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Home My WebLink AboutP2021-0081 - Permitsywr,o�� City of Newport Beach -Building Division 111111111111111111111111111111111111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 1 0 0 a 1 n Permit Counter Phone (949)644-3288 i} $ niurn>ANt� Job Address: 4515 ORRINGTON RD Bldg: 1 Floor: Suite: Description of Work: PLUMB GAS TO FIRE PIT Inspector Area: 5 Code Edit 2019 Legal Description: N TR 3357 LOT 76 Owner: ZIEMBA FAMILY TRUST Contractor: S C HOMES INC Address: 520 FIINTDALE RD Address: 3050 PULLMAN ST HOUSTON, TX 77024 COSTA MESA CA 92626 Phone: Phone: 949-723-4243 Con State Lic:828216 Issued Date:03/3112021 Lic Expire: 1213112021 Bus Lic: BT30002421 Processed By: Lic Exp Date: 02/28/2022 PLUMBING Permit: P2021-0081 Project No : 2795-2019 Inspection Requests Phone (949)644-3255 11\1 E l oR Worker's Compensation Insurance - Carrier : STATE FUND Policy No:1763760 Expire : 01/07/2022 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 $3.00 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: $37.00 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: $44.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $44.00 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' Stale 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 [!censure 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 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 GODS, 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 Lndor penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Salton 700 of Division 3 of the Business and Profess! in full farce .RI Effect. License Class License No%ilij� Contraghature iJCRKERS' Ci`M�5NSATION DECLARATION c I NARNING: FAILURE TO SECIIRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE U ED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE ;us r or COMPEN,f.T:CN, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I ha'je 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 Opnance of -the woi i( for which this permit is issued. Policy No. hma and wig mairtain 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' compensa Trance carrier and policy number are: Policy Number of Agent Date I certify that, in the performance of the work for h this mit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre a ubject to the wor R siens. ff Section 3700 of the Labor Code, I shall forthwith comply with those provisions. that, if I should Nom Signature of App' t DECLARATION REGARDING ON S N G AGENCY�� 1 hereby affirm under penalty f p ' the 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 gnatare below, I ceiKy 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 rec I agree to comply with all applicable city and county ordinance relating to building construction. I authorize representatives of this city r count o ant ified property for inspection purposes. T— Signature of Property Owner or Authorized Print Property Owner's or Authorized Agent's -✓ �U/ to ACTION DATE BY DECLARATION OFCOMPLIANCE WITH CODE OF FOR OFFfCE USE ONLY FEDERAL REGULATIONS PART 01 OF 771LE40 AND AQMD RULE '403. PERMIT EXPIRED ❑ I SUBMITTEDASBESTOS AIOTIFICATIONTO., ❑ EPA ❑ AQMO PERMIT CANCELLED PERMfTEXTENDED P❑ROPOSEDDEMOUTIOCNATiONASBESTOS 6 NOT APPLICABLE TO PERMIT FINAL (� -'L W� �s-[ CERTIFICATEOF DNS SIGNATURE: OCCUPANCYISSUEO