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HomeMy WebLinkAboutP2021-0153 - Permitsw "n City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIII II PLUMBING Permit: P2021-0153 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 1 0 1 5 3 Project No `") Permit Counter Phone (949)644-3288 9u. r'a�#zy„�.^` Inspection Requests Phone (949)644-3255 Job Address: 8331 RESIDENCIA Bldg: 1 Floor: Suite: Description of Work: PLUMB/CHANGE OUT (E) WATER HEATER Inspector Area: 4 Code Edit 2019 o©a s • `00 ego v o ° VO • o a o 0 • � e e • OUO O Legal Description: G G O FEES Owner: IRVINE CO Contractor: SCOTT PLUMBING INC Worker's Compensation Insurance - Address: 111 INNOVATION Address: 10765 LAUREL AVE Carrier: INS OF THE WEST IRVINE CA 92612 SANTA FE SPRINGS, CA 90670 Policy No:WSD502224508 Phone: Phone: 562-944-9793 Expire: 11/01/2021 Con State Lic:813415 0 $0.00 Issued Date:05/12/2021 Lic Expire: 10/31/2022 Water Piping: 0 Bus Lic: BT30049015 $0.00 Processed By: Lic Exp Date: 11/30/2021 0 $0.00 Garbage Disp: 0 $0.00 TOTAL: $68.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $68.00 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. 0 c• o c o OD G O LO o©a s • `00 ego v o ° VO • o a o 0 • � e e • OUO O OC OCC O C • • O G G O 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: 1 $31.00 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:0 $0.00 Issuance: $37.00 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: $68.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $68.00 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. 0 c• o c o OD G O LO o©a s • `00 ego v o ° VO • o a o 0 • � e e • OUO O OC OCC O C • • O G G O V •qu ••O 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 L) 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 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 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.[eginfo.ca.gov/calaw.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 Professions Code, and my license is in full force oneffect. Licenss e Class License No Date S-�� 3,� Contractor Signatury NORKERS' COMPENSATION DECLARATION VARNING: 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 :OST 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: 3 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 the )elformance of the work for which this permit is issued. Policy No. 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' 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 subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant :reby 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) Ider's Name Lender's Address 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 to enter the above-identified-projerty for inspection purposes. c nature of Pmnertv Owner or Authorized Anent Print Prooertv Owner's or Authorized Agent's Name ) fiCIY e&* ACTION DATE BY UCULAi IIViy Vr 4VIVWLIAIvuc VVI I"UVUE Vr FEDERAL REGULAROIJSPAR; 61 OF7JrFE4 OAND PERMITEXPIRED AQMDRULE1403, • : , • , ❑ IsuBwTrEDASBi:SQ�NOT1FIC*1ON 7Q: • •� PERMITCANCELLED ❑ EPA • ••• '; •�• ••• PERMiTEXTENDED ❑ AQMD ❑ ASBESTOS NOIIRCA17ON IS NOT APPLICABLE TO PERMITFINAL ;l \ PROPOSED DEMOLITION. ••• CERTIFICATEOF SIGNATURE: • •• ••' : �� OCCUPANCYISSUED • _ _ , , ,