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Home My WebLink AboutP2021-0027 - Permitsw rI City of Newport Beach - Building Division *P2021-0027* 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 20201 ORCHID ST Bldg: 1 Floor: Suite: Description of Work: PLUMB GAS TO FIRE PIT Inspector Area: 3 Code Edit 2019 Legal Description: N TR 1500 LOT 11 Owner: ROMIN RAD Contractor: MASTERPIECE POOLS & SPAS INC Address: 20201 ORCHID ST Address: 22343 LA PALMA STE 104 NEWPORT BEACH, CA 92660 YORBA LINDA CA 92887 Phone: Phone: 714-692-1132 Con State Lie: 804110 Issued Da , /12/2021 Lie Expire: 02/28/2022 Bus Lie: BT30072007 Processe By: Lie Exp Date: 05/31/2021 PLUMBING Permit: P2021-0027 Project No: 1492-2020 Inspection Requests Phone (949)644-3255 INSPECTOR Worker's Compensation Insurance - Carrier: STATE FUND Policy No:9042868 ° Expire: 10/01/2021 ov 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 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:O $0.00 Lndry/Trap: 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. 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 (_) 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 exem;A Prem licensure under the Contractors' Stale License Law for the following reason: By my signature Ircolowl 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 • SCIIA structure that {Ie have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a cop of the applicable law, Section 7044 of the Business and • Professions*Codt, W available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw. 1. Signature of Property Owner or Authorized Agent ate •..• LICENSED CONTRACTOR'S DECLARATION I.herlrby affirm tIndor, penally of perjury that I am licensed under provisions of Chapter 9 (commencin with on 700 ) of Division -o Busines and' r fes I s C ,and my license is in full force • e d.Offect. License Class • • • License No Date ✓ Q,1 Contra tar SI nature llypMERS' CCIMPENSATION DECLARATION JJARN!19{JG::qFAILURE TO'SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000), IN ADDITION TO THE *t'y P(:DMPENSAWION,AAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I tereby tffirm uRggr pe'oalty of perjury one of the following declarations: ®..• I.have and vyrijl .rrJ�iOtain 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, thi .•..• hh rmance oft a work -for which this permit is issued. Policy No. e 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 1s issued. My workers' compensatior sura ce carrier and policy number are: Policy Number Expiration Date of Agent .ertify that, in the peIT mance Qf�e work�for whh llF is permit is issued, I shall not employ any person in any manner so as to become if should°l7ecolp subject to the workers comp sat orr.proyisions of Section 3700 of the Labor Code, I shall forthwith comply with the to lhg workers' compensation laws of California, and nature of Ap Ilam CLARATION REGARDING CONSTRUICTIO °L NDING AGENCY ueby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 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 pEpperty owner's behalf. I have read this application and the info�r natio e rov' is correct. I agree to comply with all applicable IEy and oui�p na c ^strife laws relating to building construction. I authorize representatives of thI Ily or count f e r th e -identified property for inspection purposes. nature of Property Owner or Au o ized Agent Print Property Owner's or Authorized Agent's Civil Code). Ltj ACTION DATE BY DECLARATION OF COMPLIANCE TH CODE OF FEDERAL REGULATIONS PART 61 Of T17LE40AND AQMD RULE 1403. ISUDMITFEDASBESTOSIIRIBFICATfON'TO:. ❑ EPA ❑ AQMD ❑ ASBESTOS M017RCA170/4ISNOTAPPL/CARL€TO PROPOSEDDEMOLITION. SIGNATURE.' FOR OFFICEUS€O Y PERMfT EXPdRED PERMITCANCELLED PER'ITEIfTENDED IW PERMIT FINAL CERTIFICATEOF OCCUPANCYfSSUEO