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Home My WebLink AboutP2021-0126 - PermitsCity of Newport Beach - Building Division III�III�IIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 H i Permit Counter Phone (949)644-3288 Job Address: 1500 IRVINE AVE Bldg: 1 Floor: Suite: Description of Work: PLUM/GAS LINE TO FIRE PIT Inspector Area: 3 Code Edit 2019 Legal Description: N TR 1763 LOT 9 Owner: EZ PROPERTUES Address: 1500 IRVINE AVE 7103' / RT BEACH CA 92660 Phone: Issued Di5te:04/204*21 Contractor: MASTERPIECE POOLS & SPAS INC Address: 22343 LA PALMA STE 104 PLUMBING Permit: P2021-0126 Project No : 0852-2021 Inspection Requests Phone (949)644-3255 INQS PC"T Worker's Compensation Insurance - Carrier: STATE FUND Policy No:9042868 00 o m Expire :10/01/2021 66Vm em0•G (. m enec c ® o m ee m 04 q C • C e e e• C O O 05. O aeme o m mosom m:me a YORBA LINDA CA 92887 Phone: 714-692-1132 Con State Lic:804110 Lic Expire: 02/2812022 Bus Lic: BT30072007 Lic Exp Date: 05/31/2021 PLUMBING Permit: P2021-0126 Project No : 0852-2021 Inspection Requests Phone (949)644-3255 INQS PC"T Worker's Compensation Insurance - Carrier: STATE FUND Policy No:9042868 00 o m Expire :10/01/2021 66Vm em0•G (. m enec c ® o m ee m 04 q C • C e e e• C O O 05. O aeme o m mosom m:me a 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 ;0.0Q Bidet 0 $0.00 Garbage Disp: 0 $0.00 Water Softener: 0 $0.00 Grease Trap: 0 $0.00 X8700' • 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 LndryfTrap: 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 items) (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; 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). ❑ 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). ❑ 1 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 Iegall, sell a structure that 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Propggy.Owner or Authorized Agent Date • 0 0 LICENSED CONTRACTOR'S DECLARATION 1 t ertf affirm ur der penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7700) of ivision 3 of the Business and Prof sions o d license is in full force ff anrieect. // �� I Lipenag Class • ' License No �� v Date contractor Signature A/ RORS' COMPENrSATION DECLARATION NARNIN6: FAILURC6I.O $Ety�rRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE DDSs OF OOMPENSAOION, DAMAGES AS PROVIDED FOR IN SECTION 7700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. here Y affirm un damn ally of perjury one of the following declarations: 06 and wMfigintain 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 Lf Elnce of thework for which this permit is issued. Policy No. }Ira and varmwnein 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' compensatioi I carrier 2Rd policy number are. Policy Number Expiration Date is of Agent Phone # certify that, in the perform ce of h rk for hich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compen ation laws of California, and agre if I should become subj t to th k rs' co�ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro 1 ns. / / ��7 _ / 17 � nature of Applican _ —✓V \ CLARATION REG DING CONSTR ION ENDI AGENCY rreby affirm under enalty of perjury that there i struction 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 property owner's behalf. correct.1 I have read this application and the information I 0havoed' agree to comply with all applicable city and couce a relating to building construction. q1 Astats I authorize representatives of this city or county to rop y for inspection purposes. nature of Property Owner or Authorized A t Print Property Owners or Authorized Agent's Na ACTION DATE BY XkLLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULA NONS PART 61 OFT1TLE40AND AQMD RULE 1407 ❑ ISUBMITTEDASDESTOS M017FICATION TO.' ❑ EPA ❑ AQMD ❑ ASBESTOSNOTIRCATIONISNOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE, PERMIT EXPIRED PERMITCANCELLED PERMITEXTENDED PERMITFINAL CERTIFICATEOF OCCUPANCYISSUED