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Home My WebLink AboutP2019-0217 - PermitsCity of Newport Beach - Building Division IIIIIIIIillllllllllllllllllllll�lllllllllllllllllll II 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0. 1 9 0 2 1 7 Permit Counter Phone(949)644-3288 Job Address: 4701 SURREY DR Bldg: 1 Floor: Suite: Description of Work: PLUM GASLINE TO FIREPIT/BBQ Worker's Compensation Insurance - Inspector Area: 5 . Code Edit 2016 ••° - Policy No: Legal Description: N TR 3519 LOT 67 Expire Owner: PLEASANTVILLE RD PTRS ` Contractor: PARKS MITCHELL Address: 1 CORPORATE PLAZA DR #110 Address: 11 ALLYSSUM NEWPORT BEACH CA 92660 Misc. RSM CA 92688 Phone: Phone: 949-279-7193 Other Con State Lic:838091 Issued Date:07/15/2019 Lie Expire: 05/31/2020 Kitchen Sink: Bus Lie: BT30058994 Processed By: _ Lie Exp Date: 05/31/2020 PLUMBING Permit: P2019-0217 Project No : 9579-2019 Inspection Requests Phone (949)644-3255 '.g`i #F'�. •e•• r ? ..®. � 3 • • o . m®coo ••an° momoeo • e o e o es000 Worker's Compensation Insurance - Carrier: EXEMPT ••° - Policy No: ° . Expire 0 ° Bathroom Fixtures • o . m®coo ••an° momoeo • e o e o es000 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: 2 $14.00 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: $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: $49.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $49.00 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 Lawfor 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 U 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 improvemegtil ie 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 foP�hgpplipose of sale). I, -as owner of.tbe property, am exclusively contracting with licensed Contractors to construct the project (Section. 7044, Business and Professions Code: The Contractors' State License Law does not 'app9y to an ®w mer of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 111 am exempt. fromlicensure under the Contractors' State License Lawfor the following reason: 13ymy 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, 1 cannot legally sell a strua o%tilat 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 ofAapefty Owner or Authorized Agent Date "' • • • LICENSED CONTRACTOR'S DECLARATION ' f nftby affirm vender penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ection 7000) of Division 3 of the Business and Pr a we Co my license is in full force • • snq effect.. License Class, • • • •' License No Date Contractor Signature NORIERS' CQMPENSATION DECLARATION MORNING: FAILUI%Tf1:W8URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOY TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :OST 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: 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 tht Ierformance 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' ranee carrier and policy number are: Policy Number Date of Agent Phone # rtify that, in the perform e f wor hich permit is issued, I shall not employ eny person in any manner so as to become subjit the work rs' c I should become subj or comp tion visions of Section 3700 of the Labor Code, I shall forthwith comply with those pionsire of Applicant IECLARATION REGAI STRUCTION LENDING AGENCY ' a hereby affirm under p y f perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address laws of California, and By 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 haV rovidedis corre I agree to comply with all applicable city and co r in es an ate 1 re Ing to bulldin .construction.G 7�( I authorize representatives of this city or count a the a e -i I led prope y for inspection purposes Signature of Property Owner orAuthorize Agent Print Property Owners or Authorized Agent's Na Date ACTION DATE BY DECLARATION OF COMPLIANCEMTN CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMDRULE1403. PERMITEXPIR€D ❑ 1 SUBMITTED ASBESTOS N071FICATION TO: ❑ EPA - ❑ AQMD PERMITCANCELL€D PERMFTEXTENDED ❑ ASBESTOS N017FICA170MIS NOTAPPLICABL.E TO PROPOSEDDEMOUTION. PERMITFINAL CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: