HomeMy WebLinkAboutP2019-0121 - Permitsrw,•„r3& City of Newport Beach - Building Division 111p111111111p11111111111111111p1111111111p111111
1 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 9 0 1 2 1
Permit Counter Phone (949)644-3288
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Job Address: 8 COLONIAL DR Bldg: 1 Floor: Suite:
Description of Work: PLUMB GAS TO BBQ AND FIREPIT (S2018-0205)
Inspector Area: 8 Code Edit 2016
Legal Description: N TR 15389 LOT 42
Owner: SMITH CHRISTOPHER
Address: 8 COLONIAL DR
NEWPORT BEACH, CA 92660
Phone: 760-802-5696
i
Issued Date:04/24/20.19
Processed By: J,
Contractor: PHOENIX POOLS AND SPAS INC
Address: 25135 VIA PANTANOSA
TEMECULA CA 92590
Phone:
951-695-0225
Gon State Lic:559593
Lic Expire:
01/31/2021
Bus Lic:
BT30065582
_Lic Exp Date:
01/30/2020
PLUMBING Permit: P2019-0121
Project No : 0031-2019
Inspection Requests Phone (949)644-3255
Worker's Compensation Insurance -
Carrier : INS OF THE WEST
Policy NowSD5043202
Expire : 09/15/2019
FEES
Bathroom Fixtures
Kitchen Fixtures
Misc.
Misc.
Other
�0.03
Toilet:
0
$0.00
Kitchen Sink:
0
$0.00
Water Piping:
0
$0.00
Roof Drain: 0
$0.00
Bidet
0
$0.00
Garbage Disp:
0
$0.00
Water Softener:
0
$0.00
Grease Trap: 0
$0.00
$0.03
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:
$3.00 I
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
Lndryrrrap:
0
$0.00
Backflow over 2":
0
$0.00
Sewer Alter/Repair:0
$0.00
Issuance:
$35.00
Floor Sink:
0
$0.00
Regulator:
0
$0.00
Hose Bibb:
0
$0.00
Sewer Abandon: 0
$0.00
Supplemental Fee:
W.00
Floor Drain:
0
$0.00
Lawn Sprinkler:
0
$0.00
Drinking Fountain:
0
$0.00
Additional Fee :
$0.00
TOTAL:
$42.00
Plan Check Fee:
$0.00
Fee Due at Permit Issuance : $42.00
PERMITS EXPIRE 130 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 -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
a..p.f�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).
IJ 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 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.htmi.
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 (comment' with Section 7000) of Division 3 of th Business a rofes ' Code, and my license is in full force
and effect. II`
License Class License No to 'f' Z,Lf_ I Cont c or Signature
NORKERS' COMPENSATION DECLARATION j
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL YER TO CRIMINAL PENALTIES At CIVIL NEs UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENe ATION, DAMAGES AS PROVIDED FOR IN SECTION 3706OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby sf iirm under penalty of perjury one of the following declarations:
I have and will r,iaintain 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 the
}etformance 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'
came. anu policy number are:
Policy Number
e of Agent _ _ _ _ Phor
:ertify that, in Cie perfo ante of the work for which this permit is issued, I shall not employ any person in any manner so as to become
if I ;hNId become ect lyt�e Wr ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with tho
Ireby affirm uF.de: penalty of perjury that there is a construction lending agency for the performance of the work for which this pennit is issued
Ider's Name 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 owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with I�ppfCable city and county rdinan as dstate laws relating to building construction.
I authorize represents 'Yes of this city or county ter th ov -I ttfied property for inspection purposes.
nature of Property Owner or Authorized Agent1 Print Property Owner's or Authorized AgepEs Nam
Date
ct to the workers' compensation laws of California, and
(visions.
Section 3097, Civil Code).
ACT70N
DATE
BY
DECLARATION OF COMPLIANCE MTH CODEOF
FOR OFFICE USE ONLY
FEDERAL_ REGULATIONS PART61 OF TITLE 40AND
AQMD RULE 1403.
PERMITEXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERAOT CANCELLED
PERMIT EXTENDED
❑ ASBESTOS N07IRC4170NIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
Z 5
CERTIFICATEOF
OCCUPANCYISSUED
SIGNATURE: