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Home My WebLink AboutP2019-0267 - Permits,vt City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII I) e� 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 9 6 2 6 7 Permit Counter Phone (949)644-3288 Job Address: 29 MONTECITO DR Bldg: 1 Floor: Suite: Description of Work: PLUM -SEWER CLEANOUT & SPOT REPAIR Inspector Area: 4 Code Edit 2016 Legal Description: N TR 7844 LOT 71 Owner: STORM KIM Contractor: RESCUE ROOTER Address: 29 MONTECITO DR Address: 740 N HARITON ST NEWPORT BEACH CA 92625 Carrier: LIBERTY MUTUAL ORANGE CA 92868 Phone: Phone: 714-771-8471 ` Con State Lic:765155 m m Issued Date:08/27/2019 Lie Expire: 07/31/2020 om m Bus Lie: BT30046061 Processed By: Lie Exp Date: 02/28/2020 PLUMBING Permit: P2019-0267 Project No: Inspection Requests Phone (949)644-3255 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 8:00 a.m. to 6:00 p.m. sees o Worker's Compensation Insurance - a ommm om a nmmeea Carrier: LIBERTY MUTUAL e m m Policy No:WA763D508631 m e m m Expire: 10/01/2019 om m mee m e o mm omema mo 0 Kitchen Fixtures ooeeo Misc. m ro nommoo 0 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 8:00 a.m. to 6:00 p.m. FEES mmo°° 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:1 $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: $0.00 Fee Due at Permit Issuance: $71.00 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 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 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 U 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 legal) sell a structure ihai f 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 Ptgfpssions Cpdg•is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. -Signature of Pnpagy�Owner or Authorized Agent Date • LICENSED CONTRACTOR'S DECLARATION :I f eir4 affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business andProfessions Cod ,and my license is in full force andeffect. Zi- Contractor Signature,j�l tic@rjse•Class ••�•• License No Dater 9 4fDAKERS' CVI0PENSATION DECLARATION rkgjTtNW?FAILURr'f0 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. }leieWwrm under penalty of perjury one of the following declarations: 1 pate 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 thr �rformance of thew✓ork for which this permit is issued. Policy No. I have and wilil'helt tain 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 nsurance carrier and policy number are: Policy Number of Agent Date 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 if I should become subjegtfo the walkers' Pompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of DECLARATION REGARDING COOSTRUCTION LENDING AGENCY I 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). Lender'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 owners 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 count/ �o enter thhe- aa5ove-Identified property for inspection purposes. / _ / Sionature of Prooertv Owner or Authorized AOeOt�';19w T/ l _ Print Property Owner's or Authorized Agent's Name n l 1 rl D tett G/ 11I ACTION I OATS I BY II FEDERAL TREGULAT/ONS PART 61 OF TITLE40AND I fDROFFI[E USE ONLY I PERMITE%PIRED I I I PERMITCAlVCELLED �ERMdTfX7ENOEO OCCUPANCYISSUED ❑ 1 SUBMfTTEDASBESTOS NOTIFICATION TO: ❑ EPA AQMD ASBESTOS NORFICAJJCNIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE.