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Home My WebLink AboutP2017-0298 - PermitsCity of Newport Beach - Building Division I111p1III11111111111111111111111111111111111111111111111 J Otl Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 7 0 2 9 8 .A Permit Counter Phone (949)644-3288 SJ • Job Address: 2271 MESA DR Bldg: 1 Floor: Suite: Description of Work: PLUMBING -WATER PIPING & WATER HEATER TO DETACHED BARN (X2016-3453) Inspector Area: 8 Code Edit 2016 Legal Description: TR 706 LOT 164 ALL -EX SELY 82.5 FT - Owner: PRIMM GARY E Contractor: JENKINS CONSTRUCTION Address: 7000 TOMIYASU LN Address: 504 CANAL ST LAS VEGAS NV 89120 NEWPORT BEACH CA 92663 Phone: Phone: 714.345-9371 Con State Lic:901221 Issued Date: a 017 Lic Expire: 07/3112017 Bus Lic: , BT30035239 Processed By: Lic Exp Date: 04/30/2018 PLUMBING Permit: P20J.7•:0298 0 Project No: 1242-2016 '''' •en• •eocr oe e Inspection Requests Phone (949)644-3255 •• o00 , e em e m e® o • • •emra, ® m mmeoo< e•• , m Worker's Compensation Insurance - Carrier : STATE FUND Policy No:9076367 Expire : 10/20/2017 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 Bathroom Fixtures Kitchen Fixtures Misc. Misc. Other Toilet: 0 $0.00 Kitchen Sink: 0 $0.00 Water Piping: 1 $6.00 Roof Drain: 0 $0.00 $0.00 Bidet 0 $0.00 Garbage Disp: 0 $0.00 Water Softener: 0 $0.00 Grease Trap: 0 $0.00 $0.00 Urinal 0 $0.00 Bar Sink: 0 $0.00 Water Heater: 1 $15.00 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:O $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: $54.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $54.00 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-BUIL4ER DECLARATION •}� khereby af<ipr 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 app) able item(s) ` Inion 7631 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 atitJplicant for the permit td files 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 C@de) 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 hendred dollars ($500). ®1, -as owner' @f th@ property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, BLsiness and Firefessions 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 • Mlgrovemdrgg aro 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). Q• t �s owner of the, property, am exclusively contracting with licensed Cont tors o con uct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an @wlTErbj property who builds or improves thereon, and who tract or th rojects with a licensed Contractor pursuant to the Contractors' State License Law). �•�am exemptjrp licensure under the Contractors' Ste Cense awfor a fo ng reason: Byrey sI nat�rebelow I acknowledge that, except for my er a) r Iden in w ' must have resi ora stone year prior to completion of the improvements covered by this permit, I cannot legal) sella structure that I have built as an owner-buildery' It has o ee onstru a In its entiret Icensed contractors. I understand that a copy of the applicable law, Section 7044 of the usiness and Professions Code, is available upon request a this a Ic s m a or at the f Ing Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Dat tJ LICENSED CONT DECLARAT N I hereby affirm under penalty of perjury that I am licensed under provision hapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 the erforlfla)r Kof the•work for which this permit is issued. Policy No. Ind 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: Policy -of Agent _ ertify that, in the if I should beco rture of Applican is :reby affirm under penalty—of perjury that there )E a c�rrstruction lending agency Ider's Name ,loon my signature below, I certify to each of the following: I am the property owner or authorized to act on the prop o ner's f. I have read this application and the information I h ro ad is c r I. I agree to comply with all applicable city and count ordi nces d ate laws I authorize representatives of this city or courgy t enter a ove ntifiedp Expiration Date Phone # I not employ any person in any manner so as to become subject to the workrs' co pensation laws of California, and agre 3700 of the Labor Code, I shall forthwith comply with those proyisj6ns. i for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Address 3 to building construction. for inspection purposes. ACTION DATE ECLARATIONOFCOMPLIANCE WITH CODEOF FOR OFFICE USE ONLY -REGULATIONSPART 61 OFTITLE40AND AQMD RULE 1403. PERNUTEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO., ❑ EPA ❑ AQMD PERMITCANCELLED P£RM(TWENDED ❑ ASBESTOS U07IRCA770NIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL CERTIFfCATEOF OCCUPANCYISSUED SIGNATURE: