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HomeMy WebLinkAboutP2021-0076 - PermitsCity of Newport Beach - Building Division 11nIl�111111111111111p1111111111111111111111p1111111 100 Civic Center Drive, Newport Beach, CA 92660 y, Permit Counter Phone (949)644-3288 » _ 2s2-4 k�oly UVI Suite:Job Address: 2524 HOLLY LN Bldg: I Floor: f Description of Work: G SLINE TO FUTURE POOL EQUIPMENT �.. C7 -ca Inspector Area: 3 Code Edit 2019 Legal Description: N TR 1702 LOT 30 Owner: HAMILTON VANESSA & JEFF Contractor: SCHWARZ POOLS Address: 2524 HOLLY LN Address: PO BOX 28437 NEWPORT BEACH, CA 92663 m n SANTA ANA CA 92799 Phone: Phone: 714-241-7665 ° Con State Lic:967325 Issued Date:03/24/2021 Lic Expire: 09/30/2022 Bus Lic: BT30038738 Processed By: Lic Exp Date: 03/31/2021 PLUMBING Permit: P2021-0076 Project No : 1401-2020 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance Carrier: NO EMPLOYEES Policy No: Expire : ee•e • • s•ae m n e • moe•c( ° Bathroom Fixtures m • m m c mo c 0o m m a • • o O mf • O $0.00 em f 004+ $0.00 m mm•mo $0.00 Roof Drain: 0 $0.00 momoo e Bidet 0 mmeeoo o• • m m n 0 m O O U m •m $0.00 Grease Trap: 0 000000 • e 0 O 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:0 $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 1 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 apzlicant 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 Strict 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 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). ❑ I am exempt Rdmjjicensure under the Contractors' State License Law for the following reason: I T By my signature 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! rWI.ECstructuWe that 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 available available upon request when this application is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw.html. Signalure of Property Owner or Authorized Agent Date • ' LICENSED CONTRACTOR'S DECLARATION I,hereii affirm,undsr penalty of perjury that I am licensed under provisions of Chapter 9 (commenci g ith Secti n 700 ) of Division 3 of the Busines d Pro i s Code, and my license is in full force 9gcj•Btlect. .. 3 29 1 License Class • • • • License No Dale % Contractor Signature .cens Vy9FAERS' COMPENSATION DECLARATION WAL2f�1: FAILURE TO -SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H NORED THOUSAND DOLLARS ($700,0001, IN ADDITION TO THE ``WW99jj (�,'OOMPENSATION,.paMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm ufldrir petalty of perjury one of the following declarations: .• avis and wig •ruiltain 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 lance 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' rance carrier and policy number are: Policy Number of Agent Date certify that, in the performance of th work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' comp n �ff I should becomes bje r.o rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applican Dat Z t CLARATION REG D 6� STRUC ON LENDING AGENCY ueby affirm under penalty perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Secti n 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 property ner's behalf. I have read this application and the information I have vi is correct. I agree to comply with all applicable city and coun ordi s and state laws relating to building construction. I authorize representatives of this city or cou ve-ideatified property for inspection purposes. nature of PropertyOwner or Authorized Agent Print Property Owner's or Authorized Agent's Name' �/ �v !/ ACTION DUE BY DECLARATION OF COMPUANCE WI TN CODE OF FOR OI FEDERAL REGULATIOIVSPART 61 OF TITL€40ANO PERMIT EXPIRED AQMD RULE 1403. ❑ ISUBM7TTEDASBESTOSN077FiCATIONTo: PERMITCA.NCELLED ❑ EPA PERMITEXTENDED ❑ AQMD ❑ ASBESTOS M07IRCAROMISNOTAPPLICABLETO PERMITFINAL PROPOSED DEMOLITION. CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED laws of California, and