HomeMy WebLinkAboutPLUM21-0239 - PermitsCity of Newport Beach
100 CIVIC CENTER DRIVE
NEWPORT BEACH, CA 92660
Permit No:PLUM21-0239
2/1/2022Final:
Job Address:2600 LIGHTHOUSE LN,
NEWPORT BEACH CA, 92625
Final Inspection by:David Reed
Description of Work:Replace: Rheem 50 Gallon 38K BTU Ultra Low NOx water heater model XG50T06EN38U1,
hot water heater
Legal Description:N-TRACT: 6385 BLOCK: LOT: 12
Owner:Jerry Thomas Hood
2600 Lighthouse Ln
Corona Del Mar, CA 92625
534722Contractor:
F K J M ENTERPRISES INC
P O BOX 18628
ANAHEIM CA, 92817
Worker's Compensation Insurance:
Carrier:ACE AMERICAN INSURANCE COMPANY
Expire:10/01/2022
ODETTE LEONELLIApplicant:
2219A HUNTINGTON LANE
Redondo Beach CA, 90278
Amount ($)Fee Description Qty
Water Heater 31.00 1
Plumbing Issuance Fee 0.00 1
$31.00
The issuance of this permit shall not prevent the Chief Building Official from thereafter requiring the correction
of errors in the plans and specifications or from preventing building operations being carried on thereunder
when in violation of the California Building Code or of any provision of the Newport Beach Municipal Code .
Except as otherwise stated, a permit for construction under which no work is commenced within six months
after issuance, or where the work commenced is suspended or abandoned for six months, shall expire, and
fees paid shall be forfeited.
Owner Builder Declaration
You certified to each of the following:
·I am the property owner or am 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 City ordinances and
state laws relating to building construction.
·I authorize representatives of this City to enter the
above-identified property for inspection purposes.
License Contractor Declaration
You certified to the following:
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 that
my license is in full force and effect.
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 ($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.
DOC200Finalpermit_Document_CNB.rpt / version 2015-11-04