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Home My WebLink AboutP2018-0383 - PermitsCity of Newport Beach - Building Division III�II��III�I�� II��IIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 8 0 3 8 3 ti n Permit Counter Phone (949)644-3288 t'�GIYUYr�' Job Address: 2120 ARALIA ST Bldg: 1 Floor: Suite: Description of Work: GAS LINE W/4 STUBS Inspector Area: 8 Code Edit 2016 Legal Description: N TR 4705 LOT 28 Owner: BRETTINGEN NICOLE Contractor: SNYDER & ASSOCIATES LANDSCAPING INC Address: 2120 ARALIA ST Address: P O BOX 5606 NEWPORT BEACH, CA 92660 ORANGE CA 92863 Phone: Phone: 714-997-2709 Con State Lic:895389 Issued Date:04/02/2019i, tl Lic Expire: 04/30/2019 Bus Lic: BT30060490 Processed By: Lic Exp Date: 09/30/2019 PLUMBING Permit: P2018-0383 Project No : 2755-2018 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : EMPLOYEE SERVICE GROUP Policy No:RWCC64383978 Expire : 06/01/2019 § ada ' 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 $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:O $0.00 Lndry/Trap: 0 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair:0 $0.00 Issuance: $35.00 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: $42.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $42.00 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 she rensonls) 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 cunstruct. altEr. imp:o%3, Jeciolis't, 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 Or U all or or U portions of the work, ar,d 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 owiser of oroperty c✓ho, thr3ugh cnplo; eEs' 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 solC w✓ hin oic 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 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). ❑ 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 one year prior to completion of the improvements covered by this permit, I cannot Iegalll 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.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 and Professl ns Co nnn my license is in full force and effect. Contractor Signaturef� License Class License No Dated % 91 I] N N A &TTIll [oP 17 X47 A_1:7e10191 i 'ARNING: 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 DST 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 Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for 'ormance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Ie of Agent certify that, in the performance of the w k for if I should become subject tot ers' co Iature of ApplicanrV 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. / hereby affirm under penalty of perjury that thee is dconstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address y 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 ordin as and state laws relating to building construction. I authorize representatives of this city or county toe ty ab?lve-i ntified property for inspection purposes. ignature of Property Owner or Authorized Agent,) // �� Print Property Owner's or Authorized Date ACTION DATE VBY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS U071FICATION TO: ❑ EPA ❑ AQMD PERM IT CANCELLED PERMIT EXTENDED / I ' PROPOSED DEMOLITION. NISNOT APPLICABLE FO PERMIT FINAL I I,j l CERTIRCATEOF SIGNATURE: DCCUPANCYISSUED