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Home My WebLink Aboutp2022-0054 - Permitsa City of Newport Beach - Building Division IIIIIIIII�IIIII�IIII�IIIIIIIII PLUMBING Permit: P2022-0054 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 2 0 0 5 4 Project No: 0874-2022 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 9 RONSARD Bldg: 1 Floor: Suite: Description of Work: PLUMB -GAS LINE TO FIRE PIT Inspector Area: 6 Code Edit 2019 Legal Description: N TR 15935 LOT 86 Owner: VASHISTHA KAPIL Contractor: INFLUENCE OUTDOORS LANDSCAPE Worker's Compensation Insurance - Address: 9 RONSARD Address: 700 N RESH ST Carrier: EXEMPT NEWPORT COAST, CA 92657 ANAHEIM CA 92705 Policy No:NO EMPLOYEES Phone: Phone: 949-285-2471 Expire Con State Lic:1085331 Issued Date:04/01/2022 Lic Expire: 12/23/2023 Bus Lic: BT30078271 Processed By: - Lic Exp Date: 03/31/2023 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 i $0.00 Garbage Disp: 0 $0.00 Water Softener: 0 $0.00 Grease Trap: (1 $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 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 Lndryffrap: 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: $46.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $46.00 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 ° O 0o B B 9 O Oy0 C O °co o c e°e E p AO DVb G b YGO 4Du GYG 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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). ❑ I 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 legall 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:hftp://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect' n 7 0) of Division 3 of the Business an Professi s Co ,and lice se is full force and effect. License Class License No Dat 1 � Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDND THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: have and will maintain a Certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Tnance of the work for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' carrier and policy number are: Date a e f Agent Phone # �I ertity that, in the rformanc of th4haher, ich is p mit is issued, I shall not employ any person in any manner so as to become subject to the workers' om n: ould becom subject a wmpen do provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. i Ignature of Appli Date iECLARATION REGA G STR DING AGENCYhereby affirm under pena y of perjury tis a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). enders Name L der's Address y my signature below, I ce fy to each of the following: I am the property owner or authorized to act on t perty, owner' ehalf. I have read this application and the information I have rov co ect. I agree to comply with all applicable city and couZethe c s an state relating to building construction. authorize representatives of this city or county bo-identiproperty for inspection purposes. L ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name laws of California, and T/ ACTION DATE DECLARATION OF COMPLIANCE 147TH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATipNSPART SI-OF TITL£110IWO AQMDRULE-1403�•� s : • •• PERMITEXPfRED [IISUBM:l TFD•4S$ESTOS-SWJIFICATtQN;T4' ❑ EA4 ` i • ' • ` ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS N007719CARONIS NOT APPLICABLE TO PROPOSED DEMD"TIOM. s o e • • a PERMITFINAL CERTIFICATEOF SIGNATURE., o 0 0 OCCUPANCYISSUED o o moo ou