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Home My WebLink AboutP2022-0160 - Permits (3)F xhr,4; City of Newport Beach - Building Division *P2022-0160* t* �% 100 Civic Center Drive, Newport Beach, CA 92660 e!R Ir�s Permit Counter Phone (949)644-3288 y a �. --< T77'� : T' f'�trnuHl� Job Address: 821 112 BALBOA BLVD W Bldg: 1 Floor: Suite: Description of Work: PLUMB: R/R WATER HEATER @ EXT CLOSET. Inspector Area: 41 1 Code Edit 2019 Legal Description: Owner: MEYER SHAWN Address: 821 BALBOA BLVD W 1/2 NEWPORT BEACH, CA 92661 Phone: 714-318-1498 Issued Date:07/06/2022 Processed By: I �2, 5 Contractor: EMERGENCY PLUMBING & ROOTER Address: 7349 MILLIKEN AVENUE SUITE 140.58 Phone: Con State Lic:849405 Lic Expire: 03131/2024 Bus Lic: BT30075579 Lic Exp Date: 05/31/2023 PLUMBING Permit: P2022-0160 Project No : Inspection Requests Phone (949)644-31n5 Worker's Co WE t nSTPf* t@L14 -T1ON NbI§F Carrier: WESTC E ,�I(� 11�$ i'kW E� Policy No:71827792 , Expire : 03/07/2023 ON THE WEEKEND FEES Bathroom Fixtures Kitchen Fixtures Misc. Misc. Other $0.00 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: 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-MassTub:O $0.00 Lndry/Trap: 0 $0.00 Backflow overt": 0 $0.00. Sewer Alter/Repaini) $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 : $69.00 Fee Due at Permit Issuance : $0.00 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) ind (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, de the permit to Ve a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Sei nor mole than we hundred dollars ($500). I, .ns owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of I business and Rofessions Code: The Contractors' State License Law does not apply to an owner of property who, throug improvements c.ra : of intended or offered for sale. If, however, the building or improvement is sold within one year of cc morov.=d for the �i'mose of sale). I, as owner cf Te property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, apply To an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contract L� I am exempt from licensure under the Contractors' State License Law for the following reason: by rny.-Signature below I acknowledge that, except for my personal residence in which I must have resided for at least one seli'a strud.=Jr? t;iaz I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. ^r�`essions Code, is available upon request when this application is submitted or at the following Web site:http://www.I S'or�a:ure of Prupeny Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION hereby affirm..undnr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) end effect. _ License Class, License No IXR'f ERS' COMPENSATION DECLARATION Date d below by the checkmark(s) I have placed next to the applicable item(s) >h, or repair any structure, prior to its issuance, also requires the applicant for (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of work, and the structure is not intended or offered for sale (Section 7044, employees' or personal effort, builds or improves the property, provided that the letion, the Owner -Builder will have the burden of proving that it was not built or usiness and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). mr prior to completion of the improvements covered by this permit, I cannot understand that a copy of the applicable law, Section 7044 of the Business ) info. ca.gov/calaw.html. Date Division 3 of the Business and Professions Code, and my license is in full force. Contractor Signature WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALtIES AND CIVIL FINES UP TO ONEUWMRED THOUSAND DOLLARS ($'100,000), IN ADDITION To THE 1GES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. her=hy affirm uhber penalty of perjury one of the following declarations: I-h;ave and'ryill',ngmtain a certificate of consent to self -insure for workers' compensation, issued by the Director o Industrial Relations as provided for by Section 3700 of the Labor Code, for erfgrmance of the work for which this permit is issued. Policy No. and will 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' carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner $o as to become subject to the workers' compensation laws of California, and if I should become subject to the workers' com J_ensation provisions of Section 3700 of the Labor Code, I shall forthwitlj comply with those provisions. nature of Applicant Date /l T — 4! - CLARATION REGARDI O - CTION LENDING AGENCY' areby affirm under penalty rjury that there is a construction lending agency for the performance of the work for whic this permit is issued (Section 3097, Civil Code). lder'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 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 th entified roperty for inspection purposes. //J� /1 �� Property 9 � /tlylr K'Siwrr Z5 Date nature of Property Owner or Authorized Agent � yz;�=-- Print Pro ert Owner's or Au horized Agent's Name ' ACTION DATE BY DECLARATION OF COMPLIANCE M .CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 Ot AQMD RULE 1403. TITLE40AND PERMIT EXPI RED ❑ I SUBMITTED ASBESTOS NOTIFICATION ❑ EPA ❑ AQMD' TO: PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTtRCARONIS NO PROPOSED DEMOLITION. -APPLICABLE TO PERMIT FINAL CERTIRCATEOF SIGNATURE., OCCUPANCYfSSU€D