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Home My WebLink AboutP2021-0127 - PermitsCity of Newport Beach - Building Division III�IIIIIII �IIIIIIIIIIIII�IIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 - III P 2 2 1 0 1 2 7 N Permit Counter Phone (949)644-3288 ��It#9lfl�itr Job Address: 1224 HIGHLAND DR Bldg: 1 Floor: Suite: Description of Work: PLUMB GAS TO BBQ AND FIREPIT Inspector Area: 3 Code Edit 2019 Legal Description: N TR 3031 LOT 74 Owner: CAMPBELL FRANK Contractor: G D M LANDSCAPE Address: 1227 SOMERSET LN Address: 31878 DEL OBISPO, STE 118 #435 NEWPORT BEACH, CA 92660 FEES SAN JUAN CAP CA 92675 Phone: Phone: 949-433-0057 Con State Lic:881282 Issued Date:04/2021 Lie Expire: 09/30/2021 Bus Lie: BT30048427 Processed By: Lic Exp Date: 0913012021 PLUMBING Permit: P2021-0127 Project No: 2331-2019 Inspection Requests Phone (949)644-3255 T Worker's Compensation Insurance - Carrier : SECURITY NATIONAL INS CO Policy No:SWC1328968 Expire: 03/21/2022 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 $OrQ6 Urinal 0 $0.00 Bar Sink: 0 $0.00 Water Heater: 0 $0.00 Grease Interceptor:0 $0.00 o 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: ® J0.00 Shower Stall: 0 $0.00 Ice Maker: 0 $0.00 Gas over 4 outlets: 0 $0.00 Sewer Investigation: $Ob0® Wash Basin: 0 $0.00 Dishwasher: 0 $0.00 Backflow up to 2": 0 $0.00 Sewer: 0 $0.00 Plan Check: A0490 Hydro -Mass Tub: 0 $0.00 Lndry/Trap: 0 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair:0 $0.00 Issuance: °107400 Floor Sink: 0 $0.00 Regulator: 0 $0.00 Hose Bibb: 0 $0.00 Sewer Abandon: 0 $0.00 Supplemental Fee: 0,0.00 Floor Drain: 0 $0.00 Lawn Sprinkler: 0 $0.00 Drinking Fountain: 0 $0.00 Additional Fee : $0.00 O TOTAL: $44.00 Plan Check Fee: $44.00 Fee Due at Permit Issuance: $0.00 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. 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) 1 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). 3 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 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). I 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 entirely 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:htlp://www.leginfo.ca.gov/calow.htmi. 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 Section 7000)of Division 3 of the usiness and Pr f sns ode, and my license is in full force and effect. License Class License No1� /ii'.Y/ Contract ig tura NORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO :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: ($100,000), IN ADDITION TO 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 'mance of the work for which this permit is issued. Policy No. and Wit 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' Carrie? Md policy number are: .... Policy Number Expiration Date of Agent `` ifI affirm Unger penalty Name work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thosgo(irovisions. that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Lender's Address yiny iignalurgbe4Jwr I certify to each of the following: a m the property owner or authorized to act on the property owner's behalf. 'I - have read 5ls apFlication and the information I have prov d is correct. `*I agree to comply with all applicable city and county torc�l ce and state laws relating to building construction. I authorize representatives of this city or�unty to ��,'f"yl{ th ove-identified property for inspection purposes. innatlae of Pmnertv Owner or Authorizediaent Print ProoertV OWnel 2-( laws of California, and ACTION DATE BY ucc. Af 17rsrr u uvlwr"Mlv�c rrr r. 1.yr rvn vrn+.c vac wig+ FEDERAL HEGULA TIONS PAITT 610F T1 TLE4OAN b AQMD RULE 9403. PERMIT EXPIRED ❑ ISUBMITFEDASBESTOSNODFICATIONTO: ❑. EPA ❑ AQMO PERMITCANCELLED PERMITEXTENDED ASBESTOS NOITRCAIION1S NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL C€RTIFICATEOF SIGNATURE: OCCUPANCYISSU€D