The URL can be used to link to this page

Home My WebLink AboutP2021-0010 - Permits (2)City of Newport Beach - Building Division 111111111��111�1111��p1�1111111111111�1111�1111�11Jill t` G 100 Civic Center Drive, Newport Beach, CA 92660 s. Permit Counter Phone (949)644-3288 Job Address: 1207 BERKSHIRE LN Bldg: 1 Floor: Suite: Description of Work: PLUM/GAS TO BBO/FIREPIT/FIREPLACE Inspector Area: 3 Code Edit 2019 Legal Description: N TR 3031 LOT 16 PLUMBING Permit: P2021-0010 Project No: 0066-2021 Inspection Requests Phone (949)644-3255 � (D 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. eoa o0 0 0 eo 0 Owner: Contractor: BLUE PACIFIC POOLS SOUTHERN CALIFORNIA Worker's Compensation Insurance- Addres : 1207 B KSHIRE LN Address: 25108 MARGURITE PKWY #A79 Carrier: STATE COMP INS FUND e NEWPO BEACH, CA 92660 MISSION VIEJO CA 92679 Policy No:9126143 0 Phon Phone: 949-310-3196 Expire : 02/28/2021 Con State Lic:923454 Issue ate:01/08/2021 Lic Expire: 10/31/2022 °mcmee Bus Lic: .. m Processed Lic Exp Date: e eo 0 0 0 a FEES ° Bathroom Fixtures Kitchen Fixtures Misc. Misc. Other 000e ° 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 Lndrylrrap: 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. eoa o0 0 0 eo 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Lawfor 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, o� 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 penally of'. not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a ssruckuiethat I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professibf13 Code, is available upon request when this application is submitted or at the following Web site:htlp://www.leginfo.ca.gov/calaw.html. •$i naturef Prgllerty Owner or Authorized Agent Date • LICENSED CONTRACTOR'S DECLARATION • t hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 of Division 3 of the Business and ofes s ode nd my license is in full force • • and effeq(., • • - • License Cles% • License No Date (� ( Contractor Signet re WORKERS, CpMPENSATION DECLARATION • NTNG: FAILURF• y. SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE • IW OF COMPENSATION, DAMAGES AS PROVIDED FOR IN BECTON 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. • I rgreby affirm. nder penalty of perjury one of the following declarations: • ave 2n�,0111 }maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thr ` p mance of the work for which this permit is issued. Policy No. h n 'A l'maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior n r e car carrier and policy number are: r Policy Nunlor Expiration Date me of Agent Phone # I certify that, in the performa ce of th ork f Ich t permit is issued, I shall not employ any person in any manner so as to become subject to the workers' m pen ation laws of California, and agre, t, if I should become to the rker pe io ' 'ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisio nature of Applicant D CLARATION REG ING NST LENDING AGENCY �reby affirm under pe ally o erjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the prope ne;r/' I have read this application and the information I have pr yid I agree to comply with all applicable city and conn or na s aatin to bu' Ing construction. /�� I authorize representatives of this city or c my t e r t bovpert fo ' spection purposes. t�/% , L/ /,J nature of Prooertv Owner or Authorized ADent - Print Property Owner's or Authorized Agent's Narite►:.b I r$l •T f 7i*I•!�l FIlrS17 PERMITEXPIRED ❑ ISUBMITTEOASBESTOSN071FICATIONTO.' ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ASBESTOS M071FICA710MIS NOT APPLICABLE TO PROPOSEDDEMOLITION. PERMITFINAL Z CERTIFICATE OF SIGNATURE: OCCUPANCYISSUED