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Home My WebLink AboutP2021-0125 - PermitsCity of Newport Beach - Building Division 1111111 111111111111111111111111111111111111111111111111111 & 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 1 0 1 2 5 Permit Counter Phone (949)644-3288 c% 4 Job Address: 502 VIA LIDO NORD Bldg: 1 Floor: Suite: Description of Work: PLUMB GAS TO FIREPIT Inspector Area: 2 Code Edit 2019 Legal Description: TR 907 LOT 493 ALL -EX NWLY 40 FT - Owner: SNELL MARK & TERI Contractor: PATTERSON CONSTRUCTION Address: 2866 S RABBIT BRUSH LN Address: 15 CORPORATE PLAZA STEA 50 JACKSON WY 83001 NEWPORT BEACH CA 92660 Phone: Phone: 949-723-1800 Con State Lic:802367 Issued Date :04 0/2021 Lic Expire: 0713112022 Bus Lic: BT02110534 Processed B Lic Exp Date: 09/3012021 PLUMBING Permit: P2021-0125 Project No : 2185-2020 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : STATE COMP Policy No:9065406 Expire : 0810112021 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 R0.00 i Bidet 0 $0.00 Garbage Disp: 0 -$0.00 Water Softener: 0 $0.00 Grease Trap: 0 $0.00 so.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: $0110 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.u0 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). I, as owner of the property, or my employees with wages as their sale compensation, will do U 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' Slate 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 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://w .leginfo.ca.govlcalaw.htmi. 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 (comm ncing with Section 7000) of Division 3 of the B smess �fessions Cod, , and my license is in full force and effect. License Class License No ate %4&0 / Zf Contrac ignature NORKERS' COMPENSATION DECLARATION YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL YEA TO CRIMINAL PENALTIES AND CIVIL FINES UP O ONE HU ED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE .OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm urds- penalty of perjury one of the following declarations: 1 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 th ,r r, r.iance of H,e work for which this permit is issued. Policy No. 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' carrier and policy number are: ier Policy Number Expiration Date IP nl Agent Phone # 311 Ay that in the nerforrinance of the work for hich this permit is issued, I shall not employ any person in any manner so as to become subject to a workers' compensation laws of California, and ?" should he me o the won co�ipensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provis ns. I rarur=of Appli^ t. -zm--V Date p CLAhAT10 PFGAI'. ONSTRUCTION NDING AGENCY ah; affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issue Section 3097, Civil Code). 1r'er'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 coun"rdinances and st4d laws relating to building construction. I authorize representatives of this city or countXXjlk4the aboyiSwIlieAlfied property for inspection purposes. r/M goo 7- ACTION DA 7Y BY DECLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40ANO AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS MONFICA710NISNOTAPPLICABLFTO PROPOSEDDEMOLITION. PERMIT FINAL CERTIFICATE OF SIGNATURE: OCCUPANCYISSU€D