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Home My WebLink AboutP2018-0373 - Permits'1 {y City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIlillilIIIIIIIIIIIIl II of 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 8 0 3 7 39 Permit Counter Phone (949)644-3288 Job Address: 28 MORRO BAY DR Bldg: 1 Floor: Suite: Description of Work: PLUM GASLINE FROM METER TO POOL HEATER Inspector Area: 4 Code Edit 2016 Legal Description: N TR 7386 LOT 65 Owner: LE TIMOTHY Contractor: POOL LOGIC Address: 28 MORRO BAY DR Address: 1255 RUGGLES STREET CORONA DEL MAR, CA 92625 e e •eemoo LA VERNE, CA 91750 Phone: Phone: 909-450-7804 Con State Lic:1013333 Issued Date: 11/08/2018 Lic Expire: 04/30/2020 5fAA Bus Lic: BT30062782 Processed By: Lic Exp Date: 04/30/2019 PLUMBING Permit: P2018-0373 Project No : 2642-2018 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : STATE COMP Policy No:9155131 Expire : 03/17/2019 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. a e e •eemoo rm•e6� • Bathroom Fixtures e em emaoo Misc. Other •RGom• mm•dCf. • 0 Kitchen Sink: 0 omcmoo o• m o eosoo'� • • 00 Roof Drain: 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. )WNER-BUILDER DECLARATION 1 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 wt 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). 7 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 ap ly 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). 80006 I am exempt fr0om licensure under the Contractors' State License Law for the following reason: W rpy $ignaturebbelovy 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 sella structtileMA 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.htmi. S�jigltre of Property Owner or Authorized Agent Date "•' LICENSED CONTRACTOR'S DECLARATION I ligr ty affirmllRddr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sion 7000) of Division 3 of the Business Professions Code, and my license is in full force and effect. rcense Class• • •. License No Date v//7 Contractor Signatu �%/� VORKERS' COMPENSATION DECLARATION — •b••• IARNINOt FAILURETO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO NE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OFCOMPENSAMIX :AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Rb"l affirm ugdej penalty of perjury one of the following declarations: 3 I -have and 411 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 erformance 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: ne of Agent certify that, in the p1 , if I should become iature of Applicant Policy Number Date Ice of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject.t/the workers' compensation laws of California, and to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro v Ions.. :reby affirm under0nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issl6d (Section 3097, Civil Code). lder's Name I Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the prI I have read this application and the information I have I agree to comply with all applicable city and countyo 1 authorize representatives of this city or county to e; ACTION PERANTEXPIRED PERMITCANCELLED P€RMITEXT€NDED OCCUPANCYISSUED DATE owner's behalf. led is correct. ,as and state laws relating to building construction. � ve-id ntified property for inspection purposes. Print Prooertv Owner's or Authorized IjY UCLLHFfNFivm urUUMVLrHN4C Wrfr} LVUC Ur FEDERAL REGULA77ONSPART61 OF ITILE40AND AQMO RULE 1403. ❑ I SUBMITTED ASBESTOS NOTIFICATION TO. ❑ EPA AQMD ❑ ASBESTOS N017RCA770NIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE. 00 Q / Data ill -r113