HomeMy WebLinkAboutP2018-0411 - PermitsCity af•Nealyp®rt Pgap-,Building Division IIIIIIIIIIIIIIIIIIIIIIIII�III�IIIIIIIIIIII PLUMBING Permit: P2018-0411
100 Civic Center Drivo, Nswpon60eacb, �A 92660 P 2 0 1 8 0 4 1 1 II Project No
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Job Address: 2305 TUSTIN AVE Blclg: 1 FPobf. Suite:
Description of Work: PLUMB -REPLACE WATER SOFTENER
Inspector Area: 3 Code Edit 2016
Legal Description: TR 300 LOT 103 FOR OF LOT
Owner: HOCHNER DAVID H Contractor: ECOWATER SYSTEMS Worker's Compensation Insurance -
Address: 2305 TUSTIN AVE Address: 1351 DISTRIBUTION WAY #9 Carrier: SENTINEL INSURANCE
NEWPORT BEACH, CA 92660 VISTA CA 92081 Policy No:76WEGRT5551
Phone: Phone: 760-754-1960 Expire : 02/11/2019
Con State Lic:925031 -.
Issued Date:12/20/2018 Lie Expire: 11/30/2020
Bus Lie: BT30058818 ° is
Processed By: Lie Exp Date: 04/30/2019
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Monday - Frlday 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:
0
$0.00
Roof Drain: 0
$0.00
$0.00
Bidet
0
$0.00
Garbage Disp:
0
$0.00
Water Softener:
1
$7.00
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
LndryfTrap:
0
$0.00
Backflow over 2":
0
$0.00
Sewer Alter/Repair:0
$0.00
Issuance:
$35.00
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:
$42.00
Plan Check Fee:
$0.00
Fee Due at Permit Issuance : $42.00
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Monday - Frlday 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 clie4ma14s)2 h1vaplaca r ext; 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 s!1n1CtlLrg:prlCt10 ifs I1sriaoce,Jw 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 toe civil penalty of
not more than five hundred dollars ($500). , •
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do C_) all of or U portions of the work, and the strdcjdre i48otintan&d or offered for sad (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personQI eVrt, builds 8r improves thaproeerty, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-$ illdervMl havethe "flen ot•p48vi6g Mat 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' Slate License Law does not
ap ly 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 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 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 S tion 7 00) of Division 3 of the Business e, d ense is in full force
and effect. /Q
License Class License No Date SCJ L` Contractor Signatur
AfORKERS' COMPENSATION DECLARATION
NARNING: 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 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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 IN
3e mlance of the work for which this permit is issued. Policy No.
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'
-carrier and policy number are:
is of Agent
certify that, in the
, if I should bacon
Blum of Applican
Policy Number
Date
for whi h rh' Knit ismay= templp�any person In any manner so as to become subject to the workers' compensation laws of California, and
compensation provisions of SectioR-379 person
1 shall forthwith comply with those provisions. . 1
ireby affirm under ey of perju 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
I authorize representatives of this city or county I entifier
ACTION I DATE
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSDED
ung construction.
property for inspection purposes.
Print Provertv Owner
❑ I SUBMfTTEDASBESTOS NOIIFICATION T0:
EPA
❑ AOMD
❑ ASBESTOS NORRCAT/ONIS NOT APPLICABLE TO
PROPOSED DEMOUTION.
SIGNATURE: