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HomeMy WebLinkAboutP2017-0166 - PermitsCity of Newport Beach - Building Division *P2017-0166* o$ 100 Civic Center Drive, Newport Beach, CA 92660 F " Permit Counter Phone (949)644-3288 Job Address: 33 CALVADOS Bldg: 1 Floor: Suite: Description of Work: PLUM -CHANGE OUT WATER HEATER (SAME LOCATION) Inspector Area:' Code Edit2016 Legal Description: TRACT 14798 LOT 5 OF PROJECT 936-46 LOCATED ON AP 461-231-48 Owner: SCHEK GERALD Contractor: ORANGE INSTALLERS Address: 33 CALVADOS Address: 905 E CHALYNN AVE NEWPORT BEACH CA 92657 ORANGE CA 92866 Phone: Phone: 714.532.4857 Con State Lic:511971 Issued Date:04/24/2017 Lic Expire: 06/30/2017 Bus Lic: BT30056924 Processed By: Lic Exp Date: 10/31/2017 PLUMBING Permit: P2017-0166 Project No : Inspection Requests Phone (949)644-3255 ;s41 7� tQ f Worker's Compensation Insurance - Carrier : SECURITY NATL INS CO PolicyNo:SWC1093581 °mmmm° Expire :0110712018 mmmm mmmm°° m ° ° mm ° ea e m m m m e mmmm m mmm°° .mmm m mmm°° FEES o 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 $ ®a40 0 ° Bidet 0 $0.00 GarbageDisp: 0 $0.00 Water Softener: 0 $0.00 Grease Trap: 0 $0.00 $0.0%E 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: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. 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 7031.6, 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 Iicensure 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 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). ❑ 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 Iicensure 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 legall, 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.html. Signature of Properfy%wner or Authorized Agent Date • ••" LICENSED CONTRACTOR'S DECLARATION :I.1le 4 affirm•Mbr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions It I se is in full force ticense•Class . License No Date Contractor Signature WpRISERS' COMPENSATION DECLARATION %IAR?4U4i;PFAILURE I(Y-SECt)RE 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 COMPEN§V", DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNErS FEES. I•Fiereby affirm und:,:Qpnalty of perjury one of the following declarations: •• 1 Jt1ye and with 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 th �rmence of the work for which this permit is issued. Policy No. W; and will mairftain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued peee carrier antl"licy number are: er • • Policy Number Expiration Date is of Agent certify that, in the p , if I should become lature of ADolicant J My workers' Ice 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 to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. meby affirm under 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) 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 co ty ordinan s and state laws relating to building construction. authorize representatives of this city or count to enter 'ab ve-identifed property for inspection purposes,.. �� „ nature of Prooertv Owner or Authorized AoeN %` Print Rwperty bwner's or Authorized Agent's Name AC77ON I DATE P€RM(TEXPIRED PERMITCANCELLED PERMITEXT€NDED PERMIT FINAL CERTIFICATE OF OCCUPANCY/SSUED RY tHrYAI runt Vr t-VMYlIH1YLC VV11" I.VLC Vr FEDERAL REGULATIONSPART 61 OFTITLE40 AND AQMDRULE 140J. I SUBM(TTEDASBESTOS NO71FICATIONTO. ❑ EPA ❑ AQMD ❑ ASBES70S N017RCA770NIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE