HomeMy WebLinkAboutP2019-0174 - Permits(9)
City of Newport Beach • Building Division *P2019-0174*
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)844-3288
Job Address: 11 BELCOURT DR Bldg: 1 Floors Suite:
Description of Work: PLUM WATER HEATER C/O'
Inspector Area: 4
Legal Description: N TR 11
Owner: RANALLI DOMINIK
Address: 11 BELCOURT DR
NEWPORT BEACH,
Phone:
Issued Date:06/03/2019
Processed By:
It 2018
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Contractor: EEN8TAR HOME SERVICES
` %,Tress x,851 It AIPT
828 0 tjRAC 8 t
Pne fi49. 0 x
60 State LRs 4888 C 6,
Llc Expire: 02/28/2022
Llc:i 00 1
Exic 8. 2RE 4
PLUMBING Permit: P2019-0174
Project No :
Inspection Requests Phone (949)844-3255
`"'W&er`$ICb4hpensation Insurance
8 ooarrier IQ ERTY INS
PCIA, d20@ a04 1PA4
Expire :10/01/2021
yY Vyom:-
Bathroom FixturesItch tur misc. Mlec. Other
Toilet: 0 $0.00 tch n SI 0 (�pJpp; 00DG1e5eq9Mrtdd
oof Drain: 0 $0. $0.00
Bidet 0 $0.00 arb p: ejer: 0$0.00
Urinal 0 $0.00 r Sink: ,�QQ,�,, $0.Q00 °W ter Heater: 1 66
Bath Tub: 0 $0.00 Sink: '�"VostartQ up to 4 outlets: 0 $0,00 (n�}�9'Prrk Startgd)000 Record gmt Fee: $0.00
Shower Stall: 0 $0.00 a Maker: 0 $0.00 Gas over 4 outlets: 0 ! $0.00 Sewer nvestlg Ion: $0.00
Wash Basin: 0 $0.00 ler: 0 $0.00 Backflow up to 2" 0 $0.00 Sewer; 0 $0.00 Plan Ch k: $0.00
Hydra -Mass Tub:0 $0.00 1,;getable
dry/Trap: ek0ew.eve"a tl0 00 Sewer Alt /R alr.0 $0.00 lesuanc $35.00
Floor Sink: 0 $0.00 eguletor. 0 $0.00 Hose Bibb: 0 $0.00 Sewer Abandon: ppte ntal Fee: $0.00
Floor Drain: 0 $0.00 awn p 0----D4nklag.Eouutain• 0 $0.00 Addltlorigligiy,:iriitiali.�
TOTAL: $51.00 Plan Check Fee : $51. suance : ? $0.00
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' Slate License Law for the reason(s) Indicated below by the eheckmark(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 g (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 (_) 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).
:11, as owner of the property, am exclusively contracting with licensed Contractors to construct the p5act (&ootl„gn.7044,::BAainess.and�Professlwls"eod#"TtT tractors' State License Law does not
apply to an owner of property who builds or Improves. thereon, and who-contracts•forthd"pTDjects with SIicensed Contractor pursuant to the Contractors' State LlcettI! Law).
I 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'seal'one ygahprior to Completion of the Improvemebts covered by this permit, I cannot Iegall;
sell a structure that I have built as en gwner.-builder If lthEs not been-constructed-In-its� entirelyTy kensed eontraetore. I understand that a Doppyy of the appllc�bleljaw, Section 7044 of the Business and
Professions Code, Is available upon request when this application Is submitted or at the following Web alta:http://www,®gjRipsepJQo(iTo�lav3,,dtr/0 refund
Signature of Property Owner or Authorized Agent %^. }�` 31 Date
I hereby affirm under penalty I
and effect.
License Class
NORKERS' COMPENSATI,
DARNING: FAILURE TO SECURE WOR
:OST OF COMPENSATION, DAMAGES
hereby affirm under penalty of
31 have and will maintain a
performance of the work for whi
A have and will maintain wor
isurance carrier and policy nun
ne of Agent
certify that, in the performer
, if I should become subject
that I am licensed under
Date
thls¢eTit(if'I§Tslrued. Policy No.
compensation Insurance, as required by Section 3700 of the
are:
7000),,gf-Dlylsign 3 of the Business and Plgfssalons Code, and my license is in full force
1.
Contractor Signature
TOORIMIN/�L PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE
PEE¢.
ry the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
of the work for whlcjt tltls-Kemglttir�yl ¢g tl, I shell not employ any person In
he workers' comp mist on provts ons of ectlon 3700 of the Labor Code, I
the performance of toe work fuor,whlch this permit is Issued. My workers'
Y4inner"so es to become Subject to the workers' compensation laws of California, and
forthwith comply with those provisions.
ignature of Applicant =l_.__.-.._.._._.__._...-Dste--------
ECLARATION REGARDING CO{V&IY., ;U'I ON LENDI ,AGENCY -- _---�' A,
_.LEN
hereby affirm under penalty of p+ry thet there Ie a construction lending agency for the performance of the work for which ,tljis;pripi7lt")F;16EuarJTSsC(Lgn 087, Civil Code).
ender's Name r. lenderls.Address----------
y my signature below, I certify to eeach oflhe-following _'_.--_ •-�^�'••�"'� """�"""-"`�'" -
I am the property owner or authorJzed to-,aetondhe�propert osinge,
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 stele laws relating to building construction.
I authorize representatives of this city or county to enter the above-identlfied property for Inspection purposes.
of Property Owner or Authorized
.ACTION
DATE BY
T
FEDERI,aL REOU .r�T;IONS PARF Q,o OF TI TL¢geANO
AQMP.RULE.1aD ..' - -
1StJLRtdE0 ASBESTDS NO 'UFIGATiON TOs
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0 ASBESTOS'NOTIRCABONiq-NOTAPPLItAaLETO'
PROPOSED DEU1QUPON,f
FOR GSFFIGE USEi7NEY
PERMITEXP[RED
0 .S
PERMITCANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
SI,GN9TURE:..