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Home My WebLink AboutP2022-0063 - Permitsyaw City of Newport Beach - Building Division a- 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 rzLanni��a Job Address: 1528 KEEL DR Bldg: 1 Floor: Suite: Description of Work: PLUM GASLINE TO FIRE PIT & POOL EQUIPMENT Inspector Area: 6 Code Edit 2019 Legal Description: N TR 6152 LOT 116 Owner: ANDERSON TIMOTHY Address: 1528 KEEL DR CORONA DEL MAR, CA 92625 Phone: Issued Date:04/0412022 ��.��/�'7 Processed Bv: f3 c II II I�II� 0�II� II�II III 0 III 6III3III II PLUMBING Permit: P2022-0063 Project No : Inspection Requests Phone (949)644-3255 Contractor: QS CONSTRUCTION INC Worker's Compensation Insurance Address: PO BOX 12109 Carrier: STATE FUND COSTA MESA 92503 Policy No:9224879 Phone: 949-285-8326 Expire : 01/24/2023 Con State Lic:1021012 Lic Expire: 11/30/2022 Bus Lic: BT30069027 Lic Exp Date: 09/30/2022 ma amm• ° m°m• °p o amoa ° 000emo ° mm°°mm 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 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: $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. 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 owgOr"Il7e property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business aec+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 • •iptrovern"ils.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 implbved for tl(p;pWose of sale). • %as ownerpf 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 oyTp6of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). • J am efp141 from licensure under the Contractors' State License Law for the following reason: By my signaWey 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 legalt .. 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 • J; fofessions lCoda, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. SAngture of Property Owner or Authorized Agent Date • • • LICENSED CONTRACTOR'S DECLARATION I hereby affirmvnder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing 7 Section 7000) of Division 3 of the Business a d Profess s Code, and my license is in full force ' • •a'r effect.. • - i •Liedhse Class .• . License No Date b Z Z_ Contractor Signat WORKERS' COMPENSATION DECLARATION WARNING: 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 erf rmance of the work for which this permit is issued. Policy No. ve 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' compensatio Insurance arrier and policy number are: Policy Number Date me of Agent rnorw 0 1 certify that, in the performance 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 It, if I should become sugj'ect to JYe Wrkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions; f l �reby affirm under �6nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued'(Seion 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. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county rdinances and state laws relating to building construction. I authorize representatives of this city or county o nter }}bove-identif_ied property for inspection purposes. O mature of Property Owner or Authorized Agentf��— Print Property Owner's or Authorized Agent's Nam PERMIT ACTION DATE BY IDE FE ERAL RCLARATIEOGULATIONSPAITTb OFTTLE40AN0 OF I FOR ❑ f SUBMITTED ASBESTOS NO77FICATIOON TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOI#7CAT7ONIS NOT APPLICABLE TO PROPOSEDDEMOLITION. OCCUPANCYISSU€D I I SIGNATURE: