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HomeMy WebLinkAboutP2018-0201 - Permitssty City of Newport Beach -Building Division *P2018-0201* 100 Civic Center Drive, Newport Beach, CA 92660 H Permit Counter Phone (949)644-3288 Job Address: 1907 TRADEWINDS LN Bldg: 1 Floor: Suite: Description of Work: SFR SEWER CLEAN OUT Inspector Area: 3 Code Edit 2016 Legal Description: N TR 3801 LOT 36 Owner: RATTET RYAN Contractor: RESCUE ROOTER Address: 1907 TRADEWINDS LN Address: 740 N HARITON ST NEWPORT BEACH, CA 92660 FEES ORANGE CA 92868 Phone: Phone: 714-771-8471 ° Con State Lic:765155 Issued Date:06/06/2018 Lie Expire: 07/31/2018 T Bus Lie: BT30046061 Processed By: Lic Exp Date: 02/28/2019 PLUMBING Permit: P2018-0201 Project No : Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : LIBERTY MUTUAL Policy No:WA763D508631 Expire : 10/01/2018 mmm.�. m ®m° t ooem ° oomo om m 0 0 0 cmmmom c TOTAL: $66.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $66.00 PERMITS EXPIRE 980 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. m0am ° m m m sr�omm moe ,o oc 94Co 00 Doom 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: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:1 $33.00 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: $66.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $66.00 PERMITS EXPIRE 980 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. m0am ° m m m sr�omm moe ,o oc 94Co 00 Doom 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). ❑ 1, 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 ap Iy 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 exert from licensure under the Contractors' State License Law for the following reason: By my signature MAU 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 structufethlt 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 e..Pno ssions Bode, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ° Signature of firoperty Owner or Authorized Agent Date • LICENSED CONTRACTOR'S DECLARATION • I hereby affirm ylprjP•r penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wi h Section 7000) of Division 3 of the Business an Prof ssions Code, and my license is in full force . and effect. • % ts7 ;_Oeiire Class • License No Date / C) Contractor Signature .... WflRKERS'.00MftBNSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ON HUNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE �O•% OFPOMPENSAION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 1•1hereby affirm %rjpg& gP•nalty of perjury one of the following declarations: ❑ 1 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 thl WWI of $%.wo'rIL 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 'WW ensu ante carrier and policy number are: Carrier Policy Number Expiration Date 1e of Agent certify that, in the perm ante 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 orkers' compensation laws of California, and if I should become su ct to the�w/10/rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision . latureofApplicant / Date hereby affirm under enalty 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). 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 I hAve provided is correct. I agree to comply with all applicable city and cou y ordinances and state laws relating to building construction. I authorize representatives of this city or county enter the bJ�ve entified property for inspection purposes. I`Y�c r.,..e — n,av,.Ie.- Anon/ XAa i If I G=tLbi Print Pronertv Owner's or Authorized Aoent's NameXro"�_ ACTION DATE / I I BY I P€RMIT UTENDED I I _ I CERTI€fCAT€OF OCCUPANCYISSUED D I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AOMD ❑ ASBESTOS NOURCADONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: