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Home My WebLink AboutP2019-0207 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIII1III1IIIUIII1IIIIIIp II 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 9 0 2 0 7 '4 Permit Counter Phone (949)644-3288 at - Job Address: 1220 BAY AVE W Bldg: 1 Floor: Suite: Description of Work: PLUMB/FOR FUTURE SWIMMING POOL (INSIDE STRUCTURAL SLAB) Inspector Area: 1 Code Edit 2016 Legal Description: TR 626 LOT 8 BILK 3(AND SELY 30 FT LOT 7 BILK 3 Owner: SABO ELIAS JR Contractor: FLUID DYNAMICS POOL & SPA Address: 1220 W BAY AVE Address: 620 E WALNUT AVE, #B NEWPORT BEACH, CA 92663 FULLERTON CA 92831 Phone: Phone: 714-213-8047 Con State Lic:809954 Issued Date:07/01/2019 Lic Expire: 12/31/2020 Bus Lic: BT30055899 Processed By: Lic Exp Date: 07/31/2019 PLUMBING Permit: P2019-0207 Project No: 1499-2019 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : EMPLOYEE SERVICE Policy No:CST5013478 Expire : 08/12/2019 FEES Bathroom Fixtures Kitchen Fixtures Misc. Misc. Other Toilet: 0 $0.00 Kitchen Sink: 0 $0.00 Water Piping: 1 $7.00 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: 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: $6.09 Hydro -Mass Tub:0 $0.00 Lndry/Trap: 0 $0.00 Backflow over 2": 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: $48.09 - Plan Check Fee : $0.00 Fee Due at Permit Issuance : $48.09 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. O O O •• ® ®Od O O O� OO OG O • O • O 0 000 00 O O O O O p a • a BEB BG BG • • GOy •• 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 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). 111, 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.gov/calaw.htm]. 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 Busin4HUNE1 s/C4e,dyliL nse is in full force and effect. _ License Class License No Date 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 OND DOLLARS ($'100,000(, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 pe ormance of the work for which this permit is issued. Policy No. I have and w' 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' compensation insurance carrier policy number re: Carrier - 1 Pflicu.N,mber Expiration Date Name of Agent - Phone # I certify that, in the perfo nce of the k for h h 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 agree that, if I should become sub' ct to e w errs' m nsation Ions of Section 3700 of the Labor Code, I shall forthwith comply with those proiLsions. nature of Applicant Dam- J [�Y CLARATION REG fR,0lNGS UCT N LENDING AGENCY :reby affirm under pefialty 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). 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 own is behalf. I have read this application and the information I h vided cVniea1!dpW I agree to comply with all applicable city and cou ordin nc andm relator building construction. I authorize representatives of this city or county ognte ove-iarty for inspection purposes. _ of Property Owner or Authorized AC)LON DATE BY DECLARATION OF COMPLIANCE WITH CODEOF FOR OFRCE USE ONLY • fFNP.AL f{JWLATIONSPART 6; OF 717LE40AND AQNO RUL€4403, PERVITEXAMED • 7 SUBMf Vi3A;El&S ; 6 AgT1fJC4TI0N TO:- • :M EPA• ... •• ... . • ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NORRCATiONIS NOT APPLICABLE TO eFQPaED,DEMQLITION ... • • • • • • • • • • PERMIT FINAL Ft CERTIFICATEOF OCCUPANCYISSUEO - o0