The URL can be used to link to this page

Home My WebLink AboutP2014-0173 - Permits(I), City of Newport Beach - Building Division 11111111111111111111111111111111111111111111p1111111100 Civic Center Drive, Newport Beach, CA 926G0 P 2 0 1 4 0 1 7 3 Permit Counter Phone (949)644-3288 _ Job Address: 49 SARTEANO DR Bldg: 1 Floor: Suite: Description of Work: PLUMB/ WATER HEATER C/O Inspector Area: 6 Code Edit 2013 Legal Description: TR NO 15400 LOT 2 FOR OF LOT AND FOR OF LOT 1 Owner: CARPENTER CRAIG S Contractor: EVANS PLUMBING INC Address: 49 SARTEANO DR Address: 1720 WHITTIER AVE NEWPORT COAST, CA 92657 COSTA MESA CA 92677 Phone: Phone: 949-646-1185 Can State Lic:498867 Issued Date:04/07/2014 Lie Expire: 09/30/2014 Bus Lic: BT00007441 Processed By: -Lie Exp Date: 12/31/2014 PLUMBING Permit: P2014-0173 Project No: Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : TRUCK INS EXCHANGE Policy No: A01095356 Expire : 03101/2015 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 Urinal 0 $0.00 Bar Sink: 0 $0.00 Water Heater: 1 $15.00 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: $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: $49.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $49.00 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) ind (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, d( the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Se, 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 Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throuc improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of cc improved for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contract ❑ 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 sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.l Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) and effect. License Class License No WORKERS' GOVPENSATION DECLARATION NARNIN6: FAILURE Tn SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I �erehy affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of ppGrfonaance of the wolX for which this permit is issued. Policy No. 3 have and will me'rtain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pi Insuraore carrier and policy number are: barrier Policy Number Name w Agent certify that, in the parformance of the work for which this permit is issued, I shall not employ any person in any if I should Sec=e subject to thl wgckers' pompensation provisions of Section 3700 of the Labor Code, I shall nature ofAf Iicant jr, . ( K CLARATION REGARDING CONSTRUCTION LENDING AGENCY :reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work 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 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 or county to enter the/�botve-identified property for inspection purposes. nature of Property Owner or Authorized ant !`u��"'( R't �i/nt3 Print Property Ownel d below by the checkmark(s) I have placed next to the applicable item(s) sh, or repair any structure, prior to its issuance, also requires the applicant for (Chapter 9 (commencing with Section 7000) of Divison 3 urthe Business and 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of work, and the structure is not intended or offered for sale (Section 7044, employees' or personal effort, builds or improves the property, provided that the pletion, the Owner -Builder will have the burden of proving that it was not built or usiness and Professions Code. The Contractors' State License Law does not pursuant to the Contractors' State License Law). aar prior to completion of the improvements covered by this permit, I cannot leg understand that a copy of the applicable law, Section 7044 of the Business and Date Division 3 of the Business and Contractor i ature and my license is in full force AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE Industrial Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date o as to become subject to the workers' compensation laws of California, and comply with those provisions. /te q '7 — ( V this permit is issued (Section 3097, Civil Code). ACTION DATE BY DECLARATION OF COMPLIANCE MI 4CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 6101 AQMD RULE 1403. TIILE40AND PERMIT EXPI RED ❑ 1 SUBMITTED ASBESTOS NOTIFi ❑ EPA ❑ AQMD ATION TO: PERALItTCANCELLED PERMITEXTENDED ASBESTOS N07CAPERMIT PROPOSED DEMOLII DON iS NO APPLICABLE TO FINAL (p —9 - 1 P A,ti PoA- ? CERTIFICATEOF SIGNATURE: OCCUPANCYtSSUED