The URL can be used to link to this page

Home My WebLink AboutP2021-0544 - Permitsww'1'r, City of Newport Beach - Building Division `P2021-0544* 100 Civic Center Drive, Newport Beach, CA 92660 H f 1`r Permit Counter Phone (949)644-3288 f.r�rYilYy ` ` Job Address: 1821 TAHUNA TER Bldg: 1 Floor: Suite: Description of Work: PLUMB - GAS LINE TO BBQ & FIRE PIT Inspector Area: 2 Code Edit 2019 Legal Description: N TR 2813 LOT 107 Owner: RIGHEIMER WILL & BONNIE Contractor: INSTANT POOLS LLC Address: 1821 TAHUNA TER Address: 116 SENCILLO PL CORONA DEL MAR, CA 92625 RANCHO MISSION VIEJO CA 92694 Phone: 949/975-0123 Phone: 949-795-0648 Con State Lic:1009644 Issued Date:02/17/2022 Lic Expire: 07/31/2023 Bus Lic: BT30053469 Processed By: l Lic Exp Date: 12/31/2022 PLUMBING Permit: P2021-0544 Project No : 2906-2021 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance Carrier: WC EXEMPT Policy No:(NO EMPLOYEES) Expire : 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 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. 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 -Builder will have the burden of proving that it was not built or improved for the purpose of sale). 1, 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 legally sell a Structl re that'. 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 Prof?ssions Lode, 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 11-.erety affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wwitVSection 7000) of Division 3 of the Business and r ssions Code, my license is in full force ana effect. ' License Class License No Date z"ZContractor Signature WORKERS' COMo5NSATION DECLARATION WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO DOLLARS 3111,000), IN ADDITION TO THE CCSC'Jr COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I ha-eby affirm under penalty of perjury one of the fallowing declarations: I have and will rnapitain 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 Dafiia.ance 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' compensatior insurance carrier and policy number are: Carrier P ' y Number Expiration Date Nape of Agent Phone # /`I.Certify that, in the performance of the rk for w ' all not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree Vat, if I should becomes bject to s compensati provisions of Section 37 he Labor Code, I shall forthwith comply with those provi i S. Signature of Applican DateZ DECLARATION RE DING O STRUCTION LE NG AGENCY I hereby affirm under p alty of pdfjury that there' a construction lending agency for the performance of the work for which this permit is issued (Sectio 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to eac of the following: I am the property owner or authorized to act on the property owner's b I have read this application and the information I have provided orrect. I agree to comply with all applicable city and county ordinan s and state Is relating to building construction. Z I authorize representatives of this city or county t nter a above-identifie property for inspection purposes. Signature of Property Owner or Authorized AgentA Owner's or Authorized Agent's Name L w TZ Datey'_ ACTION DATE BY DECLARATION OF COMPLIANCE MTN CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ 1 SUBM17TEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTEPIDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL I a CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED