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Home My WebLink AboutP2021-0168 - PermitsCity of Newport Beach - Building Division I 111�1111 III 11111p11111p11111111111111111111111111111Jill " 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 1 0 1 6 6 Permit Counter Phone (949)644-3288 t�'iaxtiuKi` Job Address: 1220 BAY AVE W Bldg: 1 Floor: Suite: Description of Work: PLUM GAS LINE TO BBQ & FIRE PIT (X2018-2870) Inspector Area: 1 Code Edit 2019 Legal Description: TR 626 LOT 8 BLK 3(AND SELY 30 FT LOT 7 BILK 3 Owner: SABO ELIAS J SABO FAMILY TR JR Contractor: Compensation Insurance - Address: 1220 W BAY AVE Address: 1278 GLENNEYRE ST #412 NEWPORT BEACH, CA 92661 LAGUNA BEACH CA 92651 Phone: Phone: 949-683-3500 Con State Lic:852218 Issued Date:05/26/2021 Lic Expire: 01131/2023 Bus Lic: BT30028998 Processed By: Lic Exp Date: 08/31/2021 PLUMBING Permit: P2021-0168 Project No: 0592-2018 Inspection Requests Phone (949)644-3255 GALLO BUILDERS INC Carrier: STARNET INSURANCE Policy No:BNUWC01522628 Expire : 11/20/2021 Worker's 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 Lndry/Trap: 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 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 one year prior to completion of the improvements covered by this permit, I cannot legall) sell a structure (ha[ 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 Ccda, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. igLature of Pmpirt• Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm urder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti n 70 ) of Division 3 of the Business and Profession Code, and my license is in full force auD effect. S.— i L:oence Class License No Date e DZ Contractor Signature d/ y'JOfx4:ERS' COMPENSATION DECLARATION V,] RNAJ: FAILURL TL SECJRE 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 ADDITION TO THE r ('ST7� COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: U I hate and Nill rna;ntain 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 thi pf.y-encrice of the work for which this permit is issued. Policy No. have and wileinarcfain 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 of Agent Date 01 certify that, in the performance of the work for which 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 agre that, if I should become subject to the wporkers' compensate n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant EN�N' Date Sl DECLARATION REGA I CONSTRUCTION NDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 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 owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to thbov d lifted property for inspection purposes. ' I f� Signature of Property Owner or Authorized Agent .e.—fl' Print Property Owner's or Authorized Agent's Nam r_ IA r I U l ✓ �r Date 2'6 Zd AC71ON DATE BY DECLARATION OF COMPLIANCE KITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULA77ONS PART 61 OF TI7LE40AND AQMD RULE 1403. PERMIT EXPIRED ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED [3ASBESTOS NOTIFICATIONIS NOTAPPLICADLETO PROPOSED DEMOLITION. PERMIT FINAL 'L CERTWICATEOF SIGNATURE: OCCUPANCYISSUED