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Home My WebLink AboutP2018-0369 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 8 0 3 6 9 Permit Counter Phone(949)644-3288 I Job Address: 68 SEA ISLAND DR Bldg: 1 Floor: Suite: Description of Work: PLUM WATER HEATER C/O (SAME LOCATION) Inspector Area: 4 Code Edit 2016 Legal Description: TR 8444 LOT 1 UNIT 68 OF PROJECT LOCATED ON AP 442-251-01 TOGETHER Owner: SHEN ARCIA Contractor: PAYLESS WATER HEATERS Address: 68 SEA ISLAND DR #68 Address: 27919 SMYTH DR NEWPORT BEACH, CA 92660 FEESw- VALENCIA CA 91355 Phone: Phone: 661-775-2944 Expire : 08/01/2019 Con State Lic:836216 • , Issued Date:11/07/2018 Lic Expire: 08/31/2020 Bus Lic: BT30041725 Processed By: Lic Exp Date: 12/11/2018 PLUMBING Permit: P2018-0369 Project No : Inspection Requests Phone (949)644-3255 r err s 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. mmeoes Worker's Compensation Insurance- ° .:,�.y Carrier: EMPLOYEE SVC GROUP FEESw- Policy No:C65197844 ' Expire : 08/01/2019 Bathroom Fixtures • , Kitchen Fixtures kp e a6fo s ° Other o eeoo Toilet: o ® tem ago Kitchen Sink: 0000ar 0 o 0 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. FEESw- 0 0 Bathroom Fixtures Kitchen Fixtures Misc. Misc. Other o eeoo 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: 1 $16.00 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/Trap: 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: $51.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $51.00 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 items) (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 (_) 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 legall sell a structure that) 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 Professionsits", is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. I'Signatyre of Property%wner or Authorized Agent Date r••••• ' LICENSED CONTRACTOR'S DECLARATION It herb affirm under enalt of a 'u that I am licensed under rovisions of Cha ter 9 commencin wi Sectio 70 0 of Division 3 of the mess an salons Code, and m license is in full force g Y it Y P q rY p P ( 9 ) Y end effect. • // LiceMsleclass .••. ��7r� License No b✓ �t�' Date �� Contractor Sig e MiRRERS' l:®11'IPENSATION DECLARATION NARNING: FAILURBTO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO ER TO CRIMINAL PENALTIES AND CML FINES UP TOO HUNDRED USAND DOLLARS ($100,000), INTION TO THE 310131016'r DF JOMPENtVtN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 4t@" affirm undor penalty of perjury one of the following declarations: C (taus 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 the iA jr7rm Pnce of tirtWorkfor which this permit is issued. Policy No. )0k have and wU1•rptifltain 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 surance carrier and icynu er are: / �-- :arrier / Policy Number e451– �d" / ,/ Expiration Date A Jame of Agent Phone # (1� ❑1 certify that, in the perfo ance 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 rkers' compensation laws of California, and agree hat, if I should beco to the workers' compensa/teypy provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision signature of Ap licant �/61� / Do�/lS Date /`/�e :reby affirm unde of perjury that there is a construction lends a ency for the performance of the work for which this permit is issued (Section 3097, Civil Code). rder'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 pave provided is correct. //1 I agree to comply with all applicable city and co ty ordinances and state laws relating to building construction. L;i / I authorize representatives of this c' gun er the above-identifie o y for inspection purposes. / nature of Pronertv Owner or Autho�d Agent C4 �t Brint Prooertv Owner's or Authorized Agent 7e �[.f� Date ACT70N DATE I By ucr.tsr rviv yr t.verrruvsrva..c vvrrn a.vuc ur rumur—cYr rr.r I . FEDEREGULATIONS AQM)FRULE 1403. I SUBMTTEDASRESTOS M077FICATION TO: 0 EPA 0 AQMD PERMITUPIRED PERMITCANCELLED PERMITEUENDED ASBESTOS NOWICA77ONIS NOT APPLICABLE TO PROPOSEDDEMOLITION. PERMITFINA7 Lt 76 CERTIRCATEOF SIGNATURE: OCCUPANCYISSUED