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Home My WebLink AboutP2020-0159 - PermitsCity of Newport Beach - Building Division IIIIIIIIIII�IIIIIIIIIIIIIIIIVIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 0 0 1 5 9 Permit Counter Phone (949)644-3288 Job Address: 7 WINDSOR Bldg: 1 Floor: Suite: Description of Work: PLUM TANKLESS WATER HEATER IN ATTIC & GASLINE TO W/H Inspector Area: 6 Code Edit 2019 Legal Description: N TR 10151 LOT 5 Owner: KIM JOE Contractor: REPIPE 1 Address: 7 WINDSOR Address: 19326 VENTURA BLVD #201 NEWPORT BEACH, CA 92660 TARZANA CA 91356 Phone: Phone: 818-342-2927 omaeo Con State Lic:927892 Issued Date:1012212020 Lic Expire: 01/31/2021 Bus Lic: BT30070567 Processed By: Lic Exp Date: 10/31/2021 PLUMBING Permit: P202O-0159 Project No : Inspection Requests Phone (949)644-3255 C�To INsp mmesmm Worker's Compens&tion Insurance - Carrier: BENCHMARK INSURANCE • • m Policy No:CST5013781 Expire : 09/15/2021 � m om m mm o • • • mooro °m 0 000co mmmmuo 0o m o 0 0 000 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR I AST 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. omaeo FEES oo°o 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: 1 $7.00 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:O $0.00 Lndryfrrap: 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: $75.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $75.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR I AST 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 penally 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 (_) 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 Contractorpursuantto the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' Slate License Law for the following reason: By my signaturl 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 tha§ 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 „ PtQtessGns Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of PrppIlVOwner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I-6,4by affirunder penalty of perjury that I am licensed under provisions of Chapter 9 (commenci ith Section 7000) of Division 3 of the BusinessKnE8,O rofesCode, and my license isinfullforcearyl effect., . . LiegrssE Class " ' License No Dae Z-•ZContractor SignatureQW(ERS'014011NSATION DECLARATION QgryyG: FAILURE'rE SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOER TOCRIMINALPENALTIES AND CIVIL FINES UP TOONE ED THOUSAND DOLLARS I§100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 964re6)laffirm under penalty of perjury one of the following declarations: k e and diff 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 ance oftMe*ft forwhich this permit is issued. Policy No. e and wilt 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' compensatior .We carrier and policy number are: Policy Number Date is of Agent I — certify that, in the peormance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to if I should becolgle 11 bjecjlo-the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi) iature of Aoolican hereby affirm under denanyof perjury that there is a construction lending agency for the performance of the work for which this permit is issued ender's Name Lender's Address 'y 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 cl�rty o e he above-identifi property for inspection purposes. A� rl. l✓.' �..,e _ �. -i ns Print Pronertv Owner's or Authorized ADent's Nam workers' compensation laws of California, and 3097, Civil Code). t> nak/ 10 ' ACTION DATE BY uctr_snw ours v, . �.. v, • •�--�� -,•-• FEDERAL REGULATIONS PART 6 OFTITLE40AND PERMtTEXPIR€D AQMDRULE 1403. ❑ i SUBNttTTEGASSESTOS NOIIFICAT/0N TO: PERMITCANCELL€D ❑ EPA P€KNIT€XTEND€D [3 AQMD ❑ ASBESTOS NOTIACATIONIS NOT APPLICABLE TO PERMITFINAL PROPOSED DEMOLITION. CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED