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Home My WebLink AboutP2018-0175 - PermitsCity of Newport Beach - Building Division III�IIiIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 8 0 1 7 5 ,. Permit Counter Phone (949)644-3288 snst�'"o- Job Address: 724 POPPY AVE Bldg: 1 Floor: Suite: Description of Work: PLUM WHOLE HOME WATER FILTRATION SYSTEM (NOT A 2 STAGE) Inspector Area: 5 Code Edit 2016 Legal Description: N TR 673 BILK B LOT 3 Owner: SECRETAN FRANK Contractor: GREENSTAR Address: 724 POPPY AVE Address: 1951 N MAIN ST CORONA DEL MAR, CA 92625 FEES ORANGE CA 92865 Phone: Phone: 949-885-0102 ° om m ma°° Con State Lic:795556^ Issued Date:05/18/2018 Lic Expire: 08/28/2018 Misc. Bus Lic: BT30056111 Processed By: S' Lic Exp Date: 0 8131 /2 01 8 PLUMBING Permit: P2018-0175 Project No: Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance Carrier: LIBERTY INS Policy No:WA763D508631017 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 ° om m ma°° 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: 1 $6.00 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. 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 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 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 (_) 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 strdcjyrgihat 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 PsofessionsC oVe, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. "d*ture oEAropelty Owner or Authorized Agent Date • LICENSED CONTRACTOR'S DECLARATION 4 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing PO 7000) of Division 3 of the Busi d m license is in full force so effect•��,.: 07 rLjcefise Class • License No Datea' Contractor Signatur NdAKERS'•0QMPJENSATION DECLARATION ,OIRRVIN& FAILURe TQSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYEPENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE 0061 OF COMPENSNTION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ,heK:b= affirm um der fnnalty of perjury one of the following declarations: ••.•• 71 have and•will m$ntain 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 6 i*'have gtd"nce of toe work for which this permit is issued. Policy No. y W�r,'�c • • • e ve and wilf 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' compensatioi nsurance carrier and policy number are: ie of Agent _ certify that, in the if I should bacon Policy Number Expiration Date the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to to workers' compensation laws of California, and w tion 3700 of the Labor Code, I shall forthwith comply with those provisi s. m ignature of Ap Date iECLA RDING CO CTION LENDING AGENCY hereby affirm under ena y o perjury 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 informati veer ided"is correct. I agree to comply with all applicable and rdinan s a e aws klingxAnstr iqn. I authorize representatives of this cl y or co y enter - entified property for inspection purposes. A ignature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's Na r ACT70N DA- By DECLARATION OF COMPUANCEMRTN CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61OFTITLE40AUD AQMDRULE1403. PERMITEXPIRED f SUBNTTED ASBESTOS N07IFICATION TOr ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS NOAflCADONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL CERDFICAT€OF SIGNATURE: OCCUPANCYISSUED