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HomeMy WebLinkAboutP2020-0037 - PermitsCity of Newport Beach - Building Division 111111111111111111111111111111111111111111111111111111111111 r- 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 0 0 0 3 7 ,1 Permit Counter Phone (949)644-3288 Job Address: 1672 PEGASUS ST Bldg: 1 Floor: Suite: Description of Work: PLUMB -GAS LINE TO BBQ Inspector Area: 8 Code Edit 2019 Legal Description: Owner: BERNARD KYLE Contractor: SWAN POOLS OF SOUTHERN CA Address: 1672 PEGASUS ST Address: 24512 BRIDGER ROAD NEWPORT BEACH CA 92660 FEES LAKE FOREST CA 92630 Phone: Phone: 949.859-8466 Con State Lic:440333 Issued Date:02/20/2020 Lic Expire: 03/31/2020 Misc. Bus Lic: BT96008994 Processed By: Lic Exp Date: 07/31/2020 PLUMBING Permit: P2020-0037 Project No : 2443-2019 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : STATE FUND Policy No:9228545 Expire : 04/01/2020 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. .. B 060 00 V O O 6 G � O G O 0 C O 0 f E O 0 00 O O O O O G 000 00 O V 0 � p OCO 00 VO0 06 O O O G 0f• •YG C Y BG 00 006 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 Lndryffrap: 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. .. B 060 00 V O O 6 G � O G O 0 C O 0 f E O 0 00 O O O O O G 000 00 O V 0 � p OCO 00 VO0 06 O O O G 0f• •YG C Y BG 00 006 OWNER -BUILDER DECLARATION -A 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 itel(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 issMance, also requires the appli •ant 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 U all of or U 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 Iegafi 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 Sec'on 7 0) of Division 3 of the Business nd Pr as ' In o and m 'beliBe is in full force and effect. License Class License No Da Contractor Signatu NORKERS' COMPENSATION DECLARATION VARNING: 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 AUDITION TO THE 30ST 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: 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 the r ce 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' compensatior carrier and policy number are: Policy Number ie of Agent certify that, in the pI if I should become Iature of ADDlicant , Date issued, I shall not employ any person in any manner so as to become subject to the workers' is of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �] n�e�V �C� hereby affirm under penalty�f perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sebtion 3097, Civil Code) ender's Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the arty owner's behalf. I have read this application and the information I ave pro d is correct. I agree to comply with all applicable city and count ordinanc to aws lati g to ilding construction. I authorize representatives of this city or county jo/en r e -id tifie rop y Qt Inspection purposes. nature of Property Owner or Authorized Agent int Property Owner's or AutnorizeD Agent's Na ACTION DATE BY DECLARATION OF COMPLIANCEtMTH CODE OF • • • • • • • • • , • FEDERAL REGULATIONS PART 61OFTITLE40AND PERMITEXPIREDi ••• • •• i • i AQMD RULE 1403. ❑- 1 SUSM/TFEDASBESTOS NOTIFICATION TO: PERMITCANCELLED • • , •,• ••• ••• ❑ EPA PERMIT EXTENDED ❑ AQMD ❑ ASBESTOS U077FICARONIS NOT APPLICABLE TO PERMIT FINAt a "� • • • • ... PROPOSED DEMOLITION. CERTIFICATE OF i •• •• i i a• i o SIGNATURE: OCCUPANCYISSUED �: _ • _ _ • • , , laws of California, and ti6l111#11714i F