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Home My WebLink AboutP2020-0147 - Permitsvrt City o Cher Drive, Beachport achBuilding Division I IIIIII IIIIIIIIIIIII� IINII�IIIIIIIIIIIIIIIII II PLUMBING Permit: P2020-0147 Permit Counter Phone (949)644-3266 Project No :2334-2017 fMexR�ys Inspection Requests Phone (949)644-3255 Job Address: 25 HARBOR POINTE Bldg: 1 Floor: Suite: '°� Description of Work: PLUMB/GAS LINE TO FIRE -PIT �PL� Inspector Area: # (Y Code Edit 2019 CD Legal Description: N TR 10625 LOT 18 Owner: VINH PHAN Contractor: OWNER/BLDR Worker's Compensation Insurance - ` d Address: 25 HARBOR ISLAND Address: VINH PHAN Carrier CORONA DEL MAR CA 92625 Policy No: _J Phone: 303-523-8585 Phone: Expire : -1 Con State Lic:O/B Issued Date:10/14/2020 Lic Expire:q Bus Lic: �J Processed By: Lic Exp Date: 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 a•• • o •m., aW • o • •ca e • e 9o- cs Vi OiV V CC8 9 O f' O fl OUb O U G C L fOU VB2 V O VV( GUi uO6 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 Lndryrrrap: 0 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair:0 $0.00 Issuance: $37.00 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: $44.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $44.00 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 a•• • o •m., aW • o • •ca e • e 9o- cs Vi OiV V CC8 9 O f' O fl OUb O U G C L fOU VB2 V O VV( GUi uO6 ER -BUILDER 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 in, pro�ements 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 improvefor the purpose of sale). wI�I, as wner 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 appIplo 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). An I am exempt from licensure under the Contractors' State By my signature below I acknowledge that, except for my persl sell a structure that I have built as an owner-builder'f it has Professions Code, is available upon request w e his appl Signature of Property Owner or Authorized Agent �— LICENSED CONT OR'S for the following reason: e in which I must have resided for at least one year prior to compk Istructed in its entirety by licensed contractors. I understand that a Hry'lted or at the following Web site:http://www.leginfo.ca.gov/calav of the applicable law, Section 7/044 of I hereby affirm under penalty of perjury that I ani licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my and effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION in full force IARNING: 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 IE100,0001, IN ADDITION TO THE 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: 7 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 th erformance of the work for which this permit is issued. Policy No. have 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' "ance carrier and policy number are: of Agent Policy Number Expiration Date in the performance ofAe work fol 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 become sgbject to tho workers' c mpensation proAions of Section 3700 of thp Labor Code, I shall forthwith comply with those provisisos. I Ireby affirm under benalty of perjury that there is a corVstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Ider's Name I 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 ordin ffMIM,and state laws I authorize representatives of this city or count)(to enter he ab erideqffled pi AC77ON PERMITFINAL CER77RCATEO€ OCCUPANCYISSOED DATE ... By. ... to building construction. Ispection purposes. Print ProDertv Owner's or . AIp1EE��iytt ROGULATIONSPART 61 OF 777LE40AND OMORUL& 1103. •L�' I$(VAITP.EDASBESTOSM077FICA77ONTO. ❑• EPA ❑ AQMD ❑ ASBESTOS NOTIRCATIONIS NOT APPLICABLE TO •PjTO.POSA�DQEMOLTlON. (vf