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Home My WebLink AboutP2019-0015 - PermitswIv$ City of Newport Beach - Building Division II�IIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIII II 100 Civic Center Drive, NewpafoBeach°CA 926(!0: 2 0 1 9 0 0 1 5 F�§ Permit Counter Phone (949)644:3288 m ° • : m o ° : m -. V .� a •• e•o e e c e e V om • • mee oe :��Mgri'aSiE'�b e ° om •°. o •o •°• e e • ° Job Address: 3632 BLUE KEY Bldg:14loor:m Aaite:- Description of Work: SFR GAS TO BBQ & FIREPIT Inspector Area: 4 Code Edit 2016 Legal Description: N TR 6152 LOT 32 Owner: RESSLER BARRON Address: 3632 BLUE KEY CORONA DEL MAR, CA 92625 Phone: Issued Date:01/15/2019 Processed By: ° em m m em• e° Contractor: CAPACI ENTERPRISES INC Address: 1345 EOLUS AVENUE PLUMBING Permit: P2019-0015 Project No: 0070-2019 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier: EXEMPT Policy No: Expire: 03/06/2019 IN,�) " R% Cl 0 ENCINITAS, CA 92024 Phone: 949-945-8362 Con State Lic:868248 Lic Expire: 07/31/2020 Bus Lic: BT30040251 Lic Exp Date: 1013112019 PLUMBING Permit: P2019-0015 Project No: 0070-2019 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier: EXEMPT Policy No: Expire: 03/06/2019 IN,�) " R% Cl 0 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. 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:0 $0.00 Lndryrrrap: 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 the reason(s) indicted be loon by the cheokmaris) 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, 1rrwlish,t)r seAiranp ducture,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 L2w'(C1aptdr 9 (ctlmmehcin§ Mh 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 (_) all of or U portions Qf the YmFk, and the streeture is inat 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, througg employees; or personal effGrt, 1ANI s 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 cpprp4gn, thI?Qane;Quilde6,JW hAILOthe burden of provingthatit 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). 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 when this application is submitted or at the following Web site:http://www.leginfo.ca.govicalaw.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 Professions Code, and my license is in full force and effect. I p License Class C -S3 License No O p DO 2_g0v Dates L') Contractor Signatu NORKERS' COMPENSATION DECLARATION v� YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE KLINDREdTHOUSAND DOLLARS ($100,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5705 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 th rerformance of the work for which 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: Policy Number of Agent Date 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 ould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. bature of Applican ua 7 CLARATION REG N R T N LENDING AGENCY Ireby affirm under penalty ofjury 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 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. 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 slate laws relating to building construction. I authorize representatives of this city or count to r e above -identified property for inspection purposes. Ta r nature of Property Owner or Authorized a 66 Print Property Owner's or Authorized Agent's NI ACTION DATE BY DECLARATION OF COMPLIANCEWITN CODE OF FEDERAL REGULATIONS PART 61 OF TII LE40AIVD AQMDRULE1403. PERMITEXP/RED ❑ I SUDMfTTED ASBESTOS NODFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NORFICARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITCANCELLED PERMITEXTENDED PERMIT FINAL CER77FICATEOF SIGNATURE. OCCUPANCYISSUED Date