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HomeMy WebLinkAboutP2021-0145 - PermitsCity of Newport Beach - Building Division 111p1III IIIIIp1111p111111111111p1111111111p111111 & 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 1 0 1 4 5 t Permit Counter Phone (949)644-3288 t_��iYilttN1~ Job Address: 1720 CANDLESTICK LN Bldg: 1 Floor: Suite: Description of Work: PLUM - GAS LINE TO BBQ & FIRE PIT Inspector Area: 3 Code Edit 2019 Legal Description: N TR 3763 LOT 31 Owner: SHARPE ]AN Contractor: AQUA SCAPES POOLS & SPAS Address: 1720 CANDLESTICK LN Address: 321 CALLE FELICIDAD NEWPORT BEACH, CA 92660 SAN CLEMENTE CA 92672 Phone: Phone: 949-448-7665 Con State Lic:754729 Issued Date:05/06/2021 Lic Expire: 1113012022 Bus Lic: BT30069893 Processed By: Lic Exp Date: 06/30/2021 PLUMBING Permit: P2021-01 Project No : 1008-2021 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : WC EXEMPT Policy No:(NO EMPLOYEES) Expire : � �NSLuTu 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 $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: $37.00 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: $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 itzm(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 fbr 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 Iicensure 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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). ❑ 1 am exempt from Iicensure 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 under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 70 ) of Division 3 of the Business a d P a ss' �bde, d license is in full force and effect. License Class License No Date �� Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE 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 OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37DS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Mv affirm under penalty of perjury one of the following declarations: e 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 thl nce of the 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: Policy Number Date Name of Agent Phone # ❑I certify that, in the p=te f w ' is 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 agre that, if I should becomco sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisiionns.�G/�Signature of Applicant Date lDECLARATION REGAN LENDING AGENCYI hereby affirm under pre is a construction lending agency for the performance of the work for which this permit is issued (Section 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 JOkve provided is correct. I agree to comply with all applicable city and I ty Inan9state wslating to building construction. I authorize representatives of this city or cou y to ter t denti a roperty for inspection purposes. //`^',// Signature of Property Owner or Authorized Ager)t Print Property Owner's or Authorized Agent's Nam ` C Date ACTION DATF e DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 69 OF TITL.E40 AND kWMORJLE 1403. PERMIT EXPIRED ❑ IEUFM117f:DAS3EST0.4, ;4017FICATIONTO: E! EF:; ❑ AO.'A) PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS N017RCATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTrRCATEOF SIGNATURE: OCCUPANCYfSSUED