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Home My WebLink AboutP2018-0164 - PermitsCity of Newport Beach - Building Division II�IIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIII II h4 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 } �`�3dPY5R�`�A Job Address: 1301 BAYSIDE DR Bldg: 1 Floor: Suite: Description of Work: PLUMB - INSIDE SLAB SEWER REPAIR Inspector Area: 5 Code Edit 2016 Legal Description: TR 8917 LOT 1 UNIT 112 FP RP CPI CP2 OF PROJECTLOCATED ON AP Owner: MILLS NELSON E Contractor: RESCUE ROOTER Address: 1301 BAYSIDE DR Address: 740 N HARITON ST CORONA DEL MAR CA 92625 FEES ORANGE CA 92868 Phone: Phone: 714-771-8471 Con State Lic:765155 Issued Date:05/10/2018 Lic Expire: 07/31/2018 h Bus Lic: BT30046061 Processed By: y , Lic Exp Date: 02/28/2019 PLUMBING Permit: P2018-0164 eoe mo oe e e ooe e• 0 0• 9erof6cteNOc o 0 e o e o o e e o m e o e o c o s o 0 eoe e s • oe ee Inspection Requests Phone (949)644-3255 e o00 0 o e O O B 00 O O 00 e O S�T�4 O O e O m! • O e o m o o m m e e• e e •me mm eoe • Worker's Compensation Insurance - Carrier : LIBERTY MUTUAL Policy No:WA763D508631 Expire : 10/01/2018 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. FEES Bathroom Fixtures Kitchen Fixtures Misc. Misc. Other Toilet: 0 $0.00 Kitchen Sink: 0 $0.00 Water Piping: 1 $6.00 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: 0 $0.00 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: $33.00 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: $39.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $39.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday- Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. OWN ER-BLII LDER DECLARATIP" ••• • • •• •• ••• I hereby affirm under penalty of Jergiry tht Ian: ejamptirom thg Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions •od: Any city orceunty that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement tRat he or shS is lic8nsed pursu5Rt to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($y900). . • • 00. • ❑ I, as owner of the property, or nfy ftpl§fte; vgth�vagg3 a� thejr•�olo 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: orhe Contractors' State•Licenso awdoos 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 AeroJior sate. If, peWever,4p€ bu'ikAng 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 Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Data. id V Contractor Signature Mh ! f I(.' WORKERS' COMPENSATION DECLARATION WARNING: 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 ($700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th( p$Vormance 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' carrier and policy number are: Policy Number Date ie of Agent Phone 4 certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and if 1 should becomes/ubjec to the workers' ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. latureofApplicant X A y1 Arm-- Dat& weby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Idler'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 all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or countyjojqnter theftovTf id2r tified property for inspection purposes. ACDON PERMIT FINAL CERTIFICATE OF OCCUPANCYISSOED DATE I RY ❑ 1 SUBMtTTEDASB€STOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOURC477ONIS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: Civil Code). G NikliEVIMWA