The URL can be used to link to this page

Home My WebLink AboutP2019-0304 - Permits1 City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 a iiiiiiii4 PLUMBING Permit: P2019-0304 Project No : Inspection Requests Phone (949)644-3255 Job Address: 1257 SURFLINE WAY Bldg: 1 Floor: Suite: Description of Work: PLUMB/INSTALL CLEAN OUT (FRONT YARD) & REPAIR (E) SEWER LINE @ KITCHEN (ALL WORK INSIDE P/L) Inspector Area: 4 Code Edit 2016 $0.00 Grease Trap: 0 Legal Description: N TR 6113 LOT 15 Grease Interceptor.0 $0.00 Owner: SMYTHE BETTY Contractor: RESCUE ROOTER Worker's Compensation Insurance Address: 1257 SURFLINE WAY Address: 740 N HARITON ST Carrier: LIBERTY MUTUAL CORONA DEL MAR, CA 92625 ORANGE CA 92668 Policy No:WA763D500631 Phone: Phone: 714-771-8471 Expire : 10101/2020 Con State Lici765155 Issued Date:10/15/2019 Lic Expire: 07/31/2020 Bus Lic: BT30046061 Processed By: - Lic Exp Date: 02/29/2020 TOTAL: $107.00 Plan Check Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Misc Roof Drain: 0 $0.00 Grease Trap: 0 $0.00 Grease Interceptor.0 $0.00 P -Trap: 0 FE Bathroom Fixtures Kitchen Fixtures $0.00 Misc. $72.00 Toilet: 0 $0.00 Kitchen Sink: 0 $0.00 Water Piping: 0 Bidet- 0 $0.00 Garbage Disp: 0 $0.00 Water Softener: 0 Urinal 0 $0.00 Bar Sink: 0 $0.00 Water Heater: 0 Bath Tub: 0 $0.00 Vegetable Sink: 0 $0.00 Gas up to 4 outlets: 0 Shower Stall: 0 $0.00 Ice Maker: 0 $0.00 Gas over 4 outlets: 0 Wash Basin: 0 $0.00 Dishwasher: 0 $0.00 Backflow up to 2": 0 Hydro -Mass Tub:0 $0.00 Lndryffrap: 0 $0.00 Backflow, overt": 0 Floor Sink: 0 $0.00 Regulator: 0 $0.00 Hose Bibb: 0 Floor Drain: 0 $0.00' Lawn Sprinkler: 0 $0.00 Drinking Fountain: 0 TOTAL: $107.00 Plan Check Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Misc Roof Drain: 0 $0.00 Grease Trap: 0 $0.00 Grease Interceptor.0 $0.00 P -Trap: 0 $0.00 Sewer Sewer: 0 $0.00 Sewer Alter/Repair:2 $72.00 Sewer Abandon: 0 $0.00 Additional Fee : $0.00 Other $0.00 $0.00 Record Mgmt Fee: $0.00 Investigation: $0.00 Plan Check: $0.00 Issuance: $35.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance: $107.00 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. 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, priorto 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). ❑ I, 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 lega111 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:/lwww.leginfo.ca.gov/caiaw.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 farce and effect. ) — I5 •) / Contractor SignatUe d�F""l ' 1u!b License Class License No Date NORKERS' COMPENSATION DECLARATION NARNING: 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 ($100,000), IN ADDITION TO THE COST 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: 1 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 IN )epformance of the work for which this permit is issued. Policy No. have and will yna.IrAgn workers'�gmpensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' rance carrier 4nd oollsv numb r are) 1 A le of Agent = certify that, in the if I should bacon Iature of Applican Date 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 the workers',compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prowslon y"� nerd 3reby 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, Civil Code). ider's Name Lender's Address my signature below, 1 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 countytofnt r the ab o id ntified property for inspection purposes. \ �� nature of ProDertv Owner or Authorized, Y v� Print Prooertv Owner's or Authorized ADent's NameY AC71ON DATE BY OLCLARA ZION UI-CUMPLIANC:L. YYI i H COUL. OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 01OFTITLE40AND PERMITEXPIR€D AOMDRULE1403. ❑ I SUBWT1'EDASBESTOS M077FICATION TO: PERMITCANCELLED Q EPA PERM;TEXTENDED Q AQMD Q ASBESTOS NO7IRCA77ONIS NOT APPLICABLE TO PERMITRNAL 'IO 0 tot PROPOSED DEMOLITION. CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: