HomeMy WebLinkAboutP2018-0144 - Permitswr k City of Newport Beach - Building Division *P2018-0144*
o 100 Civic Center Drive, Newport Beach, CA 92660
F_ Permit Counter Phone (949)644-3288
ara
Job Address: 2314 OCEAN FRONT W Bldg: 1 Floor: Suite:
Description of Work: PLUM REPLACE WATER HEATER W/TANKLESS
O/B attached (ver w/articles)
Inspector Area: 7 Code Edit 2016
Legal Description: NEWPORT BEACH CITY BILK 23 LOT 8
Owner: T M P ENTERPRISES LLC Contractor: o✓� 1�-rL->if
Address: 2314 W OCEAN FRONT Address:
NEWPORT BEACH CA 92663
Phone: Phone:
Con State Lic:
Issued Date:04/30/2018 Lic Expire:
Bus Lic:
Processed By: Lic Exp Date:
PLUMBING Permit: P2018-0144
Project No :
Inspection Requests Phone (949)644-3255
Worker's Compensation Insurance -
Carrier :
Policy No:
Expire :
. .
. . .
.. .
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
4.00
• ®• ®..
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
$15.00
Grease Interceptor:0
$0.00
0.
O G.O .
. ` .
. U
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:e
$0.00
••....
Shower Stall:
0
$0.00
Ice Maker:
0
$0.00
Gas over 4 outlets:
0
$0.00
Sewer
Investigation:
• o.$0.60
®. G..
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:O
$0.00
LndryfTrap:
0
$0.00
Backflow over 2":
0
$0.00
Sewer Alter/Repair:0
$0.00
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: $48.00
Plan Check Fee:
$0.00
Fee Due at Permit Issuance: $48.00
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 EKsiness-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
23Wore than five hundred dollars ($500).
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 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 Contr License Law for the following reason:
By my signature below I acknowledge that, a apt for my person ce 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 I have built as an owne - er if it has n e onstructed in its entirety by licensed contractors. I understand that a copy of the applicable law, S ction 7044 of the Business and
Professions Code, is available upon requethen I submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. ��
Signature of Property Owner or Authorized Agblate
LICENSED CONT CT ECLARATION
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 Professions Code, and my license is in full force
and effect.
License Class •••• .License No Contractnature
AfORKERS' CCMPENSATION DECLARATION
WIlA•FAILURE'iV*CURE 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
.OST OF &MPENSATIONOAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
under penalty of perjury one of the following declarations:
and 1rill•m9iptain 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
:e of the work for which this permit is issued. Policy No.
Kaye and wpl. m'.i-
nGain 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'
j%Vi§ carrier dir"Oolicy number are:
jay _ Policy Number Expiration Date
that, inlhe Qerf rrhance of the work f this permit is issued, I shall not employ any person in any manner so as to become subject to the workqrs' compensation laws of California, and
ould became eject to the ors' pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
nature of A licant
CLARATI REGARDIN CONS TION LEN ING AGENCY J
3reby affirm under penalty o erjury that the construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ider'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 have provided is corre
I agree to comply with all applicable city and co ntyVrrdinances and a ws relating to building construction.
I authorize representatives of this city or co to an bo ' led property for inspection purposes. . • 1 .[� , /� �/
nature of Property Owner or Authorized nt Print Property Owner's or Authorized A e t ame �! GU.TvL 7Z(L Date
ACTION DATE BY - DECLARATION OF COMPLIANCEWIT7f CODEOF FOROFFICEUS ONLY
FEDERAL REGULATIONS PART 61 OF TITLE WAND
P€RMITEXPfR€D AQMDRULE9403.
❑ I SUBMITTEDASBESTOS NOBFICATION TO:
PERMITCANCEILED ❑ EPA
P€RMITEXTENDED [3AQMD
❑ ASBESTOS N071FICA710NIS NOT APPLICABLE TO
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