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Home My WebLink AboutP2018-0160 - Permitsh City of Newport Beach - Building Division *P2018-0160* o. 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 e Job Address: 20272 SPRUCE AVE Bldg: 1 Floor: Suite: Description of Work: PLUMB REPLACE WATER HEATER W/TANKLESS WATER HEATER, INCLDS GAS Inspector Area: 8 Code Edit 2016 Legal Description: N TR 1506 LOT 24 Owner: BRIGHT DEEANA S Contractor: M M PLUMBING Address: 20272 SPRUCE Address: 21731 MALDEN ST NEWPORT BEACH CA 92660 FEES CANOGA PARK CA 91304 Phone: Phone: Con State Lic:751003 Bathroom Fixtures Issued Date:05/0„8/201 Lie Expire: 01/31/2020 Misc. Bus Lie: BT30062148 Processed By: I/�\1 Lie Exp Date: 02/28/2019 PLUMBING Permit: P2018-0160 Project No: Inspection Requests Phone (949)644-3255 I! Worker's Compensation Insurance - Carrier: EXEMPT Policy No: Expire : a a Dose ° eH° e - c °c� c n aemaco c v 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 .1'$0.0(1° Bidet 0 $0.00 GarbageDisp: 0 $0.00 Water Softener: 0 $0.00 Grease Trap: 0 $0.00 Urinal 0 $0.00 Bar Sink: 0 $0.00 Water Heater: 1 $15.00 Greaselnterceptor:0 $0.00 Bath Tub: 0 $0.00 Vegetable Sink: 0 $0.00 Gas up to 4 outlets: 1 $6.00 P -Trap: 0 $0.00 Record Mgmt Fee: a $0°00 Shower Stall: 0 $0.00 Ice Maker: 0 $0.00 Gas over 4 outlets: 0 $0.00 Sewer Investigation: o °'$'0°00 Wash Basin: 0 $0.00 Dishwasher: 0 $0.00 BackOow up to 2": 0 $0.00 Sewer: 0 $0.00 Plan Check: °.$0a00 Hydro -Mass Tub:0 $0.00 Lndrylrrap: 0 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair:0 $0.00 Issuance: °,St3%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: $54.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $54.00 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. ER -BUILDER DECLARA 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, priorto 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 intendeBar 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). ❑ 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 Iegall 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 of the Bu ness aAir!s e, and my license is in full force and effect.,License Class License No ��/S Contr for natur NORKERS' COMPENSATION DECLARATION YARNING: FAILURE M g?C;JRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,OOD), IN ADDITION TO THE :OST OF COMPENSAIN" DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. .harotpaffirm ulxer penalty of perjury one of the following declarations: II hive 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 th jTance of thework for which this permit is issued. Policy No. ••• are and vil malNain 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' compensatioi OsdralyCe carrier*W f olicy number are: ;,artier, " Policy Number Expiration Date ERgy that, i%the pUrformancegHthe wyo for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and if I should baourne�subject t ;s' c�Rpp?tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisiops. JECCARATfON93E9WING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issue action 3097, Civil Code). ender's Name Lender's Address ly 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 fhve p4neo is correct. I agree to comply with all applicable city and codi a d state laws relating to building construction. I authorize representativ his 'ty-or county o -ids ified roperty for inspection purposes. / lianature of Prooertv Own uthorized Agent Print Property Owner's or Authorized ACTION I DATE IPERMITEXTENDED I I I FEDERAL REGULATIONS PART61 OFTITLE40AND AQMD RULE1403. ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO, EPA ❑ AQMD ❑ ASBESTOS NOTIRCATTONIS NOT APPLICABLE TO PROPOSED DEMOLITION. OCCUPANCYISSUED I� SIGNATURE: