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Home My WebLink AboutP2020-0040 - Permits�ewtY,4r City of Newport Beach - Building Division IIII�IIIIIIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center, Drive, Newport Beach, CA 92660 P 2 0 2 0 0 0 4 0 Permit Counter Phone (949)644-3288 a Job Address: 1700 GALAXY DR Bldg: 1 Floor: Suite: Description of Work: PLUMB INSTALL GAS TO BBQ AND FIREPIT Inspector Area: 3 Code Edit 2019 Legal Description: N TR 4224 LOT 42 Owner: MALIS ANDREA & GARY Address: 1700 GALAXY DR NEWPORT BEACH, CA 92660 Phone: 520-360-7843 Contractor: NEWCASTLE LANDSCAPING Address: 17584 SANTA CRISTOBAL STREET FOUNTAIN VALLEY, CA 92708 Phone: 714-624-6662 Con State Lic:819236 Issued Date:021 Lic Expire: 0413012021 Bus Lic: BT30071150 Processed By: /2020 Lic Exp Date: 02/28/2021 PLUMBING Permit: P2020-0040 Project No : 2681-2019 Inspection Requests Phone (949)644-3255 1' ISRECTUO1 l Worker's Compensation Insurance - Carrier : REPUBLIC UNDERWRITERS Policy No:FLA00555502 Expire : 05/01/2020 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.CC Bidet 0 $0.00 Garbage Disp: 0 $0.00 Water Softener: 0 $0.00 Grease Trap: 0 $0.00 $3.CC 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: $35.00 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: $42.00 Plan Check Fee: $0.00 Fee Due at Permit 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. 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 fe; 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 L) 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). ❑ 1, 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 legall 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 rrd penalty of perjury that I am licensed under provisions of Chapter 9 (comm cing with Section 7000) of Division 3 of the Bus ass and Professions Code, and my license is in full force and effect. License Class _ _ _ License No ate Contract ature NORKFRS' COMPENSATION DECLARATION I.ARN„46: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUMECT AN E PLOYER TO CRIMINAL PENALTIES ANO CIVIL F SUP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE COST OF COMPENPATION, CAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. nerebv affirm under penalty of perjury one of the following declarations: ❑ ; d.ve and will waintain 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 th p -fwmance of the work for which this permit is issued. Policy No. Fi gave 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' compensatio ir,suranc,� came, ago pglicy number are: Policy Number Date 06 of Agent _--_ r•none Er 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 , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply withh t�ovisions. of :reb ffirmroride enalty 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). 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. 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 enter the above -identified property for inspection purposes. Owner Owner's ACTION DATE BY DECLARADONOF COMPLIANCE -CO EOF FEDERAL REGULATIONS PART 61 OFTITLE40AND FOIIOFF1 OS LY AQMO RULE 1403. ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: PERMITEXPIRED PERMITCANCELLED ❑ EPA ❑ AQMD ❑ ASBESTOS N077HCA170NIS NOT APPLICABLE TO PERMITEXTENDED PERMIT INAL PROPOSED DEMOLITION. CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED