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Home My WebLink AboutP2018-0256 - Permitst City of Newport Beach -•Building Division 111111111111111111111111111111111111111111111111111111111111 cs 100 Civic Centgr DrivE•Ne+,6goni (jact.,•CA V2860 P 2 0 1 8 0 2 5 6 ` Permit Countrr4•P•hoA919491®44.3208• • • • m • -- m m m e m m •e me. m m e • • s Job Address: 1963 PORT DUNLEIGH CIR Bldg: 1 Floor. Suite: Description of Work: PLUMB/BBQ, FIRE -PIT, FIRPLACE Inspector Area: 4 Code Edit 2016 Legal Description: N TR 7027 LOT 48 Owner: CONCHACASA LLC Address: 5316 SEA SHORE DR NEWPORT BEACH, CA 92663 Phone: Issued Date:08/21/2018 Processed Bv: Contractor: PREMIER POOLS ORANGE CTY Address: 22 SAN RAPHAEL DANA POINT CA 92629 Phone: 626-422-5426 Con State Lic:798298 Lic Expire: 1213112019 Bus Lic: BT30056113 Lic Exp Date: 08/31/2018 PLUMBING Permit: P2018-0256 Project No : 1826-2018 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : STATE COMP Policy No:9158204 Expire : 05/03/2019 9s 9p '". i � ttA 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 Backilow 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 Backf ow 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 1 am exempt from the Contractors' State License Law for the reason(s) indicated below byth o cheokam- rI fIi hgvg plpce&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 repatrevy atauctlire, prior o 1 srissuaoee, 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). • • • ' • - ❑ 1, 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 stru sture is not intended -or offgrep for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' 6ir personal efforC buildsar 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 OJtmer*Wlder Aff Asn 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 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.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 S do 700 of iVision 3 of the Business and Pro essio 2e,d y f ise is in full force and effect. License Class License No Dat Contractor Signatur 1NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNORE THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ❑ y ve. 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 thl 3eff —ante of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number ie of Agent certify that, in the p . if I should become Date issued, I shall not employ any person in any manner so as to become subject to the ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applican uer CLARATION REG G DING AGENCY rreby affirm under pena of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, 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 thAna r's behalf. I have read this application and the information I corr I agree to comply with all applicable city and coustate s relating t wilding construction. I authorize representatives of this city or county ta-ide ,d grope r inspection purposes. F,4�, nature of Pro ert Owner or Authorized A ent Print Pro erty Owners or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPUANCEtMTN CODEOF FEDERAL REGULATIONS PART 01 OF TITLE40AND PERMITEXPIRED AQMDRULE7403. I SUBMITTEDASBESTOS NOTIFICATION TO: PERMITCANCELLED ❑ EPA PERMITEXTENDED ❑ AQMD ❑ ASBESTOS NORRCATIONIS NOT APPLICABLE TO PERMITFINAL 12 (3O / b/t- PROPOSED DEMOLITION. OCCUPANCYISSUED I I I SIGNATURE: Code). I laws of California, and