HomeMy WebLinkAboutP2020-0166 - PermitsCity of Newport Beach - Building Division *P2020-0166*
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 5 POINT SUR DR Bldg: 1 Floor: Suite:
Description of Work: PLUM GASLINE TO BBQ/FIRE PIT/EXTERIOR BAR SINK
Inspector Area: 6 Code Edit 2019
Legal Description: N TR 7510 LOT 61
Owner: WHITEHEAD JENNIFER
Contractor:
CRYSTAL POOLS
Address: 5 POINT SUR DR
Address:
19631 BROOKHURST ST #13
CORONA DEL MAR, CA 92625
FEES
HUNTINGTON BEACH CA 92646
Phone:
Phone:
714-420-5473
Con State Lic:867770
Con
Issued Date:11/24/2020
is Expire:
11/30/2022
Lic:
BT30053161
Processed By:
Lic Exp Date:
11/30/2021
PLUMBING Permit: P2020-0166
Project No: 1999-2020
Inspection Requests Phone (949)644-3255
Worker's Compensation Insurance -
Carrier : STATE COMP
Policy No:9089361
Expire : 12/19/2021
0
°
somo
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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
®®a"
°
Toilet:
0
$0.00
Kitchen Sink:
0
$0.00
Water Piping:
0
$0.00
Roof Drain: 0
$0.00
*s0e00,
Bidet
0
$0.00
Garbage Disp:
0
$0.00
Water Softener:
0
$0.00
Grease Trap: 0
$0.00
'$0300
Urinal
0
$0.00
Bar Sink:
1
$15.00
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
°i= G.
Wash Basin:
0
$0.00
Dishwasher:
0
$0.00
Backflow up to 2":
0
$0.00
Sewer: 0
$0.00
Plan Check:
°sdo
Hydro -Mass Tub:0
$0.00
Lndry/Trap:
0
$0.00
Backflow over 2":
0
$0.00
Sewer Alter/Repair:0
$0.00
Issuance:
0 37.00
Floor Sink:
0
$0.00
Regulator:
0
$0.00
Hose Bibb:
0
$0.00
Sewer Abandon: 0
$0.00
Supplemental Feep * 111.00
Floor Drain:
0
$0.00
Lawn Sprinkler:
0
$0.00
Drinking Fountain:
0
$0.00
Additional Fee:
$0.00
TOTAL: $59.00
Plan Check Fee :
$44.00
Fee Due at Permit Issuance: $15.00
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.
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).
111, 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 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 Iegall,
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 licensed under provisions of Chapter 9 (commencing with ction 7000) of Division 3 of the Business and Pr fess'ons Co e, and my license is in full force
and effect.
License Class License No Dat %!% 7ij Contractor Signature
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 SAND DOLLARS ($100,000), IN ADDITION TO THE
:OST OF COMPEN4arrIb1J,*q)1MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
jlereby.affrm untlQrdenalty of perjury one of the following declarations:
s1 •••f
aJ I Dam and Nill•maiMain 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 thr
ante of the work for which this permit is issued. Policy No.
• e
1 ale and will;@iptain 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' compensatiol
•ranee cardep a nd po
Inner- licy number are:
•—«� Policy Number Expiration Date
4e1rredf.4gent 0 • Phone #
D 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 agree
IM:if I•yhould become cu e e wor ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
�wot,v* of ADDIICAnf V — (S') Date /7 /-0
bre6y affirm underJPnalty of pahury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
lder's Name Lender's Address
my signature below, I certify to each of the following:
1 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 cou ty ordinance and state laws relating to building construction.
I authorize representatives of this city or county to r . a 46kejdentifje0 property for inspection purposes.
Name
AEON DATE
BY
DECLARATION OF COMPLIANCE MTN CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULA TIONS PART 51 OF I]RE40AND
AQMD RULE 4403.
PERMIT EXPIRED
❑ ISUBMITTEDASBESTOSN017F1CATIONTO:
❑ EPA _
❑ AQMD
PERMIT CANCELLED
P€RWMITEXTENBED
[3 ASBESTOS M0718CAIJONISNOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMlE+FlNAt y� �, ,. I
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CERTIFICA''(E OF
SUER
SIGNATURE.,