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Home My WebLink AboutP2019-0205 - Permits8,70"bP City of Newport Beach - Building Division 111p111111111p1111111111111101p1111111p11111111 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 9 0 2 0 5 H _ - Permit Counter Phone (949)644-3288 b �"�llvaxb! Job Address: 434 VISTA GRANDE Bldg: 1 Floor: Suite: Description of Work: PLUM -SEWER ALT (CLEAN OUT) Inspector Area: # � Code Edit 2016 Legal Description: TR 6230 (L.L.84-214033) PAR 14 Owner: THE BLUFFS HOA Address: 2141 VISTA DEL ORO NEWPORT BEACH C-A Phone: Issued Date:06/25/2019 Processed Contractor: ROTO ROOTER Address: 23311 MADERO STREET MISSION VIEJO CA 92691 Phone: 714-476-3603 Con State Lic:290688 Lie Expire: 0813112017 Bus Lie: BT00000858 Lie Exp Date: 12/31/2017 PLUMBING Permit: P2019-0205 Project No : Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : FEDERAL INSURANCE Policy No:54309480 Expire : 07/2912018 �: Ty 8 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 $9a10 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:l $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 8:00 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 L) all of or (_) 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). ❑ 1 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 CJJL, is available upon request when this application is submitted or at the following Web site:http:/Aw .leginfo.ca.gov/calaw.html. Signature of Prorcr'y Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pr ons Code, and my license is in full force and effect. zi Licer.sa Class License No Date Contractor SignatyY� WORKFRS' COMPEASATION DECLARATION wARNINU: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,000I, IN ADDITION TO THE COST nF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I affirm under penalty of perjury one of the following declarations: ❑ i ;lava 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 th R rformence of'n-crF for which this permit is issued. Policy No. I nave 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' compensatio shurar,ce carries anc: policy number are: Policy Number 1e of Agent Date I certify that, in the perfo 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 agre that, if 1 should become s b' t to�l a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision //�� Signature of Applicant I (w DECLARATION REGAAbING CONSTRUCTION LENDING AGENCY I 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 (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I a provide correct. II ! //2 j I agree to comply with all applicable city and unty ordinances nd state laws relating to building construction. (7 I authorize representatives of this city or co er th ove-identified ro ert._for inspection purposes. Signature of Property Owner or Authorized Ag Print Property Owner's or Authorized Agent's N e D j ACTION DATEI BY DECLARABONOF COMPLIANCE MTH CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE 40AND AQMD RULE 1403. PERMITEXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIRCARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: PERMITFINAL Q/ Z 9 a CERTIFfCATE OF r� 3 OCCUPANCYISSUED