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Home My WebLink Aboutp2022-0127 - PermitsCity of Newport Beach - Building Division 1111111111111111111111111111111111p111111111111111111 o ' 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 2 0 1 2 7 s Permit Counter Phone (949)644-3288 Job Address: 200 PROMONTORY DR W Bldg: 1 Floor: Suite: Description of Work: MFR 6WATER HEATER C/O'S (500 E APT) Inspector Area: 1., Code Edit 2019 Legal Description: PARCEL MAP 49-15 PAR 1 POR OF PAR Owner: NEWPORT BLUFFS LLC Contractor: SCOTT PLUMBING INC Address: 550 NEWPORT CENTER DR Address: 10765 LAUREL AVE NEWPORT BEACH CA 92660 SANTA FIE SPRINGS, CA 90670 Phone: Phone: 562-944-9793 Con State Lic:813415 Issued Date:0610212022 Lic Expire: 1013112022 us Lic: BT30049015 Processed By: f�b Lic Exp Date: 11/30/2022022 PLUMBING Permit: P2O22-0127 Project No : Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : INS OF THE WEST Policy No:7-AWC12551900 Expire : 11 /01 /2022 e .... � a 6 o.ra. 0 Joao �� .. .... .. .. .. . 9�VOu. 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 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: 6 $186.00 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 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: $224.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $224.00 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. 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-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). 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 legall,, 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 Ctdtl9!iSavailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Propeltp Owner or Authorized Agent Date .....• .... LICENSED CONTRACTOR'S DECLARATION Irhereby affirm under 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 my license is in full force %ect en CIas. , L1Cen9�Class License No DateNJ a/ Contractor Signatur T`�•' WMKERS' COWWSATION DECLARATION 1 SRNING6 FAILURE Tq SEC" E 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 C019TfK60MPENSATION,DZAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. I herahWlfirm undei perfalty of perjury one of the following declarations: ;1,111, and wil, malnjain 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 p rmance of the werkfor which this permit is issued. Policy No. lia've 'and will p'lairg*n 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' compensatiol i s carrier2popohcy number are: Carrier Policy Number Expiration Date of Agent 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 subjectty the workers' compensation laws of California, and lat, if I should becorr)@ subject to the worlds' compensatioryprovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provons. ignature of Applican `��""" `—O uat(t�./, ECLARATION REG DING NSTRUCTION LENDING AGENCY 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 (Se ion 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above-Identif' dd property for inspection purposes. ipnature of Property Owner or Authorized AgengX `--��<� ✓ Print Property Owner's or Authorized Agent's Name ACTION DATE BY DECLARAT/ON OF COMPLIANCE IMTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 61 OF TITLE40 AND AQMDRULE 9403. PERMITEXPfRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED eAl ASBESTOS NOTfACATIONISNOTAPPLICABLETO PROPOSED DEMOLITION. PERMIT FINAL CERTfF[CATFOF SIGNATURE: OCCUPANCYISSUED