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Home My WebLink AboutP2019-0286 - PermitstRt, City of Newport Beach - Building Division .100 Civic Center Drive, Newport Beach, CA 92660 r. t Permit Counter Phone (949)644-3288 Job Address: 2201 ALTA VISTA DR Bldg: 1 Floor: Suite: Description of Work: PLUMB - GAS LINE TO BBQ & FIREPIT Inspector Area: 8 Code Edit 2016 Legal Description: N TR 4705 LOT 79 Owner: WEBB CHRIS Address: 2201 ALTA VISTA DR NEWPORT BEACH, CA 92660 Phone: 858-735-3207 Issued Date:09/17/2019 Processed Contractor: UNITED CONTRACTORS Address: 10725 ELLIS AVE #D FOUNTAIN VALLEY CA 92708 Phone: 801-792-7417 Con State Lic:949005 Lic Expire: 06/30/2020 Bus Lic: BT30053869 _Lic Exp Date: 02/29/2020 PLUMBING Permit: P2019-0286 Project No : 2538-2018 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier: STATE FUND Policy No:9119462 Expire : 12/06/2019 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. me peo c eep cG � G c. G G - o p o c GG oG ou � c p v O O 000 O O 6 OC Opv G 0 O O OCg L O 0 - � ( C O 1. 00. O O pp OBO O00 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 Lndryfrrap: 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. me peo c eep cG � G c. G G - o p o c GG oG ou � c p v O O 000 O O 6 OC Opv G 0 O O OCg L O 0 - � ( C O 1. 00. O O pp OBO O00 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). ❑ 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 legall) 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.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti n 700 of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature s NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 'I 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 thl �erfgrmance 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: Policy Number Date is of Agent -Fnone IF certify that, in the performance of the work for which this 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 , if I should become subject to the wfyckers'-Bympensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of 12 CLARATION REGARDING CONS""r""" ENDING AGENCY / 6 " )reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). 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 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the a -id d property for inspection purposes. nature of Property Owner or Authorized Amen Print Property Owner's or Authorized Agent's Name ACTION DATE / SY DECLARATION OF COMPLIANCE FTH CODE 'OF FOR 01 FEDERAL REGULATIONS PART 61 OFTITLE40AND PERMfTEXPIRED • • a • + i • i AQMO RULE 1403. ❑ I SUBMITTEDASBESTOS NOTIFICATION T0:- PERMITCANCELLED • • • • • • • ❑ EPA PERMIT EXTENDED • • ❑ AQMD ❑ ASBESTOS NOTIRCARONIS NOT APIDUCABL.E TO PERMIT FINAE PROPOSED DEMOLITION. CERTIFICATEOF • • a a OCCUPANCY!SSUED • �• a• :• : : _ SIGNATURE? Date USEONEY