HomeMy WebLinkAboutP2020-0090 - Permits't City of Newport Beach - Building Division 1pil11111111111111111111111111111111111111111111111
100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 0 0 0 9 0
'r Permit Counter Phone (949)644-3288
PLUMBING Permit: P2020-0090
Project No: 1104-2020
Inspection Requests Phone (949)644-3255
Job Address:
ORCHARD DR BBQ FIRE Suite:
Work:
Description of Work:
PLUMB GAS TO BBQ &FIRE PIT (S2020-0081)
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Inspector Area: 8
Code Edit 2019
Legal Description:
Owner: WILSON
UEZADA
Contractor: MASTERPIECE POOLS & SPAS INC
Worker's Compensation Insurance -
Addr s: 1511 ORC ARD DR
Address: 22343 LA PALMA STE 104
Carrier:
STATE FUND
NEWPORT EACH CA 92660 YORBA LINDA CA 92887
Policy No:9042868
Ph ne: 714-692-11 2
Phone: 714-692-1132
Expire:
10/01/2020
Con tate Lic:804110
some
°
Issue ate:06/24/2020
LicExpire: 02/28/2022
Bus L'Ic: BT30072007
0000
0 0 0
Processed By:
Lic Exp Date: 05/31/2021
FEES
Bathroom Fixtu es
Ki en 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
x$6'.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 Feeu °0!80
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
Lndry/Trap: 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.
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 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).
❑ 1, 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 unde enalty of perjury that I am licensed and MID of f�hapte�9 (M mencing with Section 7000) of Division 3 of the Business and Profess' s de I my license is in full force
and effect. , • • .C�./1 61
License Class • • License No Date �'l� Contractor Signature,
AVRK�S' CQNr2NSATION DECLARATION
NAVING6 FAILURE 10 SPd1RE 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
CGST.OF COMPENSATIQN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
here6 affirm under p9galty of perjury one of the following declarations:
. .
I 8 and wiR mairrtain 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
3e mance of tha, work for which this permit is issued. Policy No.
Lhav *and will e l ftgin 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
n� yga gg,carrier anti policy number are:
br • • ..
pAj Agent • •
W4 that, in toho opeol
if I should becomes�
ature of Applicant\
Policy Number
Date
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 alifornia, and
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
/,��((-7.�-i
CLARATION REGAReINt; CONSTRICTION LENDING AGENCY
areby affirm under pelhalty of perjury that there is a construction lending agency for the performance of the work for which this permit is
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 pr vided is correct.
I agree to comply with all applicable city and count ces tate laws relatingto building construction.
I authorize representatives of this city or county t a e -i ed propertyor inspection purposes.
.. fii ..e n..,Print Prooertv Owner's or Authorized ADent
(Section 3097, Civil Code).
ACRON DATE \ BY
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FEDERAL REGULATIONS PART Of OFTIILE40AND
AQMD RULE 1403.
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PERMfT EXPIRED
❑ I SUBMI77ED ASBESTOS U077FICATION TO.
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMITEXTENDED
❑ ASBESTOS NOTIRICARONIS NOT APPLICABLE TO
PROPOSEDDEMOLITION.
PERMITFINAL
CERTIFICATEOF
SIGNATURE:
OCCUPANCYISSUED