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Home My WebLink AboutP2022-0147 - PermitsCity of Newport Beach - Building Division 11111111111111p111111111111111111p111111111111111111 PLUMBING Permit: P2022-0147 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 2 0 1 4 7 Project No (9) Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 2723 OCEAN BLVD Bldg: 1 Floor: Suite: Description of Work: PLUMB/REMOVE & REPLACE (E) GAS LINE FROM METER TO MAIN Inspector Area: 5 Code Edit 2019 ° a Legal Description: CORONA DEL MAR LOT BILK 033 SLY 100 FT NLY 260 FT �,,,� rd Owner: INGRAM DOUGLAS Contractor: FIRST OPTION PLUMBING Worker's Compensation Insurance - TCL Address: 2525 DUPOINT DR Address: 1345 N RED GUM ST, SUITE 11 Carrie : FALLS LAKE FIRE AND CASUALTY C IRVINE CA 92612 ANAHEIM, CA 92806 Policy No:FLA014410� Phone: Phone: 714-726.4649 Expire : 06/06/2023 Con State Lic:996725 Issued Date:06/17/ ,' Lic Expire: 09/30/2022 Bus Lic: BT30063556 Processed By: Lic Exp Date: 06/30/2023 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: O $0.00 Plan Check: $0.00 Hydro -Mass Tub:O $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 D I e 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. I 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 L) 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-Builderwill 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 ap ly 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 legalll 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 and Profeq ns Code, and my license is in full force and effect. License Class License No Date 7' -Zo2Z Contractor Signat NORKERS' COMPENSATION DECLARATION FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDAD THOUSAND DOLLARS ($100,000), IN ADDITION TO '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: 1d 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 of the work for which this permit is issued. Policy No. have and will ain workers', omp sation 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 a po y number axe ,p 11 _ ie cf Agent certify that, in the performance of if I should become subject to the of Date 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 compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisio . n.m `• /'> • 2022 CLARATION REG*DING COYYFRUCTION LENDING AGENCY sreby affirm under penalty of p ry that there is a construction lending agency for the performance of the work for which this permit is issued ection 3097, Civil Code). lder's Name V, 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 owners behalf. I have read this application and the information I have provided 'S correct. I agree to comply with all applicable city and county ordinanc nd state laws relating to building construction. I authorize representatives of this city or county to%nter the ove-identified property for inspection purposes. mature of Property Owner or Authorized Agent \ / ZVI Print Property Owner's or Authorized Agent's Name', AC77ON BATE BY DECLARATION OFCOMPLIANCE KITH CODEOF FOR OFFICE USE ONLY FEDERAL REGO ARONS PART 61 OF TITLE40AND AOMD RULE 1403. PERMIT EXPIRED ❑/SUDMITFEDAS'3ESTOSM)77FICATIONTC: ❑ EPA ❑ AQMD, PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS NOTLFICAPONISNOT APPLICABLE TO PROPOSECI'EPRnI ITION. PERMIT FINAL CERRTIRCATEOF SIGNATURE: OCCUPANCYISSUED