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p2020-0092 - Permits
taw p City of Newport Beach - Building Division *P2020-0092* 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 1801 SABRINA TER Bldg: 1 Floor: Suite: Description of Work: PLUMB GAS TO FIRE PIT AND BBQ Inspector Area: 5 Code Edit 2019 Legal Description: N TR 2813 LOT I I I Owner: ARONOFF BARRY Contractor: SPINNAKER DEVELOPMENT LLC Address: 151 KALMUST DR STE H10 Address: 428 32ND ST COSTA MESA CA 92626 NEWPORT BEACH CA 92663 Phone: Phone: 949-544-5806 Con State Lic:985114 Issued Date:06/24/2020 Lie Expire: 07/31/2021 Bus Lie: BT30029026 Processed �,`T_Lic Exp Date: 04/30/2021 PLUMBING Permit: P2020-0092 Project No : 0384-2020 Inspection Requests Phone (949)644-3255 �� 7-0,p Worker's Compensation Insurance - Carrier : STATE COMP Policy No:9105623 Expire: 07/01/2020 ow oV o woad °°:,a •>°°tea. 0 0 0 0 0 oa o a o J3 3 4J° O Bathroom Fixtures Kitchen Fixtures Misc. FEES Misc. Other ©aoa oaoo! Toilet: 0 $0.00 Kitchen Sink: 0 $0.00 Water Piping: 0 $0.00 Roof Drain: 0 $0.00 $0.011 Bidet 0 $0.00 Garbage Disp: 0 $0.00 Water Softener: 0 $0.00 Grease Trap: 0 $0.00 $0.003 Urinal 0 $0.00 Bar Sink: 0 $0.00 Water Heater: 0 $0.00 Grease Interceptor:0 $0.00 o °a Bath Tub: 0 $0.00 Vegetable Sink: 0 $0.00 Gas up to 4 outlets: 1 $7.00 P-Trap: 0 $0.00 Record Mgmt Fee: ° -$Q,00 Shower Stall: 0 $0.00 Ice Maker: 0 $0.00 Gas over 4 outlets: 0 $0.00 Sewer Investigation: °.40960 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 overt": 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 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 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 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). ❑ 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). ❑ 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 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.htmi. 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 Section 7000) of Division 3 of the B iness and Profession d ,and my license is in full force and effect.? �y / / License Class .° ° ° ° /, License No D �! D // �- CO ^ G w Contractor ature /7IOAKERS' CO131RNSATION DECLARATION 0*00 &ARNING}FAILURDTUSECYRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST O� COMPENSATIOA!DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. laleTqby2ffirm under penalty of perjury one of the following declarations: Ell have and w°III 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 the ° rFoaM3nce of ttte°worlt for which this permit is issued. Policy No. .see and will r01-iain Sin 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' compensaliol iesurii— - 'er AA policy number are: e-e ier 0 0 _ Policy Number Expiration Date I certify that, iriViiiiperformance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre th%I!,1Ml should IM cyrjd'sutlje worn ' o e sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those_pro/yyylsions. l // Signature of Apn t r ;e (.✓ 07 — a� DECLARATION REGAR G CONS CTION LENDING AGENCY _ I hereby 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). Lender's Name Lenders Address By 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. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinan sand state laws relating to building construction. I authorize representatives of this city or c v entified property for inspection purposes. Signature of Property Owner or Authorized enl Print Property Owner's or Authorized Agent's It .riDate AC77ON DATE BY DECLARATION OFCOMPLIANCEMTH CODEOF FOR OFRCE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40AND AOMORULE1403. ❑ I SUBMITTED ASBESTOS M077FICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS N077RCAITON IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITEXPIRED - PERMITCA.NCIELLED PERMITEXTENDED RERMtT FINA1 CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED