HomeMy WebLinkAboutP2022-0161 - PermitsCity of Newport Beach - Building Division` II�IIIIIIIIIIIIIIIIIIIII II
100 Civic Center Drive, Newport Beach, CA 92660
-. Permit Counter Phone (949)644-3288
44 J'A:>Zy�
Job Address: 2001 PORT RAMSGATE PL Bldg: 1 Floor: Suite:
Description of Work: PLUMB -GAS LINE TO BBQ R FIRE PIT
Inspector Area: 4 Code Edit 2019
Legal Description: N TR 6624 LOT 98
Owner: HOOK SCOTT/ROBIN
Contractor:
LA PAZ LANDSCAPE DEVELOP
Address: 2001 PORT RAMSGATE PL
Address:
10 PORTLAND PL
NEWPORT BEACH, CA 92660
LAGUNA NIGUEL CA 92677
Phone:
Phone:
949-443.4200
Con State Lic:937052
Issued Date:07/06/2022
Lic Expire:
0913012022
Bus Lic:
BT30059605
Processed By:
Lic Exp Date:
07131/2022
PLUMBING Permit: P2022-0161
Project No : 1540-2022
Inspection Requests Phone (949)644-3255
Worker's Compensation Insurance Carrier: STATE COMP. INS
Policy No:9210309
Expire : 05/11/2023
l 0 r C 4'�1 H U it !
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 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 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
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 legalh
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 700 ) of Division 3 of the BusinKNDRED.
d my license is in full force
and effect.
License Class License No Date ntractor Signat
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ODOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
❑ BY
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
ormance of the work for which this permit is issued. Policy No.
I eve 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' compensatior
ns Ace carrier and policy number are:
Policy Number
-e of Agent
certify that, in the pi
, if I should become
lature of Aoolicant/
6reby affirm under pen If o perjury t}SaYthere is a c
ider's Name (f
my signature below, 4ertify to each of the following
ert I am the prop-
G vner or authorized to act on the
I have read this application and the information <
I agree to comply with all applicable city and ountz
I authorize representatives of this city or c my to I
nature of Property Owner or Authorized Aqe
ACTION I DATE
PERMIT EXPIRED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
Date
permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
i provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lending agency for the performance of the work for which this permit is issued (Section 3097,
Lender's Address
g to building construction,
for inspection purposes.
Print ProDertv Owner's or Authorized Aaent's Name
FED,iERAL REGULATIONS PART 61 OF TITLE40ANC
AO DRULE 1403.
/
❑ 1 SUBMITTED ASBESTOS NOTIFICATIONTO.
❑ EPA
❑ AOMD
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
laws of California, and
Date
FOR OFFICE USE ONLY