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Home My WebLink AboutP2020-0095 - PermitsCity of Newport Beach - Building Division I 111�111111111111p11111111p11111111p;11p111111p111111 r� 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 0 0 0 9 5 Permit Counter Phone (949)644-3288 Job Address: 2000 PORT CARDIFF PL Bldg: 1 Floor: Suite: Description of Work: PLUMB - GAS LINE (2 STUBS) Inspector Area: 4 Code Edit 2019 Legal Description: N TR 6623 LOT 13 Owner: CHANGE DERRICK Contractor: INFINITY POOL SERVICE Address: 2000 PORT CARDIFF PL Address: 9121 ATLANTA AVE #638 NEWPORT BEACH, CA 92660 HUNTINGTON BEACH CA 92646 Phone: 949-287-1419 Phone: 714-262-9164 Con State Lic:891370 Issued Date:06/29/2020 JC Lic Expire: 0212112021 Bus Lic: BT30053051 Processed By: Lic Exp Date: 11/30/2020 PLUMBING Permit: P2020-0095 Project No : 1166-2020 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : STATE COMP Policy No:9159411 Expire : 05120/2021 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: $35.00 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: $42.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $42.00 PERMITS EXPIRE 160 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). ZI 1, 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). ❑ 1 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 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 SlIction 7000) of Division 3 of the Business a fir i ode, n y license is in full force and effect. License Class License No D 2-4 Contractor Signatu NORKERS' COMPENSATION DECLARATION VARNING: 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 I$100,0001, IN ADDITION TO THE :DST OF 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: I have 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 thI Frmance of the work forwhich this permit is issued. Policy No. ave 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 a e carrier and policy number are: IS of Agent certify that, in the p if I should become Policy Number Expiration Date this permit is issued, I shall not employ any person in any manner so as to become subject to the ation provisions of Section 370G of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Date\ iECLARATION REGA S UCTION LENDING AGENCY hereby affirm under penaltM of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 ender's Name Lender's Address y 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 is correct. I agree to comply with all applicable city and co u o Inances tale s relating to building construction. I authorize representatives of this city or county t nt tea v dent d pr arty for inspection purposes. ^ ' ,.r o,....ew„ n.,., -, e..e... ;_- e,.e.a 'l ❑d.a ❑,,...va„ n... . "..., laws of California, and Civil Code). 6 " _ DAte J ACTION DATE BY DECLARATION OF COMPLIANCE WTH CODE OF FOR OFFICE USE ONLY FEDERAL REGUI ATIONS PART 61 OFTITLE40 AND A1MORULE 1103. PERMITEXPIRED ❑ I SbBMITEi'A`;BFSTOS No77FICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ASBESTOS PROPOSED DFMOI/TI NOTIFICATION IS NOT APPLICABLE TO PERMITFINAL %y.Q�} CERTIFICATEOF _ OCCUPANCYlSSUED I .3IGNATbRE!