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Home My WebLink AboutP2019-0238 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIillll�lllllllllllllllllll =90 Civic Center Drive. Newport Beach, CA 92660IIII P 2 6 1 9 8 2 3 8 IIII E Permit Counter Phone (949)644-3288 Job Address: 1615 HIGHLAND DR Bldg: 1 Floor: Suite: Description of Work: PLUMB -GAS LINE TO BBQ Inspector Area: 3 Code Edit 2016 Legal Description: N TR 3800 LOT 11 Owner: CRARY Contractor: LANDCRAFTERS INC Address: 1615 HIGHLAND Address: 29512 ANA MARIA LANE NEWPORT BEACH CA 92660 LAGUNA NIGUEL CA 92677 Phone: Phone: 949-249-1086 Con State Lic:754071 Issued Date:08/01/2019 Lie Expire: 09/30/2020 Kitchen Fixtures Bus Lie: BT30039467 Processed By: Lie Exp Date: 05/31/2020 PLUMBING Permit P2019-0238 Project No : 1733-2019 Inspection Requests Phone (949)644-3255 INSPECT 0%.; come Worker's Compensation Insurance- Carrier: EMPLOYEE SERVICE GROUP Policy No:WC58970310 Expire : 12/01/2019 a ° eaeeoe eeioo 0 0 eomcc 0000co o , c o 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 ff+ 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:O $0.00 Lndrylfrap: 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. e' , v'• 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 amicable 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 frim licensure under the Contractors' State License Law for the following reason: By my signatu(e 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 sella structlfrEtffat 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 .. P#afessions cit is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signalure of PRopeo y Owner or Authorized Agent Date • • . LICENSED CONTRACTOR'S DECLARATION I lRfeby affirm,gpill;r penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Sectn 7000) of Division 3 of the Business afull force • and effect. • ' oa, Litanee Class • License No Date v Contractor Signature NQFWERS' 86M"NSATION DECLARATION NAYHIHG: FAILURE TQ SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE UNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE CVS- �T.COMPENSA ON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ,h-Iereb4affirm yQWpjnalty of perjury one of the following declarations: 'ad J.heve 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 nce ofJRe Work for which this permit is issued. Policy No. .e.. Ka 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' compensatioi nce carrier and policy number are: Carrier Policy Number Expiration Date re of Agent certify that, in the p1 if I should become this permit is issued, I. shall not employ any person in any manner so as to become subject to ation Provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisk nature of Applicant L/ CLARATION REGNG CON UCTION LENDING AGENCY :reby affirm under alty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued 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 rty owner's behalf. I have read this application and the informatioSiveed ' rect.I agree to comply with all applicable city and cd state s relating to building construction. I authorize representatives of this city or countove-id fled property for inspection purposes. /� Print Pronertv Owner's or Authorized Aqent's Nam ACTION DATE BY ucr.r_nrcnrevie yr FEDERAL REGULATIONS PART 61 OF TITLE40AND PERMITEXFIRED AQMD RULE 1403. f 5UBMITTEDASB€STOS NOTIFICATION TO: PERMITCANCELLED ❑ EPA PERMIT EXTENDED [3 AQMD ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE F0 FERMIT FINAL I W PROPOSED DEMOLITION. CERTIFfCATEOF ' SIGNATURE: OCCUPANCYISSUED laws of California, and 1. 3097, Civil Code).