATION NARNING: 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 ($100,000), IN ADDITION TO THE COST nr COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. harsh. affirm uMPr penalty of perjury one of the following declarations: i ,lave 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 thI .a. fjia.ance of the work for which this permit is issued. Policy No. have and will mainain 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' rancz carder and policy number are: I _ _ Policy Number Expiration Date f Agent Phone # 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 lould become subject tope workers' comB9Dsa4n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant Date )c I hereby affirm underlpenalty 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). Lenders 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 atatglaws relating to building construction. I authorize representatives of this city or county to eat a all enentifi�roperty for inspection purposes. . I �. Signature of Property Owner or Authorized Agent�n Print Property Owners or Authorized Agent's Name � �[.5l4 A I d �ifvj p�'� Da ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OFI f7LE40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS N07IFIC4770NIS NOTAPPLICA13LE TO PROPOSED DEMOLITION. PERMIT FINAL Q CERTIFICATE OF SIGNATURE., OCCUPANCYISSUED