HomeMy WebLinkAboutP2020-0111 - PermitsCity of Newport Beach -Building Division *P2020-0111*
i3t 1' 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 1936 PORT CLARIDGE PL Bldg: 1 Floor: Suite:
Descripllon of Work: PLUM GASLINE TO BBQ/FIREPLACE (S2020.0105))
Inspector Area: 4 Code Edit 2019
Legal Description: N TR 7028 LOT 2
Owner: RODRIQUEZ JESSE
Contractor:
INSTANT POOLSCAPES
Address: 1936 PORT CLARIDGE
Address:
833 DOVER DR #24
NEWPORT BEACH, CA 92660
Misc.
NEWPORT BEACH CA 92663
Phone:
Phone:
949-795-0648
Expire
Con State Lic: 1009644
Issued Date:09/0112020
Lic Expire:
12/31/2021
a¢^°oc
Bus Lic:
BT30053469
Processed By:
Lic Exp Date:
12/3112020
PLUMBING Permit: P2020-0111
Project No: 1307-2020
Inspection Requests Phone (949)644-3255
Worker's Compensation Insurance -
Kitchen Fixtures
Carrier: WC EXEMPT
OO°°
FEES
Policy No:(NO EMPLOYEES)
Misc.
00 O O
Other
Toilet:
0
Expire
Kitchen Sink:
0
$0.00
0 0o
a¢^°oc
$0.00
Roof Drain: 0
$0.00
0
Bidet
0
$0.00
0 0
0
$0.00
0 o C
0
$0.00
oo a
$0.00
0900
o000
Urinal
O
O U
Bar Sink:
0000"
O O O
Water Heater:
0
00 O
Grease Interceptor:0
00 O
U O
"00
90000
$0.00
O
O
Bathroom Fixtures
Kitchen Fixtures
Misc.
FEES
Misc.
00 O O
Other
Toilet:
0
$0.00
Kitchen Sink:
0
$0.00
Water Piping:
0
$0.00
Roof Drain: 0
$0.00
Bidet
0
$0.00
GarbageDisp:
0
$0.00
Water Softener:
0
$0.00
Grease Trap: 0
$0.00
°$nAn.
o000
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
Lndrylrrap:
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 EMPIRE 160 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 1 am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
ctfon 7031 ,6, Buslnes 3. 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
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
fessions Code) or the 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 permitsubjects the applicant to a CM( penalty of
more than five hundm.d dollars ($500). 1201 N TUSTIN AVE
1, as owner of the pro,)erty, 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,
finess and Profession Code: The Contractors' State License Law does not applytc an owner of property who, through amployeeV or personal effort, builds or improves the property, provided that the
,rovements are not Intonded 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 Itwas not built or
,roved for the purpose of sale).
1, as owner of the prooerty, am exclusively contracting VAII.licensed Contractors to construct the project (Section 70.44, Business and Professions Code: The Contractors' State License Law does not
Ply to an owner of proF arty 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 rocnsure under the Contractors' State License Law for the following reason:
my signature below 1 acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal
a structure that I haw, 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 ofthe Business and
fessions Code, is avaJable upon request whan this application is submitted or at the following Web site:http:/Awrx.leginfo.ca.gov/calaw.html.
nature of Propo*.Owner or Authorized Agent.
TENSED (.41"J?ACTOR'S DECLARATION
rjepf affirm upler pprnalty of perjury that I am licensed under provisions of Chapter9 (commencing with Se an 7 Zn DIVI�n of fire Business Qtaz
license rs oil force
I effect. Liaensu Gloss License No Contractor S SLUM
)RKERS' CC:APENSATION DECLARATION
WING: FAILURE TO SECUkE WORKERS COMPENSATION COVERAGE IS UNLAWFUL, AND SHAD. SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS If100,00D1, IN ADDITION TO THI
rr OF COMPEhISAVSN,, DAMAGaS AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST. AND ATTORNEWS FEES.
:reby affirm uRdewpenalty of perjury one of the following declarations: -
e•
L pave and•,Aill 04nialn 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 0
i�rn of Ike wo* for which this permit Is issued, Policy No.
Ye and will inainta n 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' eompensatto
amnpe carqr and-ppli-y number are:
ri.�r. • • • Policy Number Expiration Date
us of Agent..... Phone 8
If
of
the workers'
this
hereby affirm under penalty of perjury the agen
ender's Name
ly my signature below, 1 ,eWfy to each of the following:
I am the property ovmer,or authorized to act.on the property owner's behalf.
I have read this appli,,aticn and the Information 1 vided is correct.
I agree to comply will all applicable city an aunty ordlnar stlatte to
I authorize representatives of this city or untyjg e, r esove-fdyrdlttrr<
ACTION
1403
PERMIT.ExPIRED
person in any manner so as to become subject to the workers' compensation laws of California, and
r Code, Ishall forthwith comply with those provisions.
ornance of the work for which this permit Is Issued (Section 3097, Civil Code).
Address
In construction.
nsA ionpurposes. (Ac0 \ ( � �r ,e-�i !0V—
Hnf on purposes,
p uses, ro nr Aulhnmcd'AnnnYc .a) lam. �� r{1>
OF COMPLIANCE WITH CODE OF FEDEI
PART 61 OF TITLE 40 AND AQMD RULE
POOL LARMS I I UASO STOS NOTIFICATION IS NOT APPLICABLE TO
FOR OFFICE USE ONLY