Loading...
HomeMy WebLinkAboutP2019-0234 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II ' 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 9 0 2 3 4 Permit Counter Phone (949)644-3288 �'Krsr�a�s Job Address: 1226 KEEL DR Bldg: 1 Floor: Suite: Description of Work: PLUMB GAS TO FIREPIT (S2019-0130) Inspector Area; 4 Code Edit 2016 Legal Description: N TR 6634 LOT 55 Owner: TIPTON WILLIAM Contractor: INSTANT POOLSCAPES Address: 1226 KEEL DR Address: 28562 OSO PARKWAY #D243 CORONA DEL MAR, CA 92625 RSM CA 92688 Phone: Phone: 949-795-0648 Con State Lic: 1009644 Issued Date:07/ 1/2019 Lic Expire: 12/31/2019 Bus Lic: BT30053469 Processed By: Lic Exp Date: 12/31/2019 PLUMBING Permit: P2019-0234 Project No : 1712-2019 Inspection Requests Phone (949)544-3255 INSPECTOR Worker's Compensation Insurance Carrier: WC EXEMPT Policy No:(NO EMPLOYEES) Expire : m.os + ¢mom m c eeo o ¢mmooc 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 mm o 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 Wod, Bidet 0 $0.00 Garbage Disp: 0 $0.00 Water Softener: 0 $0.00 Grease Trap: 0 $0.00 $&061;0 mm+m Urinal 0 $0.00 Bar Sink: 0 $0.00 Water Heater: 0 $0.00 Greaselnterceptor: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: X0.00 Shower Stall: 0 $0.00 Ice Maker: b $0.00 Gas over 4 outlets: 0 $0.00 Sewer Investigation: 1„46,00 ` 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:O $0.00 Lndryfirap: 0 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair:0 $0.00 Issuance: a 159.00 m...+` 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 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). ❑ 1 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 Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensedunder provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the usiness d Profs e, and y Ice 'o -i I force and effect. License Class License No ate Contra Signature NORKERS' COMPENSATION DECLARATION NARNING: FAILURE T06HOURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUSUECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSAVQrJ QAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ftirEgy, affirm under PipQalty of perjury one of the following declarations: 1 have and 4111 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 WQmr ce of the work for which this permit is issued. Policy No. ;Tiay.e and wio Nairn�in 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' compensatioi ienand 3lence carr.poficy number are: �ej� + • Policy Number Expiration Date %cif ikgent • Phone # f'Jwvfy that, in the performanc the work for which th 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 agre t,'if I ould �bEagr9Q Subje o the workers' compensa' provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi `Z� c MawofApr,l %nt • Dat 'T ✓ 1 DIUORATIONREOAP. I CONST d' TION LE I t CN rreby affirm unrier penally of perj that there is nstruction 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 toach ollowing: 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 'de 's correct. I agree to comply with all applicable city and count rdinances a state laws relating to building construction. I authorize representatives of this cit or count enter t ve identifie inspection purposes. P Y Y P P P a .r\ � _., ll•.,ee1. ,.r AufMnriverl AnonPe Wr�J V V v I `-�• \ Ifi ACTION DATE Y DECLA IDN OF COMPi1A CE DEOF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 01 OF TITLE40AND AOMORULE4403. PERA41TEXPIRED ❑ I SUBMITTEDASBESTOS NOTIFICATION TO: ❑ EPA © AQM0 PERMITCANCELLED PERA41TEXTENDED [3 ASBESTOS NOAFICAAONI5 NOT APPLICABLE TO PROPOSED DEMOUTIOM PERMITRNAL ;, CERTIRCATEOF SIGNATURE: OCCUPANCYfSSUED