HomeMy WebLinkAboutP2019-0221 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
rw 4 Permit Counter Phone (949)644-3288.
Job Address: 1987 PORT DUNLEIGH CIR Bldg: 1 Floor: Suite:
Description of Work: PLUMB/INSTALL CLEAN OUT
inspector Area: 4 Code Edit 2016
Legal Description: N TR 7027 LOT 52
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Owner: THOMAS HAROLD W
Contractor:
ROOTER HERO PLUMBING
Address: 1987 PORT DUNLEIGH CIR
Address:
11856 BALBOA BLVD #170
NEWPORT BEACH, CA 92660
FEES
GRANADA HILLS CA 91344
Phone:
Phone:
Expire
Con State Lic; 1028886
Issued Date:07/16/2019
Lic Expire:
07/31/2019
Misc.
Bus Lic:
BT3O053516
Processed By:
Lic Exp bate:
01/31/2020
PLUMBING Permit: P2019-0221
Project No :
Inspection Requests Phone (949)644-3256
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPEETION
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.
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Worker's Compensation Insurance -
FEES
Carrier : DEPARTMENT OF INDUSTRIAL
Policy No:INT2372Z1
Expire
Bathroom Fixtures
Kitchen Fixtures
Misc.
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPEETION
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.
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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:
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:O
$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:l
$35.00
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:
$70.00
Plan Check Fee:
$0.00
Fee Due
at Permit Issuance : $70.00
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPEETION
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.
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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 (a)
(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 L) 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).
❑ 1 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 legally
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, action 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.htrnl.
Signature of Property Owner or Authorized Agent D tem\
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o!vision 3 of the Business a d fe io a �lnfullorce
and effect.
License Class License No Date I Contractor Signat
WORKERS' COMPENSATION 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 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 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 thr
pefformance of the work for which this permit is issued. Policy No.
have and will lntain 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'
rance carrier aolicy number ap
m of Agent
certify that, in the pi
if I should become
lature of Applicant_e
Ireby affirm under penalty of perjury that there is a construction
lder's Name
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the prope y o%
I have read this application and the information I hive pro idel
I agree to comply with all applicable city and count or In ce
I authorize representatives of this city or county to ntr th
ACTION
DATE I By
Date
issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.,.,
agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Leader's Address
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