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Home My WebLink AboutP2022-0097 - PermitsCity of Newport Beach - Building Division *P2022-0097* 100 Civic Center Drive, Newport Beach, CA 92660 F• r�, - ui, Permit Counter Phone (949)644-3288 1y g�z, q J Bd'�i'S-5 Lj a C11 'alyYalL�� Job Address: 19 VINCENNES Bldg: 1 Floor: Suite: Description of Work: PLUMB -GAS LINE TO BBQ & FIRE PIT Inspector Area: 6 Code Edit 2019 Legal Description: N TR 15717 LOT 41 Owner: GRI LAND DEVELOPMENT II LLC Contractor: HIGH PROJECT CONSTRUCTION INC Address: 19 VINCENNES Address: 14200 VICTORY BLVD APT 117 NEWPORT BEACH CA 92657 VAN NUYS, CA 91401 Phone: Phone: 818-384.4643 Con State Lic:1067713 Issued Date:05/11/2022 Lic Expire: 08/3112022 Bus Lic: ST30078718 Processed Bv: B5 Lic Exp Date: 05/31/2023 PLUMBING Permit: P2022-0097 Project No: 3009-2021 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier: WC EXEMPT - NO EMPLOYEEZ > > Policy No: Expire: FEES Kitchen Fixtures Misc. 0 $0.00 Misc. Roof Drain: 0 $0.00$0.00 Other0 $0.00 Kitchen Sink: 0 0 $0.00 $0.00 Water Piping: Water Softener: 0 $0.00 Grease Trap: 0 $0.00 $0.00 FFeathroomFixturesixtures 0 0 $0.00 $0.00 Garbage Disp: Bar Sink: 0 $0.00 Water Heater: 0 $0.00 Grease Interceptor:0 $0.00 0 $0.00 Vegetable Sink: 0 $0.00 Gas up to 4 outlets: 1 $8.00 P-Trap: 0 $0.00 RveotdMgmt Fee: 9 0.00 $000 : 0 $0.00 Ice Maker: 0 $0.00 Gas over 4 outlets: Backflow up to 2": 0 0 $0.00 $0.00 Sewer Sewer: 0 $0.00 Plan Check: $0.00 0 Hydro -Mass Tub:O $0.00 $0.00 Dishwasher: Lndryfrrap: 0 0 $0.00 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair:0 $0.00 $0.00 Issuance: Supplemental Fee: $38.00 $0.00 Floor Sink: 0 $0.00 Regulator: 0 $0.00 Hose Bibb: 0 0 $0.00 $0.00 Sewer Abandon: 0 Additional Fee : $0.00 Floor Drain: 0 $0.00 Lawn Sprinkler: 0 $0.00 Drinking Fountain: 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 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 t1,e pwoerty, 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 c` ): operty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). Li , ain exempt f.�m icensure under the Contractors' State License Law for the following reason: By my signature telov: ' 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 legal) 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 when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of PropcCy Owner or Authorized Agent Dat LICENSED CONTRACTOR'S DECLARATION I Fs-eby affirm ur.d-^ renalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professi ns C �, and my license is in full force and Phect. License Class License No Date ' / )Z Z Contractor Signature X. NORKERS' CQMPF'IJSATION DECLARATION - f NARNINn: 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 CC3T OF COMPENSATION, PAYIAGE5 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 the )erformance of the work forwhich 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' rance carrier and policy number are: of Agent certify that, in the performance , if I should become subject to nature of Policy Number Date 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 compensation provisions of Section 3700 of the Labor Code, I shail forthwith comply with those provisions. r I/ CLARATION REGARDING NST/RUCTION LENDING AGENCY 1b !reby affirm under penalty of pbrjurk that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ider's Name I 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 I have read this application and the information I have provic I agree to comply with all applicable city and county ordinaryry I authorize representatives of this city or county to enter th nature of Property Owner or Authorized Aqent K state laws relating to building construction. lentified property for inspection purposes. I Owner's or Authorized A Date S // Z� ACTION DATE 8'Y DECLARATIONOF COMPLIANCE MTN CODE OF FEDERAL REGULATIONSPART 61 OF TITLE40AND AQMD RULE 1403. ❑ 1 SUBM17TEDASBESTOS NOTIFICATION TO:. ❑ EPA ❑ AQMD PROPOSED DEMOLITIOASBESTOS CN TIONIS NOT APPLICABLE TO SIGNATURE: FOR OFFICE USE ONLY PERMIT EXPIRED PERMIT CANCELLED PERMiTEXTENDED PERMIT FINAL —1Y ti/'�� CERTIFICATEOF OCCUPANCYISSUED