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Home My WebLink AboutP2022-0043 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 *P2022-0043* PLUMBING Permit: P2022-0043 Project No : 0516-2022 Inspection Requests Phone (949)644-3255 Job Address: 1 HILLS DALE DR BIdg:1 Floor: Suite: • e •••• Description of Work: MFR PLUMB -REMOVE (E) BBQ AND CAP GAS LINE. 'STOP WORK 121-2539' •• • • 3 +•• Am o m e e e ee o InspectorArea: 4 Code Edit 2019 m lA Legal Description: N TR 11785 LOT 7 ;°. •• m •e , m a • o Owner: BELCOURT TERRACE Contractor: PATSCHECK CONSTRUCTION LLC Worker's Compensationlnsurance- m•e •• < Address: 1601 DOVE ST #190 Address: 556 OTERO COURT Carrier: EXEMPT .' +• ,••�� NEWPORT BEACH, CA 92660 CAMARILLO, CA 93010 Policy No: m oo•mc Phone: 949-610-5963 Phone: 805.402-9130 Expire: •• • + Con State Lic:1011514 = of Issued Date:02/28/2022 Lic Expire: 02/29/2024 ®• o•meac • Bus Lic: BT30061601 � m • e a •+ maoc� Processed By: � Lic Exp Date: 12/3112022 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 $8.00 P-Trap: 0 $0.00 Record Mgmt Fee: $0.00 Shower Stall: 0 $0.00 Ice Maker: 0 $0.00 Gas over outlets: 0 $0.00 Sewer Investigation: $8.00 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: $38.00 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: $54.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $54.00 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 Iicensure 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 L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Prodaseions 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 areewl 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 iZW(1vpD for the purpgV of sale). 0 I, as owner 6%49pr'operty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not .q%Iytgan owner,pf property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 0 f am exempt•fron; licensure under the Contractors' State License Law for the following reason: WrVy';irnature hINdW t'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, • sefle 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 •, W"essions Me his available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. $jgpatrfe of Prbperfj/Owner or Authorized Agent Date • LICENSED CONTRACTOR'S DECLARATION •...•, �I hereby affirm underpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Dfes I s , nd m can is in full force and effect. * • • 2�7'I Zz Uer3'st;xlass License No Date X 2 Contractor Signature CbmPE$ISATION DECLARATION rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($10D,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will 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 th erformance 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 Name of Agent KI certify that, in the performance of hat, if I should become SuWe9M the Signature of Applicant X Date d, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and Section 3700 of the Labor Code, I shall forthwith comply with those provisions. CLARATION REGARDING CONSTRUCTION LENDING AGENCY ' areby 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, Civil Code). Ider's Name Lender's Address my signature below, 1 certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have proyjdad4 correct. I agree to comply with all applicable city and county or In as a SIR a la rel f g to building construction. authorize representatives of this city or county me the a -1 a ified rop y for inspection purposes. nature of Prooertv Owner or Authorized Agent I' Print Property Owner's or Authorized Agent's Name at Z ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 61 OF TITLE40 AND AQMDRULE1403: PERMITEXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO:. ❑ EPA ❑ AQMD SED DEMOLITION.SBESTOS RONIS NOT APPLICABLE TO PROPOSED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL �Z �e Z6�Z --®"� CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED