HomeMy WebLinkAboutP2017-0023 - PermitsCity of Newport Beach - Building Division *P2017-0023* PLUMBING Permit: P2017-0023
$ 100 Civic Center Drive, Newport Beach, CA 92660 Project No
E Permit Counter Phone (949)644-3288
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Inspection Requests Phone (949)644-3255
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Job Address: 445 CATALINA DR Bldg: 1 Floor: Suite:
Description of Work: PLUM - CHANGE OUT WATER HEATER;
Inspector Area: 2 Code Edit 2016
Legal Description: N TR 1136 LOT 53
Owner: KIM DONNA
Address: 445 CATALINA DR
NEWPORT BEACH, CA 92663
Phone:
Issued Date:01/11/2017
Processed By:
Bathroom Fixtures
Toilet: 0 $ .00
Bidet 0 $ . 0
Urinal 0 $0.
Bath Tub: 0 $0.0
a'PaC�e
Contractor: FAST HEATER CO ��
Address: 1 ORTHCREE5 PKWY# 09000 O
OTHELL WA 80f1
Po St Lic: g25-636- 4 ti0 4 ol`i-
is 10/31/20
BT3493 41
Lic p- ate f 3 2 V
111:016 r60N6
Worker's Cowl
Expire : 12/01/201
Kitc Fixtures �' Mis�
Sink: 0 at ng: 0 $0.0 ° Ism:
r age Disp: $ Water Softener: 0 .0M as T��'e0
Bar $ 0 Water Heater: 1 $1 0 Grp erceptor:0
IDg t b ink: 0 Gas up to 4 outlets: 0 0 ��W 7rap: 0
$0.00 Gas ov outlets: 0 $0.00 Sewer h 0 $0.00 p�g, u to 2": 0 $0.00 Sewe q 1
Ln rap: 0 $0.00 tt w over 2": 0 $0.00 �S er Alten((air:0
Regulator: o Bibb: 0 $0. Sewer n6 ndo
awn Spr' ler, ng Fountain: 0 .00 Add' too to e:
$0.00
$0.00
$0.00
°
•eee Ft { �'-G'
m e mmee•c c,
omeemm o U
° m o
m ° m
mm
oeeoom e m m
° ° mm000
0000mm m
° ma000
° mms000
° m m o 0
mmmomo °
° 00000
m m
$0.00
$0.00
pt
Fee:
$0.00
$0.00
Plan Check:
$0.00
Shower Stall:
0
$0.06
Wash Basin:
0
$0.00
Hydro -Mass Tub:0
$0.00
Floor Sink:
0
$0.00
Floor Drain:
0
$0.00
a'PaC�e
Contractor: FAST HEATER CO ��
Address: 1 ORTHCREE5 PKWY# 09000 O
OTHELL WA 80f1
Po St Lic: g25-636- 4 ti0 4 ol`i-
is 10/31/20
BT3493 41
Lic p- ate f 3 2 V
111:016 r60N6
Worker's Cowl
Expire : 12/01/201
Kitc Fixtures �' Mis�
Sink: 0 at ng: 0 $0.0 ° Ism:
r age Disp: $ Water Softener: 0 .0M as T��'e0
Bar $ 0 Water Heater: 1 $1 0 Grp erceptor:0
IDg t b ink: 0 Gas up to 4 outlets: 0 0 ��W 7rap: 0
$0.00 Gas ov outlets: 0 $0.00 Sewer h 0 $0.00 p�g, u to 2": 0 $0.00 Sewe q 1
Ln rap: 0 $0.00 tt w over 2": 0 $0.00 �S er Alten((air:0
Regulator: o Bibb: 0 $0. Sewer n6 ndo
awn Spr' ler, ng Fountain: 0 .00 Add' too to e:
$0.00
$0.00
$0.00
°
•eee Ft { �'-G'
m e mmee•c c,
omeemm o U
° m o
m ° m
mm
oeeoom e m m
° ° mm000
0000mm m
° ma000
° mms000
° m m o 0
mmmomo °
° 00000
m m
TOTAL: 48. �N jO�K Pla eck Fee : OQOs 'y Fee Due at Permit Issuance: $48.00
,40�e�. HERMITS E 18 S AFTER ISSUANCE OR LAST VALID INSPECTION
$0.00
$0.00
pt
Fee:
$0.00
$0.00
Plan Check:
$0.00
Issuance:
$33.00
Supplemental Fee:
$0.00
TOTAL: 48. �N jO�K Pla eck Fee : OQOs 'y Fee Due at Permit Issuance: $48.00
,40�e�. HERMITS E 18 S AFTER ISSUANCE OR LAST VALID INSPECTION
OWNER -BUILDER
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 7031-150qapplicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
J I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_)
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property
improvements are not intended or offered for sale. If, however, the building or improvement is sold withi
improved for the purpose of sale).
J I, as owner of the property, am exclusively contracting with licensed Contractors to connulMhe project
apply to an owner of property who builds or improves thereon, and who contracts f #9 projects wJhg 1, ids
❑ lam exempt iron licensure under the Contractors' State License Law�e a following reason`i 1't
3y my signatur9belpe acknowledge that, except for my Personal ce in which I must have res�ide"�fI
�. seY a structure that I have built as an owner -builder if it h�+nBFbeen constructed ' entirety by N7
Professiong Codas is available upon request whe application is submi or at the fo lowing eb s
Signature of PropertylOwner or Authorized A
LICEN NT G7 R ARnTl;p!�4 hewby affirmalld0:penalt qury t; tj�T li d nder prove', i n
or
with
•ar0effect. ' j�l�
I,ipPggse Class • r' • Licen a AV Date
is work, and the stcture is not intended or offered for sale (Section 7044,
ough employees' or pers nal effort, builds or improves the property, provided that the
of completion, the Owner- elder will have the burden of proving that it was not built or
X044, Busir�pps t��lrof ssio Code: The Contractors' State License Law does not
Itr ctpr�QSBignt to the Contra ors' State License Law).
one year prior to etion of timprovements covered by this permit, I cannot legall,
tors. I undgyaWnd that a copy of t applicable law, Section 7044 of the Business and
`ww o.ca.goWcalaw.html.-
- Date
'000) of Division 3 of the Business andIPrdfessions CodeeaPA4Zy license is in full force
ud§Jr: FAILURE 10 ECURL�WCRIERS' COMPENS ONZ`OVE L�IFUL, AND SHALL SU&I WTEM YE CRIMINAL PENALTIES AND CIVIL FINES TO QRgHUNDREDj
iT Oi COMPEN§ATI •DAMAGES AS EOF NSEC I SO LAeOR CODE,I T, O 5 ES.
.reb affirm PlAr enalt - erju a of I declarations: '
In
J•h�ave ang wilt Lain certific of consent to self -in r k m r n, issued by the Director ofint,l el Ions as prove
If'ormanceof4he wor for w h it is issued. a .��'''► �,(�� 1=" .z•
`Nave and will mainta wor rs' compensatio ns nce q ed by Section 3700 of theta r de ��.,}D"��rforrgeeg .ef-th'e work for which 3
trance carrier and ole number C O� '��``
PU
Tier p umber \ �/)� K Expire ate
me of Agent onerj#j
certify that, in the perform ce o for which this permits n t employ any person in any manner s to begr1 �0. Jject t orkel
I, if I should become sub' o the workers' compensate on f c Ion 3700 of the Labor Code, shall ith coniiR"Ai Tt(iose Ions.
nature of Applicant Date
CLARATION REGA DING C ST L AG
:reby affirm under penalty of pe ry t t the is a (Ng& �D ding gency for the rmance of the for pJi this permit is issued (Section 3097,
Ider's Name - nder's Addr
my signature below, I certify to a •h of the following:
I am the property owner or author ed to act on the property oyvier's behalf.
I have read this application and th 'nformation I. have ed is correct.
I agree to comply with all applicable it ren ordinances a ate I Sting to building construction.
I authorize representatives of this cit o c u t t t o 1 led roperty for inspection purposes.
nature of PrnnerIv Owner or Authorize as t� _ Print Property Owners or Authorized Agent's Name Z/I�TSf
AC770M DA7
PERMIT EXPIRED j
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
FEDERAL REGULATIONS PART 61 OF TIILL-40AND
AQMD RULE 1403.
❑ I SUBMITTEDASBESTOS N077FICATION T0:
❑ EPA
❑ AQMD
❑ ASBESTOS N077RC4170NIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
DOLLARS ($100,000), IN ADDITION TO THE
Code).
3700 of the Labor Code, for
My workers'
laws of California, and