The URL can be used to link to this page

Home My WebLink AboutP2019-0131 - Permitstr, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIII II s 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 9 0 1 3 1 g, Permit Counter Phone (949)644-3288 "tlrei�s�'"r� Job Address: 2926 PERLA Bldg: 1 Floor: Suite: Description of Work: PLUMB WATER HEATER C/O Inspector Area: B Code Edit 2016 Legal Description: N TR 7167 LOT 28 Owner: JAMES M J REINIG Contractor: PRISTINE PLUMBING Address: 2926 PERLA Address: 16 TECHNOLOGY #14 NEWPORT BEACH CA 92660 °°°° m IRVINE CA 92618 Phone: Phone: 714-397-5954 d1J.6�C Con State Lic:922736 m m Issued Date:04/29/2019 Lic Expire: 08/31/2019 Bus Lic: BT30039824 Processed By Lic Exp Date: 06/30/2019 PLUMBING Permit: P2019-0131 Project No : Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier: EMPLOYEE SERV GROUP PolicyNo:WC047017973 m Expire 07/01/2019 °°°° m ®°°°°` e mccm d1J.6�C m m m o e FEES m0 ° o + m ® m Kitchen Fixtures c mo 0 0 00 0 0 00 Toilet: m m m mosoc Kitchen Sink: emmm o Water Piping:;. -Q (009° PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION J 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. d1J.6�C FEES Bathroom Fixtures Kitchen Fixtures Misc. Misc. Other Toilet: 0 $0.00 Kitchen Sink: 0 $0.00 Water Piping:;. -Q $0.00 Roof Drain:- 0 $0.00 404(fm °mmmm" Bidet 0 $0.00 Garbage Disp: 0 $0.00 Water Softener: 0 $0.00 Grease Trap: 0 $0.00 '' ` $tt°dd Urinal 0 $0.00 Bar Sink: 0 $0.00 Water Heater: 1 $16.00 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 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: $35.00 Floor Sink: 0 $0.00 Regulator: 0 $0.00 Hose Bibb: 0 $0.00 Sewer Abandon: 0 $0.00 Supplemen al Fee: $0.00 Floor Drain: 0 $0.00 Lawn Sprinkler: 0 $0.00 Drinking Fountain: 0 $0.00 Additional Fee : $0.00 TOTAL: $51.00 Plan Check Fee : $0.00 Fee Due at Permit ssuance : $51.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION J 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 Cade: 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 thR 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 7CA4, 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). ❑ 1, 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 legally 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://www.leginfo.ca.gov/calaw.htmi. Signature of Properly Qwner or Authorized Agent Date "" LICENSED CONTRACTOR'S DECLARATION ;M1,1eli affirm*Ab f r penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bu mess and Professions Code, Rd r+X licen is in full force and effect. 0000 .I,:. eClasa • License No I� -ri Contracto nature VVQRfjERS' CPM"VSATION DECLARATION APARRING:-FAILURE 70b'ECVRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ;0601, IN ADDITION TO THE COST CIFCOMPENSA=IQN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. MMP affirm u?iJPr•1pflalty 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 the 'N' ,•• ermance of the workkfor which this permit is issued. Policy No. .. ay and will,main•.Cain 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' compensatior insurance carrier and pdicy number arrel-- q Carrier o—Ae- -_i (, jn t1SUJC�/11� v Number w � -�(L ��T��"E� Expiration Date Name of Agent Phone # ❑1 certify that, in the perfor a 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 agree that, if I should become sub'ec to the workers' compensation provisions of ction 3700 of the Labor Code, I shall forthwith comply with those rov Bions. C PY P A ^ / ^ Signature of ApPlkc`er3t.-- - F a CLARATIONIRE�ARDING-CONSTgUQTIQf LENDING ARENgr 3reby affirm under penalty of perjury { at there is a constru (ending 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, 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 information I have provided is correct. I agree to comply with all applicable city and county rdinances and state laws relating to building construction. I authorize representatives of this city cou the abo tifi spection purposes. nature of Prooertv Owner or Autho ed Agent 4 i ert Print Property Owner's or Authorized Agent's a e ACTIONDATE X89 — — 1446 ..............:...... r....,..._....., ..,,..�.,. FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMDRULE 1403. ..,,. ........_..__�,-_. PERMITEXP/RED ❑ f SUBNTTEDASBESTOS NOTIFICATION T0: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS NOTTRCARONIS NOTAPPLICABt.E TO PROPOSED DEMOLITION. PERMIT FINAL CERTfFICATEOF SIGNATURE: OCCDPANCYISSOED