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Home My WebLink AboutP2020-0018 - PermitsCity of Newport Beach - Building Division 111p1111111111111111111il11111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 0 0 0 1 9 H Permit Counter Phone (949)644-3288 J Job Address: 2420 SANTIAGO DR Bldg: 1 Floor: Suite: Description of Work: PLUM -GAS LINE FROM METER TO HOUSE (X2019-3215) Inspector Area: 3 Code Edit 2016 Legal Description: NEWPORT HEIGHTS LOT 297 NWLY 120 FT SELY 360 FT -EX SWLY 150 FT NW LY Owner: WILKINS SHANNON Address: 2420 SANTIAGO DR NEWPORT BEACH CA Phone: 310-994-7552 Issued Date:01/28/2020 Processed PLUMBING Permit: P2020-0018 Project No : 2221-2019 Inspection Requests Phone (949)644-3255 v Contractor: NEW WEST BUILDERS INC Worker's Compensation Insurance - Address: 12082 WOODBINE DR Carrier: WIC EXEMPT 92660 SANTA ANA CA 92705 Policy No:(NO EMPLOYEES) Phone: 714-412-5263 Expire Con State Lic:469416 Lic Expire: 01/31/2021 Bus Lic: BT30058264 Lic Exp Date: 03/31/2020 FEES � , Kitchen Fixtures Misc. Misc. Other ^ 7 0 $0.00 Kitchen Sink: 0 $0.00 Water Piping: 0 $0.00 Roof Drain: 0 $0.00 $0;00 [Baixtures 0 $0.00 Garbage Disp: 0 $0.00 Water Softener: 0 $0.00 Grease Trap: 0 $0.00 $0.00 0 $0.00 Bar Sink: 0 $0.00 Water Heater: 0 $0.00 Grease Interceptor.0 $0.00 - 1 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 : 0 $0.00 Ice Maker: 0 $0.00 Gas over 4 outlets: 0 $0.00 Sewer Investigation: $40 0 $0.00 Dishwasher: 0 $0.00 Backflow up to 2": 0 $0.00 Sewer: 0 $0.00 Plan Check: ' ° $5.00 Hydro -Mass Tub:0 $0.00 Lndry/Trap: 0 $0.00 Back -flow over 2": 0 $0.00 Sewer Alter/Repair:0 $0.00 Issuance: $0.00 Floor Sink: 0 $0.00 Regulator: 0 $0.00 Hose Bibb: 0 $0.00 Sewer Abandon: 0 $0.00 Supplemental Fee: $10.00 Floor Drain: 0 $0.00 Lawn Sprinkler: 0 $0.00 Drinking Fountain: 0 $0.00 Additional Fee : $0.00 TOTAL: $17.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $17.00 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 sole compensation, will do (_) all of or J 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). construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to 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 apJProfens ection 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.htmi.ate Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ction 7 �070)o�of Division 3 of the Business and Code, and my license is in full force and effect. 2-9 y� License Class License No Date Contractor Signature WORKERS' COMCISNSATION DECLARATION WARNING: FAILURE TO SFrURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS l$100,000), IN ADDITION TO THE COST OF rOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3766 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. f.nereoy,iffrm unlrr Fs Talty 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, far th r,-rfor-rance of the work for which this permit is issued. Policy No. m have and will . meinEain workers' compensation insurance, as required by Section 3700 of the Labor Code, rano>rner and policy number are: er Policy Number or Agent 4ertif; that, in ,he pe�forma ce f 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' if should become :,ubjep to a v�rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. for the performance of the work for which this permit Is Issued. My workers Date nPtare of Applicant CLARATION R,�VAADING CONSTRUCTION LENDING AGENCY Ireby affirm under penalty of perjury that there is a construction lending agency for the performance Address of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's my signature below, I certify to each of the following: 1 am the property owner or authorized to act on the property o er's behalf. I have read this application and the information I have provid s correct. agree to comply with all applicable city and county ordinan and state laws relating to buildin construction. of California, and I authorize representatives of this city or county to epter the -i r inspection purposes. (ncJOGLGr Date ature of Property Owner or Authorized Agent / Print Property Owner's or Authorized Agent's Name nc rneem r n nlrc InrsT1-r!'nf]F F)FI FOR OFFICE USE ONLY ACTION OATS BY FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403. ❑ ISUBMITTEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION, SIGNATURE: 7ErZl^✓t!TEXPIRED CE,RMlTCANCELLED UERMITEXTENOED PERMIT FINAL CERTIFICATE OF OCCUPA7u'CYP55UE0