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HomeMy WebLinkAboutP2020-0149 - PermitsCity of Newport Beach - Building Division 111111111111111111111111p11111111p111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 0 0 1 4 9 Permit Counter Phone (949)644-3288 Job Address: 157 SHORECLIFF RD Bldg: 1 Floor: Suite: Description of Work: SFR -INSTALL RADIANT FLOOR HEATING (X2013-3405) Inspector Area: 5 Code Edit 2019 Legal Description: N TR 1116 LOT 109 Owner: WANG WILLIAM TRUST Contractor: ACME ENVIRONMENTAL INC Address: 6 STRAFFORD Address: 3200 AIRPORT AVENUE #18 NEWPORT BEACH CA 92660 SANTA MONICA CA90405 ` Phone: Phone: 310-397-2199 Con State Lic,724082 Issued Date:12/07/2020 Lic Expire: 1013112022 SOY,- Bus Lic: BT30069771 " Processed By: Lic Exp Date: 1113012021 ,ter. •"<;., PLUMBING Permit: P2020-0149 Project No : 2876-2013 Inspection Requests Phone (949)644-3255 Workers Compensation Insurance Carrier: CALIFORNIA.INS CO Polic No-4698965101 i plre : 07/31/2021 i FEES e� Bathroom Fixtures Kitchen Fixtures Misc. Toilet: 0 $0.00 Kitchen ink: 0 $0.00 Water Piping: 0 Bidet 0 $0.00 Garbag - Disp: 0 $0.00 Water Softener: 0 Urinal 0 $0.00 Bar Si 6 $0.00 Water Heater: 0 Bath Tub: 0 $0.00 Verp'eer.irk� 0 $0.00 Gas up to 4 outlets: 0 Shower Stall: 0 $0.00 '�. Ice 0 $0.00 Gas,�oy tlets: 0 Wash Basin: 0 $0.00 Dis 0 $0.00 Bar,LC#I 2": 1 Hydro -Mass Tub:0 $0.00 ^)Lndry/Trap: 0 _$0„0% BAdcP1ow over 2": 0 Floor Sink: 0 $0.00 Regulato.ID )' 3$4� His ibb: f n Fountain: 0 0 Floor Drain: 0 $0.00 Lawn rl 1,OQp g ry�� TOTAL: $70 Pla ck Fee Misc. $. "� Other $0.00 �ooJi$0 00 $44.QQoease er 4Q��;1$0 00 $0.$0 tease Ir1ttrN.G $0.00 $�a-A Pf-�r�po( 0 $0.00 t "$0.00 84ver $18.00 Sewer: a$0 OOQ • 'C $0.00 Sewer epair:0��tawvu �,Issuan .. $0.00 werAbanQ446 upple $0.00 $0.00 =ee: $0.00 $0.00 $15.66 $37.00 Fee: $0.00 Fee Due at Permit Issuance: $70.66 PERMIT IRE,1 S AFTER ISSUANCE OR LAST VALID INSPECTION Constructio urs: _.(l pntiy - Friday7:00 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). 111, 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 P.Ofess'ons 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 nog 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 ;.r.F rcced for the qurpnse of sale). U 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). ❑ I am exemp' from licensure under the Contractors State License Law for the following reason: iy 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 legally soli 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 Frofessions Crde, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Cigm ture of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I'nereoy affirm vndcr penalty of perjury that I am licensed under provisions of Chapter 9 (commencin with Sect! n 7000) of Division 3 of the Busines a ssions de, m II ense is in full force and effect. ^ _ 1 / Ot% Date t Licand Class L_ '�I lD License No 1 1 Contractor Signature WORKERS' C^WIPI=NSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED H SAND DOLLARS 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 IN pgrformance 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: is of Agent certify that, in the performan the work , if I should become bje to the orkers' lature of AODlicant Policy Number Date is issued, I shall not employ any person in any manner so as to become subject to ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisiS malty of Peru th�t there is a construct I6nding agency for the performance of the work for which this permit is issued hereby affirm ur4erEnder's Name i Lender's Address workers' compensation laws of California, and 3097, By my signature below, I certify to eac o the following: ner 1 am the property owor authodze to act on the property owner's behalf. I have read this application and the information I have provided is correct*ep I agree to comply with all applicable city and c my ordinances an toteI ng to building construction. /) I authorize representatives of this city or cod o rrte he abo-identifrty for inspection purposes. y �[.p.,.,B �`� Da Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name �'o Gn ACTION DA;t CLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONLY DERAL TIONSPART61OFTITLE40AND ULE 1403, ❑ I SUBMITIED ASBESTOS NOTIFICATION TO: ❑ EPA PERMIT EXPIRED PERMIT CANCELLED ❑ AQMD PERMIT EXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOUTION. PERMIT FINAL CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED