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Home My WebLink AboutP2022-0052 - PermitsCity of Newport Beach - Building Division III�IIIIIIIIIIIIIIIIIIIIIIIIII�III�IIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 II P 2 0 2 2 0 0 5 2 II Permit Counter Phone (949)644-3288 Gi $ a �$tj1n4+� Job Address: 10 RUE CHATEAU ROYAL Bldg: 1 Floor: Suite: Description of Work: PLUMB -GAS LINE TO BBQ, SEWER FOR SINK Inspector Area: 4 Code Edit 2019 Legal Description: N TR 7788 LOT 65 Owner: PANNIER LOREN Contractor: LANDCRAFTERS INC Address: 10 RUE CHATEAU ROYAL Address: 29512 ANA MARIA LANE NEWPORT BEACH CA 92660 LAGUNA NIGUEL CA 92677 Phone: Phone: 949-249-1086 Con State Lic:754071 Issued Date:03/14/2022 Lic Expire: 09/30/2022 Bus Lic: BT30039467 Processed By: Lic Exp Date: 05/31/2022 PLUMBING Permit: P2022-0052 Project No : 0659-2022 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier: EMPLOYEE SERVICE GROUP Policy No:WC5897031 Expire: 12/01/2022 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 overt": 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: $46.00 Fee Due at Permit Issuance : $0.00 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. 00o eoo J40 - O O` p O p 00 G^O C pVCy bt`3 O 9 •l t6p C.QQ 20 LP BBO Op CVO/ O 9 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 pensity❑of not more than five hundred dollars ($500). 1201 N TUSTIN I, as owner of the 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 and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improvesthe 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 legally 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.govicalaw.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) D' ision 3 of the Business and Profe �ea?nmy fi a is in full force and effect. License Class License No Date Contractor Signature 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 370G OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 the performance 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 Date of Agent rnone * c4ttity that, in thaorma f ewo fo wIch this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compe sation laws of California, and agret, should becowor s' c pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. -• nature of Applica Dw�,_v v CLARATION RE RDI CO ION LENDING AGENCY ireby affirm under p al erjury 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, I certify to each of the following: I am the property owner or authorized to act on thepNerty ownpeeh I have read this application and the information have IdeeI agree to comply with all applicable city and c uT non s to ws relating to building constmction.I authorize representatives of this city or count o r th ab led propeity for inspection purposes. ener's or Authorized AD DATE BY %ECLAR 10� OF COMT 61PLIANCE E WITH CODE AND AOMF FEDE ERAL FOR OFFICE USE ONLY 3 PERMIT EXPIRED I LIISUBMI @�STOS�§PIFIC&-0I -6:_ e v e �.. ass �s e PERMITC4NCELLED EPA ° ° ° o A w • PERMIT EXTENDED OMB ° ` POOLALARMS ASBESTOS NOTIFICATION IS NOT APPLICABLE TO INSTALLED PROPOSED DEMOLITION. +•+ SIGNATURE: °a° °°c co- -°°i oc$•'°e•• 'cy •s+ .+• se a n n o e • a PERMIT FINAL _ - a co