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Home My WebLink AboutP2019-0204 - PermitsCity of Newport Beach - Building Division 1pil11111111111111111111111111111111111111111111111 P ` 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 9 0 2 0 4 Permit Counter Phone. (949)644-3288 Job Address: 2179 VISTA ENTRADA Bldg: 1 Floor: Suite: Description of Work: PLUM -SEWER ALT (CLEAN OUT) Inspector Area: .1 % Code Edit 2016 Legal Description: TR 5878 (L.L.84-214031) PAR 54 Owner: THE BLUFFS HOA Contractor: ROTO ROOTER Address: 2141 VISTA DEL ORO Address: 23311 MADERO STREET NEWPORT BEACH CA 92660 MISSION VIEJO CA 92691 Phone: Phone: 714-476-3603 Con State Lic:290688 Issued Date:06/25/2019 Lic Expire: 08/3112017 Bus Lic: BT00000858 Processed By: Lic Exp Date: 12/31/2017 PLUMBING Permit: P2019-0204 Project No : Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance- .Oee Carrier: FEDERAL INSURANCE 'BeeOa PolicyNo:54309480 �ooma` Expire : 07/29/2018 ooco om m o C e C 00 C 00 0 0 o m e o o 00 o o c ee e eme o m m oomra ao e o 0 omacn FEES coe000 o c Bathroom Fixtures Kitchen Fixtures Misc. Misc. Other m°°BO ° Toilet: 0 $0.00 Kitchen Sink: 0 $0.00 Water Piping: 0 $0.00 Roof Drain: 0 $0.00 pee $010.010 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:O $0.00 Lndryfrrap: 0 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair:1 $35.00 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: $70.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $70.00 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 8:00a.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, alte7, 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 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 ap ly 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). I 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 Coda,sis available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Prbpgrjy,LJ'wner or Authorized Agent Date ;,,,,; ,,,, LICENSED CONTRACTOR'S DECLARATION 01 hereby affirm�lurlttipr.penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pr ns Code, and my license is in full force •an&effect. ZS-F�y CiceRse Class License No Date Contractor Signature ri IIyllRKERS' COMPMSATION DECLARATION�— WARNBIE 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,(100), IN ADDITION TO THE gpSI QECOMPEN9f.rd)N,4*MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. of perjury one of the following declarations: 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 Ice of t%vNf Cfor which this permit is issued. Policy No. and will: aintain 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' carnet andpollcy number are: Policy Number Expiration Date 1e of Agent certify that, in the pl if I should become Iature of Applicant _ e 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 the rkers' com n-provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nnle �,_e Z S_ 1y CLARATION REGARDING CONSTRUCTION LENDING AGENCY / :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 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 pr d is correct. I agree to comply with all applicable city and county finances land state laws relating to building construction. I authorize representatives of this city or county er the ov = hied -property for inspection purposes. nature of Property Owner or Authorized Age Print Property Owners or Authorized Agent's Name Civil Code). rye' G/2fe ACTION DATE BY DECLARATION OF COMPLIANCE MTH CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF 717LE40AND AQMD RULE 1403. PERMIT€XPIR€D ❑ 1 SUBMITTED ASBESTOS NORFICATION TO. ❑ EPA ❑ AQMD PFRMITCA.NCELLED PERMITEXTENDED E3 ASBESTOS P OPO5 D DEMOU770M DONIS NOT APPLICABLE TO FERMITFINAL (� ( OoL. C S C€R77FICAT€OF OCCUPANCYISSUED SIGNATURE.