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HomeMy WebLinkAboutP2018-0303 - PermitsCityofCenteric Drive, ofNewport Beachorta- Building, CA 92660 Division Illlullllllllllllllllllllllllllll�lllllllllllllllllll III PLUMBING Permit 100 Permit Counter Phone (949)644-3288 ' Project No Job Address: 27 CASTELLINA DR Bldg: 1 Floor: Suite: Description of Work: PLUMIWATER HEATER C/O Inspector Area: 6 Code Edit 2016 Legal Description: N TR 15401 LOT 36 Owner: MORT BRYA Contractor: RESCUE ROOTER Address: 27 STELLINA R Address: 740 N HARITON ST WPORT COAS , CA 92657 ORANGE CA 92868 Phone: 14-356-6540 Phone: 714-771-8471 Con State Lic:765155 Issued Da e:09/04/2018 Lie Expire: 07/31/2020 Z2 Bus Lie: BT30046061 Processed B . Lie Exp Date: 02/28/2019 P2018-0303 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier: LIBERTY MUTUAL PolicyNowA763D508631 PCe Expire: 10/01/2018 °mmmm 4 mmmm m 0000 TOTAL: $48.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $48.00 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. ° mmm°c c. cmmm e FEES Bathroom Fixtures Kitchen Fixtures Misc. Misc. Other Toilet: 0 $0.00 Kitchen Sink: 0 $0.00 Water Piping: 0 $0.00 Roof Drain: 0 $0.00 Bidet 0 $0.00 Garbage Disp: 0 $0.00 Water Softener: 0 $0.00 Grease Trap: 0 $0.00 $lt.L10o Urinal 0 $0.00 Bar Sink: 0 $0.00 Water Heater: 1 $15.00 Greaselnterceptor: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:0 $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: $48.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $48.00 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. ° mmm°c c. OWNER -BUILDER DECLARATION t 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). ❑ 1, 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). ❑ 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 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 legal) sell a structure that I have built as an owner -builder if it has not been constructed in its entirely 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 Property Owner or Authorized Agent Date .... LICENSED CONTRACTOR'S DECLARATION 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 rode and my license is in full force andeffect. I/ A /r L/� *M694Class. " License No Dat 'I o Contractor Signature% V%ORKERS' c6WENSATION DECLARATION 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 COMPENSAA011A DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. P�►hhrrrerebyafFrm under penalty of perjuryone of the following declarations: ,have and'w'if1 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 [-e nce of th6 Mt -K for which this permit is issued. Policy No. heave 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' compensatior 'ran carri®r eD44licy number are: c . ' Policy Number Expiration Date certify that, in the performance 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 , if I should become subject tooReworkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr vl ns. Iature of ApplicanNo IN, 0 r i� a veby affirm -l" --- penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Jder'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 ordinances and state laws relating to building construction. I authorize representatives of this city or cout r the ov -identified property for inspection purposes. T v� ( nature of PropertOwner or Authorized Agent Print Property Owner's or Authorized Agent's Name / ° "� " K. Date ACTION DATE BY OECLARATION OF COMPLIANCE MTN CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF 717LE40AND AQMDRULE1403. PERMITEXPIR€D ❑ I SUBMITTEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCEUED PERMIT EXTENDED ❑ ASBESTOS NORF7CA77ONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: PERMITFINAL - CERTIFICATE OF OCCUPANCYISSUEO