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Home My WebLink AboutP2013-0316 - PermitsCity of,Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II - 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 3 0 3 1 6 Permit Counter Phone (949)644-3268 s Job Address: 45 SHEARWATER PL Bldg: 1 Floor: Suite: Description of Work: PLUM - TANKLESS WATER HEATER Inspector Area: 3 Code Edit 2010 Legal Description: N TR 12529 LOT 31 Owner: CAMP III WOFFORD B Contractor: CA DELTA MECHANICAL INC Address: 45 SHEARWATER PL Address: 6052 E BASELINE RD #155 NEWPORT BEACH, CA 92660 MESA AZ 85206 Phone: Phone: 480-898-0007 Con State Lic:811114 Issued Date:09/19/2013 Lie Expire: 08/31/2014 Bus Lie: BT30021921 Processed By: Lie Exp Date: 01/31/2014 / PLUMBING Permit: P2013-0316 Project No : Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : STATE COMP INS FUND Policy No:1697823 Expire : 07/01/2014 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION oom° m m mm mmmm°� m o 0 0 mmmm FEES 0 0 m o 0 Kitchen Fixtures oa �. 0 0 Misc. m000m c o PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION FEES c o 0000m Bathroom Fixtures Kitchen Fixtures Misc. Misc. Other °C O° ° Toilet: 0 $0.00 Kitchen Sink: 0 $0.00 Water Piping: 0 $0.00 Roof Drain: 0 $0.00 ommoo $0.60 mmo.<, Bidet 0 $0.00 Garbage Disp: 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 C0°°11„ 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:, m $1,00 ° mmmm ° Shower Stall: 0 $0.00 Ice Maker: 0 $0.00 Gas over 4 outlets: 0 $0.00 Sewer Investigation: m °$O.vo 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: $34.00 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 TOTAL: $50.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $50.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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 (_) 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-Builderwill have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owneCof 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 legal) 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.htmi. 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 Business and Professio ode, and my license is in full force and effect. •••••• License Class License No 7S N I I_t Date 1 9 Contractor Signature / l 0RKjRS' CPMVENSATION DECLARATION WARNING: FAILURE 7"SlECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE rp%; O?GOMPENSATtpN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Ifieret9 affirm under penalty of perjuryone of the following declarations: h ave 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 ;ran4c ance of theevorla for which this permit is issued. Policy No. ..eand wi11'r4ifltain 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' compensatiog carrier and policy number are: tz'arAer • • • Policy Number Expiration Date W4e,4f,Agent • Phone # ear4 that, in the iarformance 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 workers' compensation laws of California, and agre that, if I should kiecome subject to theens' o sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant / ,(yen - Date,J DECLARATION REGAROING CONSTRUCTION LENDING AGENCY I hereby affirm under penalty 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 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 county ordinances and state laws relating to building construction. I authorize representatives of this city orcounty to enter the ove-id tified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Properly Owner's or Authorized Agent's Name b' Date ACDON. DATE SY DECLARATION OFCOMPLIANCE WITRCODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 610FTlTLE44AND PERMIT EXPIRED AORdORULE 1403. ❑ 1SUBM(TTEDA58E570SN071 FICAT(ONTO: ❑ EPA ❑ AOMD P£RMITCANCEttfO PfRM1TEXTENDED ❑ ASBESTOS NOTIACA7tON(S NOT APPLICABLE TO PROPOSED DEMO/1T/ON. PERMtTF(NAL CERTIFICATEOf SIGNATURE:. DCCOPANCY(SSOED