HomeMy WebLinkAboutP2021-0550 - Permitsywrn�� City of Newport Beach - Building Division 111111III IIIIIpIII IIIII111111111111111111111111111111
100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 1 0 5 5 0
Permit Counter Phone (949)644-3288
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Job Address: 1707 NEWPORT HILLS DR W Bldg: 1 Floor: Suite:
Description of Work: PLUMB - GAS LINE TO BBQ, FIRE PIT, FIREPLACE
Inspector Area: 4 Code Edit 2019
Legal Description: N TR 7032 LOT 2
Owner: QUARTARARO
Address: 1707 W NEWPORT HILLS DR
NEWPORT BEACH CA 92660
Phone:
Issued Date:12/15/2021
Processed Bv: .17(
Contractor:
INSTANT POOLSCAPES
Address:
833 DOVER DR #24
NEWPORT BEACH CA 92663
Phone:
949-795-0648
Con State Lic:1009644
Lic Expire:
12/31/2021
Bus Lic:
ST30053469
Lic Exp Date:
12/31/2021
PLUMBING Permit: P2021-0550
Project No : 2934-2021
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 :
$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 Lawfor 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 Cade) 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 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).
❑ 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 one year prior to completion of the improvements covered by this permit, I cannot legally
sell 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 Code, 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 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business f2rofessi e, and Amy -ie.in full force
and effect.
License Class License No Date _��Z &ntractor Signatur
NORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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
erformance of the work for which this permit is issued. Policy No.
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'
rance carrier and policy number are:
Policy Number
of Agent
tify that, in the performte f the work for
I should become subjee war o
I.
ire of Applicant
CLARATION REGARUINt ONS RUC LENDING
:reby affirm under penalty tbere-is-atzSff§tr
Ider's Name
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the
I have read this application and the information
agree to comply with all applicable city a county
I authorize representatives of this city I county tog
of Property Owner or
Date
ennit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Address
owner's behalf.
laws relating to building construction.
ad property for inspection purposes.
C- w %r1-t Date(
ACTION
DATE
ION OF COMPLIANCE MTH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TIRE 40 AND
AQMD RULE 1403.
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS N077FICATION TO:
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMIT EXTEUDED
❑ ASBESTOS N07IRCA17ON IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
/
CERTIFICATE OF
-
SIGNATURE:
OCCUPANCYISSUED