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Home My WebLink AboutP2016-0554 - PermitsCity of Newport Beach - Building Division *P2016-0554* 100 Civic Center Drive, Newport Beach, CA 92660 r Permit Counter Phone (949)644-3288 V Job Address: 2901 CAROB ST Bldg: 1 Floor: Suite: Description of Work: GASLINE TO BBQ AND FIREPIT Inspector Area: 8 Code Edit 2013 Legal Description: N TR 5018 LOT 102 Owner: RADOVANOVIK ALEX Contractor: ETHANS POOLS INC Address: 2901 CAROB ST Address: 895 DOVE ST. STE 300 NEWPORT BEACH, CA 92660 omo°o NEWPORT BEACH, CA 92660 Phone: Phone: 714-337-4955 m m Con State Lic:998964 Issued Date:10/20/2016 Lie Expire: 12/31/2016 Bus Lie: BT30052307 Processed By:D s�%l t Lie Exp Date: 01/31/2017 PLUMBING Permit: P2016-0554 Project No : 2466-2015 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - .... w Carrier: SECURITY NATIONAL INSURANCE Policy No:SWC1086630 m• m Expire : 11/02/2016 E ° • • ° ° • ma c •moe m.mmo omo°o • mmmm®° m m • o ° 000mom o v ° Misc. 000moo °oom o 0 s • ° mm•m PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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 $6.00 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: $32.00 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: $38.00 Plan Check Fee : $38.00 Fee Due at Permit Issuance : $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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 applicabl@ 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). ❑ I, as owner ofjhe property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not napply to an owner ofproperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). M t alp exemptfjW licensure under the Contractors' State License Law for the following reason: By my signature -below Facknowledge 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, .sella structure fhal 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 ' PLojassions Coale, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. SI�Ic nature of ProperAwner or Authorized Agent Date • 0. • • : LICENSED CONTRACTOR'S DECLARATION :1 heieby affirm undBnpenalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Co d my license is in full force "arfd'ryffect. '....� CiWrfs8 Class License No Date Contractor Signature 7 0W4RS' CQMPENSATION DECLARATION r1ARNING:'FAILURE'1VS1E8I1RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH D DOLLARS ($100,000), IN ADDITION TO THE 30"ISROOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. he6eby affirm under peialty 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 th 7efformance 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: is of Agent certify that, in the performance of the work if I should become subject to the workers_ of Policy Number Date 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 ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. CLARATION REGf RDING CONSTRYCTFIN LENDING AGENCY �reby affirm underPenalty of perjury t a ere is a construction lending agency for the performance of the work for which this permit is issued Ider's Name 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 owner's behalf. have read this application and the information I have providedis correc I agree to comply with all applicable city and county ordinances and laws relating to building construction. I authorize representatives of this city or county Xt rI (P ter t e ve de ified property for inspection purposes. nature of Prooertv Owner or Authorized Aaent / Print Property Owner's or Authorized Agent's Nam ACTION I DATE CERTIFfCATEOF OCCUPANCYtSSUED PART 64 OF TITLE40 AND AQMDRULE 4403. ❑ I SUBMfTTEDASBESTOS NO77FICATION TO: ❑ EPA AQMD ❑ ASBESTOS N017HCARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: 3097, Civil Code).