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Home My WebLink AboutP2020-0068 - PermitsCity of Newport Beach - Building Division 111111III 11111111111111111111111111111111111111111111 PLUMBING Permit: P2020-0068 100 Civic Center Drive. Newport Beach, CA 92660 P 2 0 2 0 0 0 6 e Project No H 100 Permit Counter Phone (949)644-3288 C7 w Inspection Requests Phone (949)644-3255 Job Address: 511 AVENIDA CAMPO Bldg: 1 Floor: Suite: Description of Work: PLUM WATERLINE FROM METER TO HOUSE Inspector Area: 000 Code Edit 2019 Legal Description: TR 5435 (L.L.84-214024) PAR 85 AND PAR 85G Owner: THE BLUFFS HOA Contractor: SCOTT ENGLISH PLUMBING INC Worker's Compensation Insurance - Address: 507 AVENIDA CAMPO Address: 1287 N JEFFERSON ST STE H Carrier: EVEREST PREMIER NEWPORT BEACH, CA 92660 ANAHEIM CA 92807 Policy No:7600020638191 Phone: Phone: 714-998-9022 Expire : 07/01/2020 Con State Lic:775483 Issued Date:05/20/2020 - Lic Expire: 09/30/2021 Bus Lic: BT30068320 Processed By: Lic Exp Date: 07/31/2020 FEES Bathroom Fixtures Kitchen Fixtures Misc. Misc. Other Toilet: 0 $0.00 Kitchen Sink: 0 $0.00 Water Piping: 1 $7.00 Roof Drain: 0 $0.00 $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: 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:0 $0.00 Lndry/Trap: 0 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair:0 $0.00 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: $42.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $42.00 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 U 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). ❑ 1, 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 exemp, ;rain licensure under the Contractors' State License Law for the following reason: By my signature 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 Iegallt s!)P i struct,,r= thpt 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 Cude, ;s available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Cipm ture of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION ' herby affirm underpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing h Section 7000) of Division 3 of the Busines sions Code, and my license is in full force P nd effect.OJr, L icense Class License No Date — Contractor Signature PIORKERS' COMPENSATION DECLARATION 1ARNINC: FAILURE TJ SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO'fER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE V`UNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE '.OiT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 310e OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm'u.nrler penalty of perjury one of the following declarations: have and %vi;l 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 )mance 4 the,,wo`rk for which this permit is issued. Policy No. have and will maintain workers' compensation irtsurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensa mote carrier and policy number are: ie of Agent certify that, in the pi . if I should become Policy Number Date of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 11"orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi( nature of Applicant C-T Dal CLARATION REGARD G CONSTRUCTION LENDING AGENCY ;reby affirm under pen Ity of perjury that there is a construction lending agency for the performance of the work for which this permit is issued 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 ha(e provided is correct. I agree to comply with all applicable city and c ordinances and state laws relating to building construction. I authorize representatives of this city or county t enter above -identified property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name compensation laws of California, and 3097, Civil Code). AC710N DATE BY DECLARATION OF COMPLIANCE tMTNCODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 6f OFTITLE40AND AQMD RULE 1403. PERMIT EXPI RED ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLEO PERMITEXTENDED IS NOT APPLICABLE TO P OPOSED DEMOLITION. PERMITFINAL a/O I/ j�Yi2 CERTIFICATE OF SIGNATURE: OCCUPANCYFSSUED