HomeMy WebLinkAboutP2020-0064 - PermitsCity of Newport Beach -Building Division *P2020-0064'
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 4818 SURREY DR Bldg: 1 Floor: Suite:
Description of Work: PLUMB GAS TO BBQ & FIREPIT (S2020-0061)
Inspector Area: 5 Code Edit 2019
Legal Description: TR 3519 LOT 52(AND E1/2 LOT 51
Owner: BRIAN CLAASSEN Contractor:
AQUA SCAPES POOLS & S
Address: 4818 SURREY DR Address:
321 CALLE FELICIDAD._-
CORONA DEL MAR, CA 92625
SAN_GLEMEMTE CA 9
Phone: - P�hoo 8 - -'946
448-7665
-1,,� "moo State Lic:754729
Issued Date:06/05/2020 Lic Expire:
11/30/2U20'
- Xv.
' ,Bus io:
BT30069893
Processed By. Lic Exp Date:
11/30/2020._ r
Bathroom Fixtures
-Kitchen Fixtures
Toilet:
0
$000
Kitchen Sink:
0
Bidet
Urinal
0
0
$0.00
$0.00 `'
Garbage Disp:
Bar Sink:
0
0
Bath Tub:
0
$0.00
Vegetable Sink:
0
Shower Stall:
0
$0.00 Ice -Maker:
0
Wash Basin:
_0
$0.00
Dishwasher:
0
Hydro -Mass Tub:0
$0.00
Lndry/Trap:
0
Floor Sink:
0
$0.00
Regulator:
Floor Drain:
-0
$0.00
Lawn Sprinkler.
TOTAL: $42.00
$0,00
$0.06
Water Heete`
$0r00
Gas up to 4 out
$6.00
Gas over 4 out
$0.00
Backflow up to 211
$0.00
Backflow over 2
$0.00
Hose Bibb f
$0.00
Drinking Fountain:
PLUMBING Permit: P2020-0064
Project No : 0818-2020
Inspection Requests Phone (949)644-3255
INSPECT<
P �Y-<•'""'"- Worker's Compensation Insurance -
Carrier : WC EXEMPT
-�',r.', Policy No:(NQ EMPLOYEES)
I - Expire:
FEES
��x$0.00
Misc.
Other
0
$0.00
Roof Drain: 0
$0.00 -
0
$0.00
Grease Trap: 0
$0.00
Grease Interceptor0
$0.00
1
$ .00
$�
P-Trap: 0
-Sewer
$0.00 Record Mgmt Fee:
'- Investigation:
Plan Check Fee
.00` ` Sewer: 0 $0.00 Plan Check:
0 Sewer Alter/Repair:0 0.0 ;Issuance:
i0.0 Sewer Abandon: $0.00 Supplemental Fee
i0.00 dditional Fee : 0.00
$0.00 -- Fe Du errnit Issuance : $42.00
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.
$0.110
$0.00
$0.00
$0.00
$0.00
$35.00
$0.00
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, priorto 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 anc
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 o'
not more than five hundred dollars ($500).
❑ 1, 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).
LJ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: T A
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Ca"t �tof3Ya a Lice!
❑ 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 resid q stone year prior to completion of the improveme
sell a structure that I have built as an owner -builder if it has not been constructed in it uety=6`fl'censed contractors. I un erst,�II�1�St�mt a copy of the applicable
Professions Code, is available upon request when this application iS Sug{BittedA5i i e following Web site:hltp://v yr gl�j� 'eF.02alaw.html. r
Signature of Property Owner or Authorized Agent _ .x.0i'a1^iu
I hereby affirm under penalty
and effect.
License Class
'ARNING: FAILURE TG =11RE.
nFT O-"IMPENSAIRON DAMA
hereby affirm aNde oer,alt
I hav, and will mamtai
erformance of the anrk for
Al cave and will Yau,tain
isurance carrier &nd policy
1e of Agent _
certify that, in the
,if I Fhould becoy
iarure of A6 66n
hereby affirm under penaty of petjyry t(!:
ender's Name•Y
y my signature below, I certify to dbph cl
I am the property owner or authdriterf
I have read this applicabon and tF(e in
I agree to comply with all applicable c
I authorize representatives of this city
ignature of Property Owner or Authorize(
QNTRAC R'S DECLARATION
3t I am licensed under provisions of ,hapt (command
�iicense'1 o� �..
\RATION
VS�UDi TION 6446
� Is THE t D 5lYALY J ..�Q LN
�bR IN &E TION 1 6 OF THE LA90Sit` Dey�YT T, A - ORN
of the 1`uI owing.. CIO iovv
R9
�-cDnse to self insure for workers comp saFisrA%u
litrl sued. Policy No.� erf r''
t.
ns µi43uran et a�requl(§tyby ri 3 01
olicy;_
A for h this permit is issued, I shall not employ any f
Hs' c ensation provisions of Sect�n1ie Labor
act on the property owner's behalf.
state
State License Law does not
Law).
covered by this permit, I cannot
,. Section 7044 of the Business
Date
with Section 7a0i11'ei'0i4iisiolnJ 3 of the Business a6d�PNfessirn%'[.'bde. an4 license is in full force
FEES.
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
of Industrial Relations as provided for by Section 3700 of the Labor Code, for
performance of the work for which this permit is 'issued. My workers' compensa
the performance of the work for which this
.ender's Address
Print Property Owner's or
the
3097, Civil Code).
laws of California, and
ACTION
ilA -'.
BY
DECLARATION OF COMPLIANCE KITNCODEOF
FOR OFFICE USE ONLY
-
FEDERAL REGULATIONSPART 61 OF TITLE40AND
AQMD RULE 1403.
PERMITEXPIRED
❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMITEXTENDED
,66"BESTOS NOTIACATIONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMfT FINAL
CERnF1CATEOF
SIGNATURE:
OCCUPANCYISSUED