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Home My WebLink AboutP2018-0049 - Permits,a City of Newport Beach - Building Division I 111�1111IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 8 0 0 4 9 H Permit Counter Phone (949)644-3288 Job Address: 2033 SHIPWAY LN Bldg: 1 Floor: Suite: Description of Work: SFR SEWER CLEANOUT Inspector Area: 3 Code Edit 2016 Legal Description: N TR 3082 LOT 55 Owner: LEE GERRY Contractor: RAPID PLUMBING Address: 2033 SHIPWAY LN Address: PO BOX 2667 NEWPORT BEACH, CA 92660 occoo CULVER CIITY CA 90231 Phone: Phone: 310-735-5176 O O Con State Lic:771663 Issued Date:02/08/2018 Lic Expire: 05/31/2018 �`��Lr��` Bus Lic: BT30060494 Processed By: Y �\ LIC Exp Date: 09/30/2018 PLUMBING Permit Project No : P2018-0049 Inspection Requests Phone (949)644-3255 Wn, A•W� Worker's Compensation Insurance -; -' • ° `Q Carrier: EMPLOYEE SERVICE GROUP • ° `' Policy NowCO26163665 Oo e Expire : 07/01/2018 0 0 o c morn o 0 eon o 00 0 occoo 0 ®09986 O O O O G 000000 O G 0 Misc. 009000 00 O U C 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 B° 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 $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: 0 $0.00 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)rrap: 0 $0.00 Backflow overt": 0 $0.00 Sewer Alter/Repair:1 $33.00 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: $66.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $66.00 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. 7031.5, 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). ❑ I, 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 exerrpt,*Om licensure under the Contractors' State License Law for the following reason: By my signatA palaw 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 . • ielCa structlye thA I have built as an ownef-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 PrdfessionS•Rmeyis available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. /Signature of Property Owner or Authorized Agent Date �.0 LICENSED CONTRACTOR'S DECLARATION .I hereby affirari iiddt?c penalty of perjury that I am licensed under provisions of Chapter 9 (commencing t/io Section 7000) of Division 3 of the Business an rofessions ode, and my license is in full force gpd effect. 0.• ° _ g , T Were Class • • • License No Date Contractor Signatur V.QfIKERS' COMPENSATION DECLARATION FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H JNDR D THOUSAND DOLLARS ($700,000(, IN ADDITION TO THE C" O COMPENEATIONs DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirnfdrl%? Qenalty of perjury one of the following declarations: i.. breve angwilt•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 e mance ofihawork for which this permit is issued. Policy No. TI e 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' compensation sumnce carrier and policy number are: Policy Number of Agent Date ertify that, in thepert mance 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 becom _ worke ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prov io rture of Applicant--��-'\ DaY, �C� `- CLARATION REGARDING CONSTRUCTION LENDING AGENCY I I ;reby 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or c en he abov�,identified property for inspection purposes. +� ` ACTION DATE SY [ILLLI'H[HI/V/Y IJT LVIYIfLNIY4L. 1Y11 I' YVUL V, FEDERAL REGULATIONS PART61 OFTIT LE40AND AQMDROLE 1403. I SUBM ITEDASSESTOS NO7IFICATION TO. ❑ EPA ❑ AQMD "1 VI 1--w.- P€RMIT€XPIRED PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOSMRRICATIONIS NOTAPPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL -- l 9 CERTIRCATEOF SIGNATURE: OCCUPANCYISSUED