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Home My WebLink AboutP2022-0131 - Permitst:rj City of Newport Beach - Building Division IIpl11111111p1111111111111111111111111p11111111111 PLUMBING Permit: P2022-0131 T 100 Civic Center Drive, Newport Beach, CA 92660 Ilf P 2 0 2 2 0 1 3 1 Project No : 0422-2021 r~',. _.n. Permit Counter Phone (949)644-3288 c�tir u��' Inspection Requests Phone (949)644-3255 Job Address: 24 SANDY COVE Bldg: 1 Floor: Suite: ,% a.--' ,' Description of Work: PLUM GASLINE TO BBQ & FIRE PIT 9 �,y ;� :.rr-� Inspector Area: 5 Code Edit 2019 Legal Description: N TR 15445 LOT 12 Owner: MAD NEVADA TR Contractor: AROUND THE CASTLE LANDSCAPE DESIGN INC Worker's Compensation Insurance - Address: 24 SANDY COVE Address: 21240 TWIN OAK Carrier: STATE COMP NEWPORT COAST, CA 92657 YORBA LINDA, CA 92886 Policy No:9277243 ' Phone: Phone: 714-270-8308 Expire : 06/04/2022 Con State Lic:1040059 ' Issued Date:06/02/2022 Lic Expire: 06/30/2024 us Lic: BT30078890 ' Processed By: Lic Exp Date: 05/37/2023 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 Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) (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 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 legall, sell a structure t:;ct 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 Cr`de,'is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signi of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION i heraby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Section 700Q) oDivision 3 of the Business Pr ❑ d antes d nny license is in full force acb effect. 41 License Class. License No Date $ Contractor Signatu 'Nba,wERS' COMPENSATION DECLARATION V l-Vlr'G: FAILUPS TO SErURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OP COMPENS.+.ION, DAMAGES AS PROVIDED FOR IN SECTION 0705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: I have and, will mpintain 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, nPrfnmrance of the work forwhich this permit is issued. Policy No. :T::ve and will rat -fain 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' fiance carrier and policy number are: U, me of Agent I certify that, in the performance t, if I should become subject t nature of Applicant Policy Number_ Date 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 rkers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provi�� nato.sloc�s' " M I hereby affirm under penalty of-peJOTTIlhat there is a construction lending agency for the performance of the work for which this permit is issued (Secti&n 3097, Civil Code), Lender's Name Lender's Address By 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 c unty ordinances and state laws relating to building construction. I authorize representatives of this city or cou an bov -identified property for inspection purposes. Signature of Property Owner or Authorized Agen y / / Print Property Owner's or Authorized Agent's Nam 4 �J Datec ACTION DATE BY DECLARATIONOF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART bf OF TITLE 40 AND AQMD RULE 1403. PERMIT EXPfRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL GO —A- CERTIFICATE OF SIGNATURE: OCCUPANCYGSUED