HomeMy WebLinkAboutP2021-0092 - Permitsw City of Newport Beach - Building Division *P2021-0092* PLUMBING Permit: P2021-0092
100 Civic Center Drive, Newport Beach, CA 92660 Project No
µ =- Permit Counter Phone (949)644-3288
6u
t;r� it+' Inspection Requests Phone (949)644-3255
Job Address: 6314 RESIDENCIA Bldg: 1 Floor: Suite:
INSPECTOR
Description of Work: PLUMB/CHANGE OUT (E)
WATER HEATER
FEES
Inspector Area: 6 Code Edit 2019
Kitchen Fixtures
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Legal Description:
fir,
Other
Toilet:
Owner: IRVINE COMPANY LLC THE
Contractor: SCOTT PLUMBING INC
Worker's Compensation Insurance -
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Address: PO BOX 2450
Address: 10765 LAUREL AVE
Carrier: INS OF THE WEST
1
NEWPORT BEACH CA 92658
SANTA FE SPRINGS, CA 90670
Policy No:WSD502224508
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Phone:
Phone: 562-944-9793
Expire: 11/01/2021
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Issued Date:04/12/2021
Con State Lic:813415
Lie Expire: 10/31/2022
Water Softener:
0
$0.00
Bus Lie: BT30049015
$0.00
Processed By:
Lic Exp Date: 11/30/2021
0
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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.
O 4 p0. 000 000 00•
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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
$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
Lndryfrrap:
0
$0.00
Backflow over 2":
0
$0.00
Sewer Alter/Repair:0
$0.00
Issuance:
$37.00
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:
$68.00
Plan Check Fee:
$0.00
Fee Due at Permit Issuance : $68.00
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.
O 4 p0. 000 000 00•
t) C O O O E B
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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 apermit 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 (Chapter9 (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 Code, is available upon request when this application is submitted or at the following Web site:http:/Iw .leginfo.ca.gov/calaw.hlml.
Signature of Property 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 Professions Code, and my lic nse is in full force
and effect.
License Class License No Date >61 e41 Contractor Signature!N �
NORKERS' COMPENSATION DECLARATION
YARNING: FAILURE TO SECURE 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
:OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 have 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
Ierformance 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 Ord policy numbeflare: _. /1 .
ieof Agent � T_ VV
certify that, in the performance of the work
, if I should become eubjefko the workers'
of Applicant
Number Expiration Date
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
atiofr provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. y r
CLARATION REGARDING CONSTRUCTION LENDING AGENCY '
areby 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).
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 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 countl/l,(enter the_gbyae-identified;LmPgrty for inspection purposes.
nature of Property Owner or Authorized Agent Print Property Owner's or Authorized A ent's NI
ACTION DATE BY
DECLARATION OF COMPLIANCE WTH COOE OF
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❑ ASBESTOS M07IRCAIIOMIS NOT APPLICABLE TO
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PERMITEXPlRED
PERMIT CANCELLED
PERMTTEXTENDED
PERMiTFINAL
CERTIFICATEOF
OCCUPANCYISSUED