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HomeMy WebLinkAboutP2022-0044 - PermitsF . City of Newport Beach - Building Division 111p111111111Im111111111111111p111p1111111111111 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 2 0 0 4 4 Permit Counter Phone (949)644-3288 Job Address: 2401 WINDWARD LN Bldg: 1 Floor: Suite: Description of Work: PLUMB -GAS LINE TO BBQ Inspector Area: 3 Code Edit 2019 Legal Description: N TR 5178 LOT 9 Owner: VISTA PARK PROPERTIES LLC Contractor: STEELE BRET/STEELE POOLS Address: 2401 WINDWARD LN Address: 4921 E LEEDS NEWPORT BEACH, CA 92660 ORANGE CA 92867 Phone: Phone: 714-496-1427 Con State Lic:923975 Issued Date:03102/2022 Lic Expire: 10/31/2022 Bus Lic: BT30042152 Processed By: Lic Exp Date: 02/28/2023 PLUMBING Permit: P2022-0044 Project No : 0544-2022 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : WC EXEMPT Policy No:NO EMPLOYEES Expire : 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 $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 : $46.00 Fee Due at Permit Issuance: $0.00 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 e ® o a a 0 0 0 o eea oao 00 000 0 O O l0 O O O O 9 0 O O O O p n9 0 ee ono a o os ear oea 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 structurb, prior to, its issuance, also requires tilelipp&cant 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 C_) all of or U portions Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, thy improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year o improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7C apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Conti ❑ 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 c sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contracts Professions Code, is available upon request when this application is submitted or at the following Web site:http://m Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7C and effect. Z License Class License No Date COMPENSATION DECLARATION ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO BRIM OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. )by affirm under penalty of perjury one of the following declarations: have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Traance of the work for which this permit is issued. Policy No. 04 and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, ance carrier and policy number are: the work, and the structure is not intended or offered for sale (Section 7044, fh employees' or personal effort, builds or improves the property, provided that the )mpletion, the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not rr pursuant to the Contractors' State License Law). year prior to completion of the improvements covered by this permit, I cannot I understand that a copy of the applicable law, Section 7044 of the Business Date of Division 3 of the Business and my license is in full force Z Contractor Signs U >LTIES AND CIVIL FINES UP TO ONE \HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE Directoq of Industrial Relations as provided for by Section 3700 of the Labor Code, for for the; performance of the work for which this permit is issued. My workers' compensa' Date Name of Agent i Phone # I certify that, in the perfor anc o e ork f rwkthirmit is issued, I shall not employ any person in any mann'rso as to become subject to the worker;' cgmpensation laws of California, and agrethat, if I should become subj ct e w keys' omrovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date DECLARATION RE D N R ENDING AGENCY I hereby affirm under penal of perjury that there is a construction lending agency for the performance of the work for wljich this permit is issued (Secti n 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: - I am the property owner or authorized to act on the property Oco ehaf . 1 have read this application and the information I hav ecI agree to comply with all applicable city and coun or ncaS la relating to building construction./fI authorize representatives of this city or county t ent then d property for inspection purposes. / / / > _ 3IZ Z 2- Signature of Property Owner or Authorized Agent Print PropertyOwner's orp,uthorized Agent's Name u l% G I Z Date / ACT10N DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY .�, F,e4EFM REGIPATIQIIISPART 61 OF I]ILE40AND AQMDRDLEI4 a , PERMITEXPIRED , : ,• Fl :/ SUdIMI1T4D2iS,9E$TOS NOTIFICATION TO. ❑' EPA ❑ AQMD PERMITCANC€LLEO PERMIT EXTENDED ' ,O OI@DSEp DE M L:?19N,RON IS NOT APPLICABLE TO ,• • • • :, . s SfC&Tdked PERMIT FINAL To CERTIFICATE OF : OCCUPANCYISSUED