HomeMy WebLinkAboutP2018-0287 - Permitst City of Newport Beach - Building Division
a 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 1981 PORT DUNLEIGH CIR Bldg: 1 Floor: Suite:
Description of Work: GASLINE TO FIRE PIT
Inspector Area: 4 Code Edit 2016
Legal Description: N TR 7027 LOT 51
Owner: ZUBLIN JR. CASPER W
Address: 14981 PORT DUNLEIGH
NEWPORT BEACH, CA 92660
Phone:
Issued Date:08/27/2018
Processed By:
Contractor: BACKBAY CUSTOM POOLS
Address: 2153-B SAN MICHEL
COSTA MESA CA 92627
Phone:
949-412-0447
Con State Lic:813938
Lic Expire:
10/31/2018
Bus Lic:
BT30055011
Lic Exp Date:
10/31/2018
PLUMBING Permit: P2018-0287
Project No: 2045-2018
Inspection Requests Phone (949)644-3255
Worker's Compensation Insurance -
Carrier: WC EXEMPT
Policy No:(NO EMPLOYEES)
Expire: p
T R
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
$6.00
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
Lndryrrrap:
0
$0.00
Backflow over 2":
0
$0.00
Sewer Alter/Repair:0
$0.00
Issuance:
$33.00
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:
$39.00
Plan Check Fee :
$0.00
Fee Due at Permit Issuance: $39.00
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) n
(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 an(
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 (_) 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
ap 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 this permit, I cannot legal
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 ap a law, S Ion 044 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.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) of Division 3 of the Business nd Professio s Code, a d my license is in full force
r and effect. cY Z.J�CContractor Si g .License Class License No Da nature'
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL 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 3706 OF THE LABOR CODE, INTEREST, ANDATTORNEY'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 tt
oerfonnance 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
Agent
Date
in the performance of th wortr whic 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
become subject to the w rkers comp tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
-reby affirm under penalty of perjury that there is a construction lending
ider's Name i
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the roperty ner's b
I have read this application and the information I h e provide is co r
I agree to comply with all applicable city and count ordinance and
I authorize representatives of this city or county tq a ter the ab ve-its
for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Address
laws relating to building construction.
ed property for inspection purposes.
Date
ACTION
DATE
BY
DECLARATION OF COMPLIANCE TH CODEOF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OFTBLE40AND
AQMORULE1403.
PERMITEXPIRED
❑ I SUBMITTED ASBESTOS NORFICATION TO.
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMITEXTENDED
ASBESTOS N017FICA770MIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMITFINAL
Q
A—
CERTIFICATEOF
SIGNATURE.
OCCUPANCYISSUED