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HomeMy WebLinkAboutP2019-0289 - PermitsCity of Newport -Beach - Building Division I00.Civic Center Drive, Newport Beach, CA 92660 'e Permit Counter Phone (949)644-3288 V P 20190 2 8 9�� II Job Address: 807 VIA LIDO SOLID Bldg: 1 Floor: Suite: Description of Work: PLUM WATER HEATER C/O Worker's Compensationlnsurance- Inspector Area: 1 Code Edit 2016 o••. Carrier: HARTFORD ACCIDENT CO Legal Description: N TR 907 LOT 299 Policy No:76WEGRT5551 Owner: GREUBEL CHRISTOPHER Contractor: ECOWATER SYSTEMS Address: 807 VIA LIDO SOLID Address: 2241 LA MIRADEA DR NEWPORT BEACH, CA 92663 VISTA, CA 92081 Phone: Phone: 760-754-1960 ° Con State Lic: 1055263 Issued Date:09/20/2019 Lic Expire: 06/30/2021 (� Bus Lic: BT30058818 Processed By: Lic Exp Date: 04/30/2020 G, PLUMBING Permit: P2019-0289 Project No : Inspection Requests Phone (949)644-3255 CONSTRUCTION NOISE. ON THE WEEKEND Worker's Compensationlnsurance- •..`.• .... o••. Carrier: HARTFORD ACCIDENT CO • •• •®m..• Policy No:76WEGRT5551 Expire `. 02/11/2020 ° °° . „ •. . INSPECTOR °..•. o..m°° ° 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 $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 $17.00 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: $52.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $52.00 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 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 L) all of or L) 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 Coder 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.bE4= 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 tail 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 .Qrp:essions Ppde, js 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 %roty affirmAdler penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Be tion 7000) of Division 3 of the Busine/eST ofessions Code, and my license is in full force , anji effect. , , , Cluense Class • • , License No Date Contractor Signal . w . �-rrt�- 4Q�uf;I KERS' COMNSATION DECLARATION / CSSTTy�FG* FAILURE Td SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYEIjR0 CRIMINAL PENALTIES AND CIVIL FINES UP T ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE O COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY' $$$ FEES. :11d:41".affirm uryder penalty of perjury one of the following declarations: 1hrye and will mafitain 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 ieli rTance of the.work for which this permit is issued. Policy No. ,. have 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' compensatior nsu ce carrier and policy number are: is of Agent certify that, in the p, , if I should become lature of Applicant_ Policy Number Date of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject t the workers' compensation laws of California, and he workers.' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prov' ions. 1 hereby affirm under pe ally of perjury that thele is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ender's Name Lender's Address ly my signaturebelow, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have pr vided is correct. I agree to comply with all applicable city and county or ances and state laws relating to building construction. I authorize representatives of this city or county to eftJthe @bowe i(ientified property for inspection purposes. ACTION DATE BY DECLARATION OF COMPLIANCEtMT CODEOF FOR OFFICE USE 9hLY FEDERAL REGULATIONS PART 61 OF TITLE40AMD AQMDRULE1403. P€RMITEXPIRED I SUBMfTTEDASSESTOS NO7IFlCATIONTO: ❑ EPA ❑ AQMD ❑ ASBESTOS MOTIRCATION/S NOT APPLICABLE TO PROPOSED DEMOLITION. P€RMITCANCELLED P€RMIT€XTENDED PERMITRNAL f0- I-15 T--L� C€RTIRC4TE OF SIGNATURE: OCCUPANCYISSUED