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Home My WebLink AboutP2016-0412 - Permits�,w,•,r City of Newport Beach - Building Division IIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Ox O 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 6 0 4 1 2 Permit Counter Phone (949)644-3288 n Job Address: 14 SANDY COVE Bldg: 1 Floor: Suite: Description of Work: PLUMB/CHANGE OUT WATER HEATER Inspector Area: 6 Code Edit 2013 Legal Description: N TR 15445 LOT 7 Owner: YOUN SOOK Contractor: FAST WATER HEATER CO Address: 14 SANDY COVE Address: 11715 NORTHCREEK PKWY#C106 NEWPORT BEACH CA 92657 BOTHELL WA 98011 Phone: Phone: 425-636-7084 Con State Lic:987398 Issued Date:07/27/2016 Lie Expire: 10/31/2017 Bus Lie: BT30036541 Processed By: vd/ Lie Exp Date: 08/31/2016 PLUMBING Permit: P2016-0412 Project No : Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : LIBERTY MUTUAL Policy No:WC2Z91464563025 Expire : 12/01/2016 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: 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 overt": 0 $0.00 Sewer Alter/Repair:0 $0.00 Issuance: $32.00 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: $47.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $47.00 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 -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 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 legall, 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.htm]. Signature of Property Owner or Authorized Agent *OUSAND LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect n 700 ) of Division 3 of the Businessnd my license is in full force and effect. License Class License No Date Contractor Signature NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONES ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby 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 Industrial Relations as provided for by Section 3700 of the Labor Code, for th )e/oormance of the work for which this permit is issued. Policy No. have and will rkaintain 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' •ance carrier an "licy number Brew ie of Agent certify that, in the performance of if I should become subiect to th! 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' LDmpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. R ignature of Applicant Dat� IECLARATION REG IIADING CONST CTION LENDING AGENCY hereby affirm under penalty of perjury hat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Ender's Name Lender's Address y my signature below, I certify to Be& of the following: I am the property owner or authorized to act on the property ow I have read this application and the information I have provided I agree to comply with all applicable city and county ordinar.945 I authorize representatives of this city or county td*Vter th)( ab� of Property Owner or Authorized behalf. state laws relating to building construction. Leot"d property for inspection purposes. Print Property Owner's or Authorized Agent's Name laws of California, and Date ACTION DATE 8 DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS DARN 61 OF TT -LE" AND AQMD RULE 1403. PERMIT EXPdRED ❑ 1 SUBMITTEDASBESTOS N077FICATION T0: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED PDEM OLI �CAiION lS NOT APPLICABLE 70 ❑ROPOSED N. PERMIT FINAL l 6 L6 CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED