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Home My WebLink AboutP2017-0278 - Permits,ww,afk� City of Newport Beach - Building Division IpIIII IIIIIIIIIIIIIII�IIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 2 0 1 7 0 2 7 8 Permit Counter Phone (949)644-3288 c'�t�ruR%y4 Job Address: 20 SANDY COVE Bldg: 1 Floor: Suite: Description of Work: PLUM -CHANGE OUT WATER HEATER TO TANKLESS (X2017-0332) Inspector Area: 6 Code Edit 2016 Legal Description: N TR 15445 LOT 10 Owner: TAFRESHI JULIAN E Contractor: AMERICAL CONSTRUCTION MGMT Address: 20 SANDY COVE Address: 26081 MERIT CIR #114 NEWPORT BEACH, CA 92663 LAGUNA HILLS CA 92653 Phone: Phone: 949-276-1604 Con State Lic:949438 Issued Date:06/21/2017 Lic Expire: 06/30/2018 Bus Lic: BT30058463 Processed By: r Lic Exp Date: 03/31/2018 PLUMBING Permit: P2017-0278 Project No : 0285-2017 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : EXCEMPT 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 Wun Bidet 0 $0.00 Garbage Disp: 0 $0.00 Water Softener: 0 WOO 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 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: $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 items) (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-Builderwill 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 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 /f I heret�y affirm ul.da,' Density of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pr��Code�cense is in full force and effect. Lic3nsE Class License No Date Contractor Signature COMPENSATION DECLARATION 'ANNING. FAILURE -C SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm ui,6e, penalty of perjury one of the following declarations: have and wiV 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 xm3nce of the work for which this permit is issued. Policy No. have and will mail,tain 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' compensa ranoe carrier acd policy number are: if Agent tify that, in the performance of I should become subject to thq of Policy Number Expiration Date 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 agree sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. compe ^-7 Date%-! -"- C- I / CLARATION REGARDPWi Z"ONSTRUCTION LEMMG AGENCY veby 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). 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 I have read this application and the information I have provil I agree to comply with all applicable city and county nl and state laws relating to building construction. I authorize representatives of this city or county n e-Id Ified property for inspection purposes. lature of Property Owner or Authorized Agent Print Property Owner's or Authorized ACTION DATE -'BY DECLARATION OF COMPLIANCE IMTN CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITL.E40AND AQMD RULE 1403. PERMIT EXPIRED ❑ 1 SUBMITTED ASBESTOS N017FICATION TO: ❑ EPA ❑ AQMD PERM IT CANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIRCATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL Z L - t2, CERTI RCATE OF OCCL'PAIVCYlSSUED SIGNATURE: