HomeMy WebLinkAboutP2018-0270 - Permitsivro City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 2730 HILLTOP DR Bldg: 1 Floor: Suite:
Description of Work: PLUMB WATER HEATER REPLACEMENT
IIY�P III ILI I 0IIII V III VIII I I I I DVIU VIII SII II
Inspector Area: 4 Code Edit 2016
Legal Description: TR 8787 LOT 4 UNIT 63 63A 63P 63D OF PROJECT LOCATED ON AP
458-551-10
Owner: CASSIDY ROBERT
Contractor:
DIAL ONE SONSHINE
Address: 2730 HILLTOP DR #63
Address:
10537 DALE AVENUE
NEWPORT BEACH CA 92660
°
STANTON CA 90680
Phone:
Phone:
714-826-5119
Con State Lie:
550716
Issued Date: 8,f13/20
Lie Expire:
12/31/2018
Bus Lie:
BT30053790
Processed
Lie Exp Date:
01/31/2019
PLUMBING Permit: P2018-0270
Project No:
Inspection Requests Phone (949)644-3255
�TR
Worker's Compensation Insurance -
Carrier : EMPLOYEE SVC GRP
Policy No:047017283
Expire : 07101/2019
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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
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
$O.69,
Bidet
0
$0.00
Garbage Disp:
0
$0.00
Water Softener:
0
$0.00
Grease Trap: 0
$0.00
$0.1l0
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 Mg 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.
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'olne'r'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 ar11 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, 1 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, 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 Section 7000) of Division 3 otor
usiness4andP=s ons Code, and y license is in full force
and effect 8 %j ] f �, g
Licens L-060 License No Date / i Con Si nature
WORKENT COMPENSATION DECLARATION
• •RNING:FAIUffjjE,T0 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ON HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE
MST OF COMPEr73ATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
t gereby affir?n under penalty of perjury one of the following declarations:
• ` I have•arKt OuQI 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
rtha,�?Ishoultlees@me
ance of the work for which this permit is issued. Policy No.
_ a�1NILmaintain 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' compensatior
•e carrier and policy number are:
-• • Policy Number Expiration Date
f Agont•": Phone#
ify that, inCleperformance of the work for which this permit is issued, I shall not employ any person in any manner so as to,be ome su ' ct to the workers' compensation laws of California, and agree
sub' c the workers' mpensation provisions of Section 3700 of the Labor Code, I shall forthwith. comply with those prvisos.gnau((eeof App II ant' a �� /
DECLARATION REGAR C N C ON LENDING AGENCY
I hereby affirm under p ally 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).
Lender's Name Lender's Address
By my signature belo , 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 or finances and state laws relating to building construction.
I authorize representatives of this city or cc ty-to e e above -identified property for inspection purposes.
Signature of Prooertv Owner or Authorized' Dent .f= / Print Procertv Owner's or Author zi ed ADent's Nam 44ajie4� ,DateLIS
AC7117N-� DATE By
ULLLlitUi IJun V(1-VIeruAlvl C MW I" UVUC' Vr
FEDERAL REGULATIONS PART 61 FTITt
PUH UrriLt USt
RULE 1603.
PERMdTEXPIRED kAQMD
❑ I SUBMITTED ASBESTOS N071FICATION TO:
❑ EPA
❑ AQMD
PERMITCANCELLED
P€RMITEXTENDED
❑ ASBESTOS M017RCA170MIS NOT APPLICABLE TO
PROPOSER DEMOLITION.
SIGNATURE:
PERMITF1NAL
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