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Home My WebLink AboutP2021-0524 - Permits.f City of Newport Beach - Building Division(11111111olp111111111111111111p1111111111111111 Jill 100 Civic Center Drive, Newport Beach, CA 92660 2 0 2 1 0 5 2 4 Permit Counter Phone (949)644-3288 is ''?tram Job Address: 2707 BLUE WATER DR Bldg: 1 Floor: Suite: Description of Work: PLUMB INSTALL EXTERIOR GAS LINES Inspector Area: 6 Code Edit 2019 Legal Description: TR 6385 LOT 43 AND POR OF LOT 42 Owner: LAKE RANDALL EVANS TR Contractor: LONGMAN CONSTRUCTION CO INC Address: 10601 CALM HILL CIR Address: 2782 CIRCLE DR SANTA ANA CA 92705 NEWPORT BEACH CA 92663 Phone: Phone: 949-722-7711 Con State Lic:393881 Issued Date:11 8/2021 Lic Expire: 08/31/2023 Bus Lic: BT00001921 Processed By: _Lic Exp Date: 03/31/2022 PLUMBING Permit: P2021-0524 Project No: 1507-2020 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : STATE COMP INS FUND Policy No:9062475 Expire : 07/01 /2022 0 ¢ e BO9f1¢ 9¢o6pe ¢ 9 ¢ ¢ ¢ z c a VC Pf Bathroom Fixtures Kitchen Fixtures Misc. FEES 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 $0.0% ¢ Urinal 0 $0.00 Bar Sink: 0 $0.00 Water Heater: 0 $0.00 Grease Interceptor.0 $0.00 o 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: ; ° UTO 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). 1 I, 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-Builderwill 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:http://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 Section 7000) of Division 3 of the Bu iness rofes, s Co e, and my license is in full force and effect.;...- , License Class ° License No Dat;)t n Z/ Contract Signature VV0T;iERS' CnNl?tNSATION DECLARATION NARNIg7G: FAILURE TO SENRE 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 Pb.T br.:OMPENSACON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. fr Ell affirm uader'penalty of perjury one of the following declarations: Ell ;ave and evMi Iril'aintain 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 r rf man o nth l"r4( for which this permit is issued. Policy No. • <. : gJe and win 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' compensatiol ins � . Q je carrier and policy number are: iartier,� `. Policy Number Expiration Date ekify that, tdR %rormance the arkor which this permit is issued, I shall not employ any person in any manner so as to become sL if I should beco e sylaect to the w rke ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those ignature of Applica ' uaca IECLARATION GAAqRDI NSTR ON LENDING AGENCY 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 Ender's Name Lender's Address ly my signature below, I certify to each of the following I am the property owner or authorized to act on the property own ' behalf. I have read this application and the inform ve provided i co rect. I agree to comply with all applicable city a d county o " ances n state laws relating to building construction. I authorize representatives of this co ty t enter a abo -identified property for inspection purposes. nn linnafure of Pronertv Owner or Auth ' ed oent _.. Print Property Owner's or Authorized A enf me r�� f compensation laws of. California, and ffl - a '7l Civil Code). AC77ON DATE BY DECLARATION OFCOMPLANCE VATH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART BI OF TI-ILE40AND AQMD RULE 1403. PERMITEXP€RED ❑ I SUBMITTED ASBESTOS N077FICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS No nFiCA non, is NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE . PERNRTFINAL /D-7—Z Z_ CERTIFICATE OF OCCUPANCYISSUED