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Home My WebLink AboutP2020-0099 - PermitsIra City of Newport Beach - Building Division QW 100 Civic Center Drive, Newport Beach, CA 9266011(i.P ,.2.,0".2 ,0�.,.",0,,,0...,.0,I181 Permit Counter Phone (949)644-3288 Job Address: 258 CEDAR ST Bldg: 1 Floor: Suite: Description of Work: PLUM GASLINE TO FIRE PIT Inspector Area: 3 Code Edit 2019 Legal Description: TR 772 LOT 15 BLK 3 ALL (EX NELY 14 FT) THEREOF AND ALL (EX SWLY 15 FT) Owner: GASSELL DARCY Contractor: OWNER/BLDR Address: 258 CEDAR ST Address: NEWPORT BEACH, CA 92663 Phone: Phone: Con State Lic:O/B Issued Date:07/06/2020 Lie Expire: Bus Lie: Processed By: Lie Exp Date: PLUMBING Permit: P2020-0099 Project No : 1183-2020 Inspection Requests Phone (949)644-3255 I1 VS1 EVI® °.°° ° °..°° Worker's Compensation Insurance- Carrier Policy No: .. Expire °0° 9 . . ° 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 $7.00 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 Lndryfrrap: 0 $0.00 Backflow over2": 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: $42.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $42.00 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. 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 7600) 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). 111, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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 roved 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 a 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). ❑ 1 am exempt jrpgi licensure under the Contractors' State License Law for the following reason: By my signature belo w 1 acknowledge that, except for m 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 hat I have built as an owner -builder i it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 44 of th Business and " iessions••CgW, is available upon request when is applic I itted or at the following Web site:hftp://v�.leginfo.ca.gov/calaw.htmi. .leginfo.ca.gov/calaw.htmi. _ •Signature of PFoperty Owner or Authorized Agent .�--- Dat % • LICENSED CONT TOR'S D 1b4TION • I hereby affirm erodes elenalty of perjury that I am I' ensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions ode, and my license is in full force •' and effect. •.... ticeflSe Class License No Date Contractor Signature NIMIKERS' U7101FENSATION DECLARATION DRKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO ES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. of perjury one of the following declarations: ' T and wjll,alyintain a certificate of consent to self -insure for workers' cm"ance 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' Trance carder and policy number are: ie of Agent certify that, in the p1 . if I should become Policy Number compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Date work for which this permit is issued, I shall not employ any person in any manner so as to become subject to thyworkers' compensation laws of California, and Fars' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisionf. I f nature of Applicant Date�/J CLARATION REGAR41NG CONSTRUCTION LENDING AGENCY ;reby affirm under pen Ity 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 ��{{ the property owners behalf. I have read this application and the icily an do l have p� rovidde9d a correct. 1 agree to comply with all applicable city and unty D n and state laws relating to building construction. 1 authorize representatives of this city or count to en er th bove-identified property for inspection purposes. AC17ON DATE BY DECLARATIONOF COMPLIANCEIMTNCODEOF FOROFRC€USEONL FEDERAL REGULATIONS PART 61 OF TITLE40A AQMD.RULE1403. PERMITEXPIRED I SUBMLTTED ASBESTOS N071FICATLON TO. ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXfENDED ❑ ASBESTOS NOBFICATIONIS NOT APPLICABLE TO PROPOSED DEMOUTION. PERMIT HNAL Q Z!u CER77FICAT€OF OCCUPANCYISSUED SIGNATURE: