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Home My WebLink AboutP2021-0508 - PermitsCity of Newport Beach - Building Division IIGIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIII�IIIIIIII II PLUMBING Permit: P2021-0508 " 100 Civic Center Drive, Newport Beach, CA 92660 2 0 2 1 0 5 0 8 Permit Counter Phone (949)644-3288 Project No: 1877-2021 Inspection Requests Phone (949)644-3255 Job Address: 1334 HAMPSHIRE CIR Bldg: 1 Floor: Suite: Description of Work: SFR GAS LINE TO BBQ (S2021-0187) **CHANGE OF CONTRACTOR** Inspector Area: 3 Code Edit 2019 Legal Description: N TR 3852 LOT 32 Owner: LANNI SCOTT Contractor: OWNER/BLDR Worker's Compensation Insurance - Address: 1334 HAMPSHIRE CIR Address: LANNISCOTT Carrier: NEWPORT BEACH, CA 92660 O/B AUTH ATT Policy No: Phone: Phone: 949.400-1557 Expire: Con State Lic:O/B Issued Date:10/20/2021 LicExpire: Yr BusLic: Processed By: LicExpDate: o°oo mo m FEES 0 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 °°°° ° $i=0 % Bidet 0 $0.00 Garbage Disp: 0 $0.00 Water Softener: 0 $0.00 Grease Trap: 0 $0.00 $6.00 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: 0 $0.00 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 Lndrylfrap: 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: $38.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $38.00 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 requil;�s4he 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 L) 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-Builderwill have the burden of proving that it was not built or i} 1roved 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 p ly 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 Vies not been constru tEd in ifs entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Profession% Coft is available upon request wh n thi ap n i.5 submi d or at the following Web site: http:/Iw .leginfo.ca.gov/calaw.html. Signature of.Praper j Owner or Authorized Agent C� Date �' /2 Z i LICENSED CONT AC R'S DECLARA ON 1 R��by affiyn unaslr penalty of perjury that am li ensed under provisions of Chapter 9 (commencing wit ection 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. • • •' 'License Class • License No Date Contractor Signature ORKERS' CODIIP,ENSATION DECLARATION WARNING: FAILURE SO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE COMF COMPEN64TAQN, DAMAGES AS PROVIDED FOR IN SECTION 370G OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 19ti= 9V of irinf W- pi 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 . . psd>•or.ruance of ihe'work for which this permit is issued. Policy No. P. � ivye and vh4alhtain 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 in �urante carries: ng2olicy number are: Carrier • Policy Number Expiration Date Name of Agent Phone # I 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 agre that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant ECLARATION REGARDING CONSTRUCTION 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, Civil Code). ender's Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable City and county ordi nces and st to laws relating to building construction. I authorize representatives of this city or county to t th b e-iidtified property for inspection purposes. ,J LC7 ionnhire of Prooertv Owner or Authorized Agent - e-41"` Print Property Owners or Authorized Agent's Name ACTION DATE BY uCLLAu rrvrr yr i.vncrusar1i.1 rr. r 11 --- — FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQMDRLXE 1403. ❑ I StIBMfTTED ASBESTOS NOTIFICATIONTO. ❑ EPA ❑ AQMD PERMfTEXPI,RED PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITIOM SIGNATURE: PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED