HomeMy WebLinkAboutP2022-0004 - PermitsCity of Newport Beach - Building Division *P2022-0004"
d 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 1030 SANDCASTLE DR Bldg: 1 Floor: Suite:
Description of Work: PLUMB/GAS LINE TO BBQ & FIRE -PIT (S2022-0013)
Inspector Area: 6 Code Edit 2019
Legal Description: N TR 6425 LOT 20
Owner: DASWANI DILIP/LAVINA
Contractor:
INSTANT POOLS LLC
Address: 1030 SANDCASTLE DR
Address:
116 SENCILLO PL
CORONA DEL MAR CA 92625
RANCHO MISSION VIEJO CA 92694
Phone:
Phone:
949-795-0648
Con State Lic:1009644
Issued Date:02/11/2022
Lic Expire:
07/31/2023
Bus Lic:
BT30053469
Processed By:
Lic Exp Date:
12/31/2022
PLUMBING Permit: P2022-0004
Project No : 0091-2022
Inspection Requests Phone (949)644-3255
Worker's Compensation Insurance -
Carrier : WC EXEMPT
Policy No:(NO EMPLOYEES)
Expire :
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FEES
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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 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 160 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.
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•es
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 items)
(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).
I, as owner of the property, or my employees with wages as their sole compensation, will do U 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
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'Ione year prior to completion of the improvements covered by this permit, I cannot legally
sell a sjrygtyre 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://w .leginfo.ca.gov/calaw.html.
&ignature olVrroperty Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby t1hrm Lnder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section I000) of Division 3 of the Business rofau ed'� ssionsde. and my license is in full force
. • and effect /� --
License No
Date Z , ` _ L- contractor
PORKERS' COMPENSATION DECLARATION If -�`—
IARNING: FAILURE•rO 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 ADDmON TO I
QST OF CCNRtISSp.TION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby afflgm under 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
�elrformar" of Cie work for which this permit is issued. Policy No.
JI have, !N%TI 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' compensa
Isurance"Ties and policy number are:
ertify that, in the p
if I should become
rture of Applicant _
Policy Number
this permit is issued, I shall not employ any person in any
ation provisions of Section 3700 of the Labor Code, I shall
�reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for
tder's Name Lender's Address
my signature below, 1 certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information h d d is correct.
I agree to comply with all applicable city and c my ordinances rid teia s relating to building construction.
I authorize representatives of this city or cou ty to ant h e-identified property for inspection purposes.
mature of Prooertv Owner or Authorized Aaen---Brint Property Owner's
Date
so as to become subject to the workers' compensation laws of California, and
h comply with those provisions.
nate /2 - It - ZZ
this permit is issued (Section 3097, Civil Code).
ACT7Oiy
OAT r
BY
UtCLAt(AI UJIN Ur L.UMPUALIVUE I(W t n L.UUt Ur
FEDERAL RESULATIONSPART 61 OF TITLE40 AND
AQMD RULE 1403.
PERMIT EXP#RED
❑ I SUBhfITTEDASBESTOS NOTIFICATION TO:.
❑ EPA
❑ AQMD .
PERMIT CANCELLED
P€RM7TEXTENDED
ElASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL—(—
-L3
/may`.
CERTIFICATE OF
SIGNATURE:
OCCUPANCYISSU€D