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Home My WebLink AboutP2013-0242 - Permits (3),�gFN(NV�T City of Newport Beach - Building Division 111p111111111p11111p11111111111p111111111111111111 04 0 100 Civic Center Drive. Newport Beach, CA 92660 P 2 0 1 3 0 2 4 2 w " o Permit Counter Phone (949)644-3288 V +O n s Y4rM9� Job Address: 2300 ARALIA ST Bldg: 1 Floor: Suite Description of Work: SFR - EXTERIOR PLUMBING FOR WATER FEATURE Inspector Area: 4 Code Edit 0 Legal Description: N TR 4705 LOT 116 Owner: IANNINI EVELYN Contractor: ELITE CUSTOM POOLS & SPAS Address: PO BOX 8928 Address: 25871 VICAR WAY NEWPORT BEACH, CA 92658 LAKE FOREST CA 92630 Phone: Phone: 714-606-4007 Con State Lic:529870 Issued Date:07/12/2013 Lic Expire: 05/31/2014 Bus Lic: BT30031210 Processed By: Lic Exp Date: 03/31/2014 PLUMBING Permit: P2013-0242 Project No : 0339-2013 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : STATE FUND Policy NoA 137574 Expire : 06101 /2014 FEES Bathroom Fixtures Kitchen Fixtures Misc. Misc. Other Toilet: 0 $0.00 Kitchen Sink: 0 $0.00 Water Piping: 3 $18.00 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 $0.0-0 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: 0 $0.00 P-Trap: 0 $0.00 Record Mgmt Fee: $1.un Shower Stall: 0 $0.00 Ice Maker: 0 $0.00 Gas over 4 outlets: 0 $0.00 Sewer Investigation: $O.uO I Wash Basin: 0 $0.00 Dishwasher: 0 $0.00 Backflow up to 2": 0 $0.00 Sewer: 0 $0.00 Plan Check: $0.00 I Hydro -Mass Tub:0 $0.00 Lndry/rrap: 0 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair.0 $0.00 Issuance: 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: $53.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $53.00 PERMITS EXPIRE 160 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 applicc3le.it9m1,,) (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). ❑ 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). ❑ I am exempt from Iicensure 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:hftp://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Da LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se do 7000) of Division 3 of the Business an �rols�e_� in full force and effect. �- License Class License No Date ? Contractor S gnl" ature 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 ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DOST 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 wld 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 nP `ante Gf th , Aork for which this permit is issued. Policy No. ave 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' compensatio 3 ra.Ice carrier and policy number are: arrier _ Policy Number Expiration Date Name'of Agent Phone # .I cartify that, in tie oerfor an ork r w ch thi rmit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre that if I should becomes fact h orker pen I provisions of action 3700 of the Labor Code, I shall forthwith comply with those provision �� ISipnamre of Applicant Date l { ( DECLARATIONS REWIR0140 CUdTZN LENDING AGENCY lnraS; affirm under, penW 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). P �nder's Name Lender's Address By 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 hav rovided is c rract. I agree to comply with all applicable city and cou ord st t aws relating to building construction. this or county o e he a-i tified for inspection authorize representatives of city property purposes. ��LL /�/ Signature of Property Owner or Authorized Agent Print Property Owner's or Author Agen Na L U0 / Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTEDASBESTOS NOTIFICATIONTO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS N077RCA170NIS NOTAPPLICABLETO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: