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Home My WebLink AboutP2021-0011 - PermitsCity of Newport Beach - Building Division 11111111111111111111111111111111111111111111111111111111 11 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 1 0 0 1 1 Permit Counter Phone (949)644-3288 Job Address: 4 VENETO Bldg: 1 Floor: Description of Work: PLUM/GAS TO BBQ Inspector Area: 3 Code Edit 2019 Legal Description: N TR 15078 LOT 11 Owner: WCIZ Address: 4 VENE' NEWPO Phone 415-754 Issued D :031p 1/0812( Processed By: Suite: JOHN Contractor: DREAMSCAPES BY M G R INC Address: 1901 NEWPORT BLVD #350 R COAST CA 92657 COSTA MESA CA 92627 -99 1 Phone: 949-480-3420 Con State Lic:694588 21 Lic Expire: 10/31/2021 Bus Lic: BT30052223 Lic Exp Date: 01/3112022 PLUMBING Permit: P2021-0011 Project No : 0067-2021 Inspection Requests Phone (949)644-3255 g4`7 Workers Compensation Insurance - Carrier : STATE FUND Policy No:9265436 Expire : 12/28/2021 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 LndryfTrap: 0 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair:0 $0.00 Issuance: $37.00 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: $44.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $44.00 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) (Section 7031.5, Business and Professions Cade: 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 Iicensure 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 improved for the purpose of sale). 111, 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 Iicensure 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 stn,cwre 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 "rofessicns CoJe, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 1 ;iereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7000) of Division 3 of the Business and Professions ode, an y license is in full force and effe.:t. ' \ L irense Class License No D to 2� Contractor Signature 1 TORKER£' COMPENSATION DECLARATION w. rNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL YER 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 3705 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES. herr.b affrm under penalty of perjury one of the following declarations: ' _ e 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 the i nce d* rh=v%ork for which this permit is issued. Policy No. av 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' compensation s carrier and policy number are: Yi€r Policy Number Expiration Date rle of Agent Phone # certify that, in the performan of he rk f which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' com ensation laws of California, and agre t, if I should become su ct o th o er ' orppensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi nature of Applican CLARATION REGAR IN U TION LENDING AGENCY ", Ireby affirm under pena y 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 on the property owner's behalf. 1 have read this application and the information I have proyyJJ'ded ' correct. I agree to comply with all applicable city and county orrdJiences t laws ref m building construction. '�/ I authorize representatives of this city or county to egf�r e a ve" i)l�ntifie�y inspection purposes. ^ [/�' nature of Property Owner or Authorized A e �� / ��/ print Property Owner's or Authorized Agent's Name —J�` ACRON DATE BY DECLARATION OFCOMPLTANCE KITH CODE OF FEDERAL REGULATIONSPART 61 OF TITLE40ANO AQMD RULE f407. ❑ LSUBMITTEDASB€STOSNORFICATLONTO: ❑ EPA ❑ AQMO ASBESTOS No AON fS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE:. FOR OFFICE USE ONLY PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL . y — jr 3 Q p.. �/ CERTIFICATEOF OCCUPANCY)SSUED