The URL can be used to link to this page

Home My WebLink AboutP2022-0117 - PermitsCity of Newport Beach - Building Division 1pil11111111111�1�111111111111111111111p11111111111 d } 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 219 POINSETTIA AVE Bldg:1 Floor: Suite: Description of Work: PLUMB - R/R GAS LINE BETWEEN METER & HOUSE Inspector Area: 5 Code Edit 2019 Legal Description: RESUB OF CORONA DEL MAR LOT 15 BILK 142(AND NELY 5 FT LOT 13(AND SW LY Owner: ECKLES SANDRA Contractor: ROTO ROOTER PLUMBING Address: 219 POINSETTIA AVE Address: 1183 N KRAMER PLACE CORONA DEL MAR, CA 92625 ANAHEIM, CA 92806 Phone: Phone: 714-309-0533 Con State Lic:806952 Issued Date:05/2712022 Lic Expire: 04/30/2024 Bus Lic: BT20068991 Processed By: Lic Exp Date: 09/30/2022 PLUMBING Permit: P2022-011 Project No : Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : OLD REPUBLIC INS CO Policy No:MWC11826422 Expire : 04/0112023 � S EG-.®R 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: 0 $0.00 Grease Interceptor:0 $0.00 Bath Tub: 0 $0.00 Vegetable Sink: 0 $0.00 Gas up to 4 outlets: 1 $8.00 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:O $0.00 LndryfTrap: 0 $0.00 Backflow over2": 0 $0.00 Sewer Alter/Repair:0 $0.00 Issuance: $38.00 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: $46.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $46.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: MbWay E17riday 7400 a.m. to 6:3v0 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 oheckmark(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). ❑ 1, 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). ❑ 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 legalll 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.govlcalaw.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 prsifessions Code /and my license is in full force and effect. �Z�7- �i License Class License No Date Contractor Sign l tVVu r," i WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ZI 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 performance of the work for which this permit is issued. Policy No. 41 eve and will maintain 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' compensatiol insurnce ca�ry�ler and cy n ber are: Q� /' / `, / Carri rC.J f%C�SSf'/C//e'eS Policy Number 1/X✓ W Z 7 COG Expiration Date `7 of Agent ....- certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become si if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those of to the workers' compensation laws of California, and CIiLHRHI IVIY ..... ..- 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). ender's Name Lender's Address y 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 correct.is �� I agree to comply with all applicable city and county ordinances anddstate laws relating to building construction. Go/�/lP I authorize representatives of this city or county toantthe above -id ntifed,,pr9�erty for inspection purposes. Z mnahve of Pmnertv Owner or Authorized ADent1 V MCvl1?+�l 1/li:i//LF� Print Property Owner's or Authorized Agent's Name Date I ACTION DATE BY 111. -1, I ,... .._ FEDERAL REGULATIONS PART 61 OF T1TLE RAND AQMD RULE 1433. PERMITEXPfRED ❑ I SUBVITIEC ASBESTO!-WITI:RCAEON TO: PERMITCANCELLED ❑ EPA PERMIT EXTENDED ❑ AQO�G ❑ ASBESTOS NOTIFlCATIONlS NOT APPLICABLE i0 PERMIT RIVAL - l PROPOSED DEMOLITION. CERTIFICATE OF SIGNATURE: CCCUPANCYISSUED