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Home My WebLink AboutP2021-0187 - Permitswtw% City of Newport Beach - Building Division 'P2021-0187` �' t j+$Af� e. 100 Civic Center Drive, Newport Beach, CA 92660 �, w n Permit Counter Phone (949)644-3288 ` "-. 3 °"` ^C-7§ pr% rl S> }9rLm- 0 u fl t'a CiYu11A>'�` Job Address: 921 ALDER PL Bldg: 1 Floor: Suite: Description of Work: PLUM/GAS LINE TO FIREPIT & BBQ Inspector Area: 4 Code Edit 2019 Legal Description: N TR 4705 LOT 6 Owner: JONES PAUL Contractor: LEGACY CUSTOM HOMES INC Address: 921 ALDER PL Address: 1000 QUAIL ST, STE 220 NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92660 Phone: Phone: 949-887-4750 Con State Lic:986194 Issued Date:09/14/2021 Lic Expire: 08/3112023 Bus Lic: BT30045036 Processed By:- Lic Exp Date: 10/31/2021 PLUMBING Permit: P2021-0187 Project No : 0829-2021 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : OAK RIVER INSURANCE Policy No:LEWC117490 Expire : 12102/2021 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 $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 : $0.00 Fee Due at Permit Issuance : $46.00 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 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). I, 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 ouroose of sale). 1, as owner of the nloperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not aonly 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 iicensure under the Contractors' State License Law for the following reason: Ry 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 Iegall scl: 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 (ode 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 I hereLy affirm urds- penalty of perjury that I am licensed under provisions of Chapter 9 (commencin ith Section 7000) of Division 3 of the Business and Profes i el an y license is in full force and effect. License Class _ _ _ License No DatContractor Signature WORKERS' CnMPFNSATION DECLARATION 'VARNINC FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE RED T SAND DOLLARS ($100,000), IN ADDITION TO THE GUST GP COMPEN3.=N,')AMAGES 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: I 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 the performance of the work for which this permit is issued. Policy No. I 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' compensation p6Wance carrier and policy number are: Policy Number of Agent Date I certify that, in the performance of the work f hich t pe It is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and It, if I should become ubject to the wo com t' provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr vi ions. )nature of Applicant Dat :CLARATION REG �enstruction NG AGENCY ereby affirm under anal lending agency for the performance of the work for which this permit is issued a ion 3097, Civil Code). nder's Name Lender's Address my signature below, I certify to ach 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. 1 agree to comply with all applicable city and county ordinances ate s r ting to building construction. I authorize representatives of this city or coa(It3 to enter t e-id party for inspection purposes. r r� Owner's or Authorized Agent's Name ACTION DATE Y DECLARATION OF COMPLIANCE WITH CODE OF F 11 FOR OFFICE USE ONLY FEDERAL REGULATIONS PART Bi OF TIRE 40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ISUBMITTEDASBESTOSNOTIFICATIONTO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS NOT7RCATION 1S NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL oe CERTIRCATEOF SIGNATURE: OCCUPANCYISSUED