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Home My WebLink AboutP2015-0130 - PermitsCity of Newport Beach - Building Division 1I1p1111111111111111p11111111111p1111111111111p111 at 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 5 0 1 3 0 Permit Counter Phone (949)644-3288 0 Job Address: 1456 SEA RIDGE DR Bldg: 1 Floor: Suite: Description of Work: PLUM - WATER LINE REROUTE FROM MAIN TO WATER HEATER Inspector Area: 3 Code Edit 2013 Legal Description: N TR 15011 LOT 1 Owner: KAHVECIYIAN JOHN Contractor: DIAMOND MIKE Address: 1456 SEA RIDGE DR Address: 3801 LENAWEE AVE NEWPORT BEACH, CA CULVER CITY CA 90232 Phone: 9496404507 Phone: 310-838-0408 Con State Lic:765436 Issued Date:03/16/2015 Lic Expire: 07/31/2016 Bus Lic: BT00014957 Processed By: Iz Lic Exp Date: 10131/2015 PLUMBING Permit: P2015-0130 Project No: I Inspection Requests Phone (949)644-32551 Worker's Compensation Insurance - Carrier: OLD REPUBLIC INS Policy No A1CW9932 Expire : 01 /01 /2016 /,yis"o Cr' 9 FEES Bathroom Fixtures Kitchen Fixtures Misc. Misc. Other Toilet: 0 $0.00 Kitchen Sink: 0 $0.00 Water Piping: 1 $6.00 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: $0.60 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: $35.60 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 1 TOTAL: $41.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $41.00 1 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 L) 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 improve vend by this permit, I cannot legally 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 (cable law, Se ion 7044 of the Business and Professions,Code, is available upon request when this application is submitted or at the following Web site:http://V�.leginfo.ca.gov/calaw .leginfo.ca.gov/calaw.html. Slgnarure of P'Gnperty Owner or Authorized Agent ate _— LICENSED CONTRACTOR'S DECLARATION I hereby affirm and r penalty of perjury that I am licensed Lin r provisions of Chap er 9 (commencing with Se ' n 700 of Division 3 of the Bu ness and P ssions Code, an y lice s� in full force and effect..: y�7` gZ2 I iornse Class I License No /tG J`1 Date N Contractor Si kkkaaatu��reee�� WORKERS' CCIl7P-NSATION DECLARATION WARNING: FAILURE TO S-^URE 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 COS'. OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I �i. iuy affirm Under penalty of perjury one of the following declarations: 111 have and will maihtain 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 thI {GLJ rformance of lhe work forwhich this permit is issued. Policy No. I have and w;;l mJatain 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' compensatior Insurance carrier and policy number are: Policy is of Agent Date certify that, 1 the performance of t ork for which this rmit is issued of employ any person in any manner so as to become subject to the workers' compensation laws of California, and t, if I should ecome subje - wwq/�kers� ensat' isions 700 of the Labor Code, I shall forthwith comply with those provisions nature of AID licant Date CLARATION R RbING CONSTRUCTION L NDING AG, CY ereby affirm under penalty of perjury that there is a constru tin 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 signaturel below, I certify to each of the fo I am the property owner or authorized IDIct on the property owner's behal . I have read -this application and th Information I have provided is correct. j I agree to cr6mply with all applic le city and county oo inances and state We relating to building construction. I authorize representatives of t s city or county t Enter=cfitified propert inspection purposes. I r� ,� " nature of Property Owner or Auth ad A Print Property Owners or Authorized Agent's Name Dat AC17ON DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR fFICE USE ONLY i FEDERAL REGULATIONS PART 61 OF TIRE40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBWTTEDASBESTOS NOTIFICATIONTO' ❑ EPA ❑ AOMD PERMITCANCELLED PERMITEXfENDED ❑ ASBESTOS N07IRCA170NIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE., PERMIT FINAL 06/03/ ISJAK of owe- CER 77 F1 CA TE OF r'`'f ' OCCUPAN01SSUED