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Home My WebLink AboutP2021-0452 - Permitsw , City of Newport Beach - Building Division *P2021-0452* 100 Civic Center Drive, Newport Beach, CA 92660 n Permit Counter Phone (949)644-3288 Job Address: 3056 RIVOLI Bldg: 1 Floor: Suite: Description of Work: MFR WATER HEATER CIO Inspector Area: 4 Code Edit 2019 Legal Description: N TR 15584 LOT 6 Owner: NEWPORT BLUFFS LLC Address: 550 NEWPORT CENTER DR NEWPORT BEACH CA 92660 Phone: Issued Date:10/14/2021 Processed By: Contractor: SCOTT PLUMBING INC Address: 10765 LAUREL AVE SANTA FIE SPRINGS, CA 90670 Phone: 562-944-9793 Con State Lic:813415 Lic Expire: 10131/2022 Bus Lic: BT30049015 Lic Exp Date: 1113012021 PLUMBING Permit: P2021-0452 Project No : Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - mmeemo Carrier: INS OF THE WEST Policy No:WSD502224508 m•°° °®°°"`) Expire : 11101 /2021 s o • o 0 ° ° ommoo• m • m m o .. m e me• m eoomo eomm °mm000 m o ooc:�o m c FEES Bathroom Fixtures Toilet: 0 $0.00 Kitchen Fixtures Kitchen Sink: 0 $0.00 Misc. Water Piping: 0 $0.00 Misc. Roof Drain: 0 $0.00 Other o ° aem000 e000 $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: $38.00 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: $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 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 (_) 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). 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 Iegall� sell a structure, that II 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.!% available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. 6ignatufe of Property Owner or Authorized Agent Date "" LICENSED CONTRACTOR'S DECLARATION I,heroy affirm IfrM2?penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business a d Professions Code, and m license is in full force liggdIffect. • t _11 I _^ License Class . . License No Date 1 `I d. Contractor Signatur; yOFJl ERS' COMPEi1SATION DECLARATION WJ : FAILUR@TO%ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,000), IN ADDITION TO THE lOMPENSATj*,gAMAGES AS PROVIDED FOR IN SECTION 37000F THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 'I%fetly affirm under penalty of perjury one of the following declarations: q .. hav e 1 hake and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the 3erformance of11$e,0orJ for which this permit is issued. Policy No. VI;avE and 4: malrttain 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 rc4rance carrier and policy number are: Policy Number of Agent Date I 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 Iat, if I should become ubject to the workers' compensation roW.. slons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1 — r� ignature of Applican Date dl� ECLARATION REG ING CONSTRUCTION LENDING AGENCY hereby affirm under penal of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sectio 3097, Civil Code). 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 courjty ordinances and state laws relating to building construction. / I authorize representatives of this city or countW enter the above -identified property for inspection purposes. of Property Owner or Authorized AC7101V DATE BY DECLARATION OF COMPLIANCE FNITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART OF OF TITLE40 AND AQMDRULE 9403. PERMIT EXPfRED ❑ I SUBMITTED ASBESTOS N077FICATION'TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED ❑RROPOSEDDEMOLITIOASBESTOS �RONISNOTAPPL/CA8LET0 PN. PERMIT FINAL Q al s CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: