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Home My WebLink AboutP2020-0012 - Permits'swrokr City of Newport Beach - Building Division II II I I II I I II II II III II I II --s 1 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 0 0 0 1 2 4 � Permit Counter Phone (949)644-3288 `IlIPl14"i Job Address: 2712 VISTA UMBROSA Bldg: 1 Floor: Suite: Description of Work: PLUM/GAS LINE TO BBQ & FIREPIT Inspector Area: 8 Code Edit 2019 Legal Description: N TR 6906 LOT 55 Owner: HALLJAMES Contractor: OCEANSCAPE DESIGN INC Address: 2712 VISTA UMBROSA Address: 17 ALONDRA NEWPORT BEACH, CA 92660 RANCHO SNTA MARG CA 92688 Phone: Phone: 949-713-9022 Con State Lic:749315 Issued Date:01/21/2020 Lic Expire: 09/30/2021 Bus Lic: BT30048809 Processed By: Lic Exp Date: 10131/2020 PLUMBING Permit: P2020-0012 Project No : Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier: SECURITY NATL INS CO Policy No:SWC1232553 i Expire : 04/01/2020 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 SO.nn 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 overt": 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 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 itern(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). ❑ 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). ❑ 1, 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 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 : nder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se ion 000) of Division 3 of the Business and ro sio de, and y i en is in full force and effect. L-cense (Gass _ License No Date / Contractor Signature WORKERS' COMPENSATION DECLARATION Wf RNIN FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, L9XAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hamby affirm unda.-penalty of perjury one of the following declarations: El I hw,e and wit, main*ain 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 afice of the work Ion which this permit is issued. Policy No. f.sv� 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 u ce carrier and,pbl;cy number are: Number n o` Agent Date ]I certify that, in the perfor ance of t w for whic is pe it i ' sued, I shall not employ any person in any manner so as to become subject to the workers' co ensatio laws of California, and agl lot, if I should become sub' to r rs' com nsation ro Ions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. / //y� ignatu re of Applicant Date �r ECLARATION REGARDING C DING A hereby affirm under penalty of pe ury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). 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 owner's behalf. I have read this application and the information I have roviof d is correct. I agree to comply with all applicable city and cou ordina es and sta w sting to building construction. WJZ�A I authorize representatives of this city or county o e terboved property for inspection purposes.ignature of Property Owner or Authorized Agentriot Property Owner's or Authorized Agent's Name v~ D ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OFTITLE40AND AQMD RULE 1401 PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS M077FICA770NIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITHNAL 7/Zre /Z I 'v1 CERTIFICATE OF SIGNATURE: OCCUPANCYISSUED