HomeMy WebLinkAboutP2020-0063 - Permitsr�wrrk City of Newport Beach - Building Division Jpli111111111111111I11111111111111111111111111111 PLUMBING Permit: P2020-0063
a�4 , . o. , 100 Civic Center Drive, Newport Beach, CA 92660 Project No
n; Permit Counter Phone (949)644-3288
C: Yur'S
°1i nnn'rt4 Inspection Requests Phone (949)644-3255
NO CONSTRUCTION NOISE
Job Address: 2929 COAST HWY E Bldg: 1 Floor: Suite:
Description of Work: COMM -R/R APPRX 10' SEWER LINE
Inspector Area: 7 Code Edit 2019
Legal Description: TR 323 LOT 3 BLK G(AND LOTS 4 AND 5(AND ALL -LYINGSELY OF A
LINE WH
Owner: SIBLING ASSOC LLC
Contractor:
ROOTER HERO PLUMBING
Address: 2699 WHITE RD #150
Address:
11150 SEPULVEDA BLVD STE 2A
IRVINE, CA 92614
MISSION HILLS, CA 91345
Phone:
Phone:
818-301-1410
Con State Lic:1028886
Issued Date:05/13/2020
Lic Expire:
07131/2021
C�
Bus Lic:
BT30053516
Processed By: �-'y ' - Lic Exp Date: 01/31/2021
ON SATURDAYS
Worker's Compensation Insurance -
Carrier: NORGUARD
Policy No:ROWC120705 „
Expire : 04/0112021
INSPECT ?
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:
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:l
$36.00
Issuance:
$35.00
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:
$71.00
Plan Check Fee:
$71.00
Fee Due at Permit Issuance : $0.00
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 6:00 a.m. to 6:00 p.m.
)WNER-BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License law far 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
is 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
'rofessions 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
iot more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended proffered forests (Section 7044,
3usiness and Professions Code: The Contractors' State License law does not apply to an owner of properly who, through employees' ar personal effort, builds or improves the property, provided that the
mprovements 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
mpraved for th^purpose of sale).
I, as owr.Er a. 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
ipNly 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 I am eremp`. `rom licensors under the Contractors' State License Law for the following reason:
3;• my signature below 1 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,
;PII 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
'rofessions Gncle •s available upon request when this application is submitted or at the fallowing Web site:http:/A w .leginfo.ca.gov/calaw.html.
iigr•.ature of Propeny Owner or Authorized Agent Dale
-ICENSED COf7TRACTOR'S DECLARATION
hereby affirm un(4er penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Profs:si ns Code, art y license is in full force
effect. Jo /a z n��i/ r
.iense Class A — � ' � �% License Na rSb ,G7 Datev Z,1970 ContractorSignature,
VO4KERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S'1W.000), IN ADDITION TO THE
:DST OF COMPa.iSA LJN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm L:rJ..r penalty of perjury one of the following declarations:
1 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
wlininance, of the work for which this permit is Issued. Policy No.
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' compensatioi
nce carrier and policy number are: /� c/
:artier .f%/�'-//J.e/t�i✓%/'��A%� Policy Number ST T�6��be� Expiration Date / ����Z�
lame of Agent Phone # I
:11 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 subject to the workers' compensation laws of California, and agre
Tat, if I should become subject 1pfirie work pensation previsions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
hgnature of ApplicantX .GU-- Date/ 7 /7/Zt7
)ECLARATION REGARDING ST CTION LENDING AGENCY ��
hereby affirm under penalty o erjury at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
.enders Name Lenders Address
ly 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 t ent he "O ntrfied property for inspection purposes.
ACTION
DATE
v By
UtLLARAt)UNUr LUdIPLJANLLWII fLUVLUY
FEDERAL REGULATIONS PART 61 OFTITL E40AND
PERMfTEXPIRED
AOMDRLJLE Y403.
❑ I SUBM/TTEDASBESTOS NORFICATION TO.
PERMITCANCELLED
❑ EPA
PERMIT EXTENDED
❑ AQMD
❑ ASBESTOS U07IRCAIIONIS NOT APPLICABLE TO
PERMlTRNAL
Qal 77
PROPOSEDDEMOUTION.
OCCUPA CyIISSUED � ' r — I I SIGNATURE: