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Home My WebLink AboutP2021-0340 - PermitsCity of Newport Beach - Building Division 111111111IN mac° t 100 Civic Center Drive, Newport Beach, CA 92660 E.. Permit Counter Phone (949)644-3288 �'�4iYfiY�i§ Job Address: 3011 RIVOLI Bldg: 1 Floor: Suite: Description of Work: MFR WATER HEATER C/O Inspector Area: 4 Code Edit 2019 Legal Description: Owner: IRVINE APARTMENTS Contractor: SCOTT PLUMBING INC Address: 550 NEWPORT CENTER DR Address: 10765 LAUREL AVE NEWPORT BEACH, CA 92660 SANTA FE SPRINGS, CA 90670 Phone: Phone: 562-944-9793 Issued Date:10/0612021 Con State Lic:813415 Lic Expire: 10/31/2022 Bus Lic: BT30049015 Processed By: Lic Exp Date: 11/30/2021 PLUMBING Permit: P2O21-0340 Project No : Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : INS OF THE WEST Policy NowSD502224508 Expire : 11101 /2021 ° 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 $OeQO ° Bidet 0 $0.00 Garbage Disp: 0 $0.00 Water Softener: 0 $0.00 Grease Trap: 0 $0.00 sb.olf Urinal 0 $0.00 Bar Sink: 0 $0.00 Water Heater: 1 $31.00 Greaselnterceptor:0 $0.00 Bath Tub: Shower Stall: 0 0 $0.00 $0.00 Vegetable Sink: Ice Maker: 0 0 $0.00 $0.00 Gas up to 4 outlets: Gas 0 $0.00 P-Trap: 0 p: $0.00 Record Mgmt Fee: ° ° ®$0.®0 Wash Basin: 0 $0.00 Dishwasher: 0 $0.00 over 4 outlets: Backflow up to 2": 0 0 $0.00 $0.00 Sewer Sewer: 0 $0.00 Investigation: Plan o fOe0b ° ... C ' Hydro-MassTub:O $0.00 LndrylTrap: 0 $0.00 Backflow over2": 0 $0.00 Sewer Alter/Repair:0 $0.00 Check: Issuance: ° $0.00 :41.86 ° Floor Sink: Floor Drain: 0 0 $0.00 $0.00 Regulator: Lawn Sprinkler: 0 0 $0.00 $0.00 Hose Bibb: Drinking 0 $0.00 Sewer Abandon: 0 $0.00 Supplemental Fee: $0.00 Fountain: 0 $0.00 Additional Fee : $0.00 TOTAL: $69.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $69.00 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 DECLARATIUN 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 (_) 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-Builderwill 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 1 must have resided for at least one year prior to completion of the improvements covered by this permit, 1 cannot Iegall� 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.leginfo.ca.gov/calaw.html. Date Signature of Property Owner or Authorized Agent 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, is in full force and effect. Date /0 & Contractor Signature License Class License No WORKERS' CQMPFNSATION DECLARATION WARNING: FAILURETO SLWRE 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 EOST OF•COMPENSATION, dAMAGES AS PROVIDED FORM SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. re6uaffirm liMeT%nalty of perjury one of the following declarations: •••• •,I fT�ve and wit 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, fort f erforrnance of the work forwhich this permit is issued. Policy No. •••• have and eDij1"WRtain 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' compensa Ioi UlAce carried%%cl�policy number are: Expiration Date a4rTe'r- Policy Number ^ ne of Agent ••• certify thata.m tea 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, an if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. • • • y Date.y !d�b�iZ-1 �tUre of AprSliGapt71, � IECLARATION REGARDING GUNb I rcuu I IUN Lcnuuwo nvo... 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). ender's Name Lender's Address iy 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 abo operty for inspection purposes. C Snnature of Prooertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na meX) ,/9d /ZId.Fra Je+ FOR ACTION DATE BY urll.vv.,,.,.. 1. —1— ---- - FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMD RULE 1403. ❑ I SUBMITTEDASBESTOS NO7IFICATION' TO:. ❑ EPA ❑ AQMD ❑ ASBESTOS N071FICARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: DERMITEXPIRED PERMITCANCELLED PERMITEXTENDED PERMIT FINAL /0 /t/ S CERTIRCATEOF OCCUPANCYISSUED