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Home My WebLink AboutP2017-0432 - PermitsCity of Newport Beach - Building Division 111111111111111111111111111111111111111111111111111111111111 ty 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 7 0 4 3 2 Permit Counter Phone (949)644-3288 Job Address: 3621 SAUSALITO DR Bldg: 1 Floor: Suite: Description of Work: GASLINE TO BBQ Inspector Area: 4 Code Edit 2016 Legal Description: N TR 6229 LOT 6 Owner: EDWARDS GARY AND NAOMI Contractor: G D M LANDSCAPE Address: 3415 SEABREEZE LN Address: 31878 DEL OBISPO, STE 118 #435 CORONA DEL MAR, CA 92625 SAN JUAN CAP CA 92675 Phone: Phone: 949-433-0057 Con State Lic:881282 Issued Date:09/25/2017 Lic Expire: 09/30/2019 Bus Lic: BT30048427 Processed By: 6 Lic Exp Date: 09/30/2018 PLUMBING Permit: P2017-0432 Project No: 1471-2014 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - .... Carrier: WESCO INS °eeem Policy No:WWC3258893 Expire 03121/2018 momm e ° ° e m em e ee o o mo e m o . omo .. e 0 0 0 om000 00000 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR CAST 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 mmm m . ° 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 so.(ra 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 Lndryrrrap: 0 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair:0 $0.00 Issuance: $33.00 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: $39.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $39.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR CAST 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 (_) all of or (_) 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 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 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 COd@,js available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Ffraperty Owner or Authorized Agent Date ' LICENSED CONTRACTOR'S DECLARATION '. I hereby affirrR ilaaar penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ecti n 7000) of Division 3 of the Business an P e: i Code, and my license is in full force • ant effect. Licemse Class License No Date —I !lam 11 Contractor Signature MORKPRS' CQ� EI NSATION DECLARATION NARNONG: FAILURER ��QQSE,CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO NE HUNDRED THOU NO DOLLARS ($'100,000), IN ADDITION TO THE iw_ - COMPENydTjON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTO EY'S FEES. J1.e1%b,v%ffirm I?ndei'ISenalty of perjury one of the following declarations: ❑ i im a 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 thI mance of $hewoult for which this permit is issued. Policy No. Bel and wjll maipZSin 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 Crim r nsurame carriep and policy number are: barrier Policy Number Expiration Date is of Agent certify that, in the p . if I should become of work for which this permit is issued, I shall not employ any person in any manner so as to become subject to th or ers' compensation laws of California, and rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio n If, I n.re r� CLARATION REG/(RDING CDi'1S�RUCTION LENDING AGENCY ereby affirm undue penalty of perju hat there is a construction lending agency for the performance of the work for which this permit is issued ection 3097, Civil Code). Ider's Name 4 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 nan s state laws relating to building construction. I authorize representatives of this city or county to e,21 r tl( b identified property for inspection purposes. n._ ,r _ An,,..._I ACTION DATE BY urUrur IJVJr ur wniruwva.r rnrn wurw r FEDERAL REGULATIONSPART 61OF TITLE40AND AQMDRULE 1403. PERMtTEXP/RED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NOII17CA770AIIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL I r VV CERTIFICATED€ SIGNATURE: OCCUPANCYISSUED Z