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HomeMy WebLinkAboutP2022-0057 - PermitsCity of Newport Beach - Building Division I J1111111 IIIII1IIIIIIII1IIIII IIIIIII IIIIIIIIIIIIIIIIII lzi 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 2 0 0 5 7 l Permit Counter Phone (949)644-3288 Job Address: 7 HIDDEN PASS Bldg: 1 Floor: Suite: Description of Work: PLUM GASLINE TO FIREPIT & BBQ Inspector Area: 6 Code Edit 2019 Legal Description: Owner: SHEDD STEVE Contractor: INFLUENCE OUTDOORS LANDSCAPE Address: 7 HIDDEN PASS Address: 700 N RESH ST NEWPORT BEACH, CA 92657 ANAHEIM CA 92705 Phone: Phone: 949-285-2471 Con State Lic:1085331 Issued Date:03/18/2022 Lic Expire: 12/23/2023 Bus Lic: BT30078271 Processed By: M�:2-Lic Exp Date: 03/31/2023 PLUMBING Permit: P2022-0057 Project No : Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : EXEMPT Policy No:NO EMPLOYEES Expire : ° o o°oo o o ° ° o E 0e^ ° o� © 00000 00000 m 000000 ° ° © ° ° °,^, 0000.�0 ° ° ° 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. (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 C—,A 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 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 m;; signature below l 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 'se�j a structum 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 Cave, 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 !_ hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec)Ton 000) of Division 3 of the Business Md fe�nsde nd license is in full force a�id effect. , i'zj,ise Class },' License No Date "�' "�� Contractor Signature 4aRKERS' COMPENSATION DECLARATION hARi C46: FAILURE TO UErURE 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 OFi COMPEMSATIDN,=DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hgrebu affirm under:penalty of perjury one of the following declarations: � gave and='wiy'm�intain 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 gaWand rmance of the work for which this permit is issued. Policy No. 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 nce carrier and policy number are: Carrier Policr Expiration Date Name of Agent y Nu Phone # I certify that, in the perfor nce f o for Ich t s rmit is issued, I shall not employ any person in any manner so as to become subject to the' compe ation laws of California, and agrethat, if I should becom s bj t to a or rs' mpen n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro ' i ns Signature of Applicant Da DECLARATION REGARDIN CO TRUC N LENDING AGENCY I hereby affirm under penalty 'f perjury that there 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 t prop rty owner's b I have read this application and the information have pr ' is rect I agree to comply with all applicable city and co my or antes d s e laws r lating to building construction. % I authorize representatives of this city or count er the ab v entified o y for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam A C710N DATE Bx' BECLARATIONOF COMPLIANCE AITH CODE OF FOR OFFICE USE ONLY FE-DEP.4L.REGULATIONSPART 61OETITLE 40AND AQ DIDDLE 1403. i El A41T EXR1 ED ❑ f S IBMITFEDASBESTOS NOTIFICATION TO. ❑ EPA ❑ AQMD PERP41T CANCELLED PEFNUTEXTENDED — - ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PERA41T FIN L s _ PROPOSED DEMOLITION. CERTIR ATEOF SIGNATURE, OCCDPA,NC °65D!ED w U ' 2FT F--1 m u N u m m cn 00 a w Ln Z w U CX N ME