HomeMy WebLinkAboutP2021-0215 - Permits,w City of Newport Beach - Building Division
o 100 Civic Center Drive, Newport Beach, CA 92660
.. Permit Counter Phone (949)61444^-328.8
c3. ` W t3 Y L_I �l
680 Iv'vlvle -Kvc
Job Address: 880 IRVINE AVE Bldg: 1 Floor: Suite:
Description of Work: MFR -"BLDG A" CHANGE OUT (2) WATER HEATERS
Inspector Area: 3 Code Edit 2019
Legal Description: P BK 15 PG 36 PAR 1
*P2021-0215*
Owner: UDR NEWPORT BEACH NORTH LP
Contractor:
Compensation Insurance -
Address: 1745 SHEA CENTER DR STE 200 Address:
2510 N GRAND STE 110
HIGHLAND RANCH CO 80129
SANTA ANA CA 92705
Phone:
Phone:
714.315-5607
Con State Lic:556812
Issued Date:
Lic Expire:
02/28/2023
Bus Lic:
BT30073028
Processed By: J
Lic Exp Date:
09/30/2021
7 77
PLUMBING Permit: P2021-0215
Project No :
Inspection Requests Phone (949)644-3255
SERVICE FIRST
Carrier: STATE NATL INS CO
Policy No:AMX0820021004
Expire : 10/0112021
eme•
m m
m.•m
m
oeo m ••mmoa
o m m �
Workers
co m
m m
om ® o
om r.
00 0
0 o moec�,
ooc o m
mmm
momeoo
mm m m m
m m • m m
0 00
om0000
m m m
oom000 moot.
°
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.
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:
2
$62.00
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:
$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:
$100.00
Plan Check Fee :
$100.00
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.
ER -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 ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
improved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner.4property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempFfrom licensure under the Contractors' State License Law for the following reason: '
�y "i-Srgnatur%belpw4 acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improve)1aw,
red by this permit, I cannot legall
• sell gstructitr that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicction 7044 of the Business and
• prelfpsions Cod e, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
•Sigr�lure of Property Owner or Authorized Agent e.• .•: LICENSED CONTRACTOR'S DECLARATION
heta$y affirm Mder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with action 7000) of Division 3 of the BusinONDRED
de, and my license is in full force
•.apdeffect. .•.00
MensaClass • • • License No Date 02/ Contractor Signal�(V.Q13LCfRS'COMPENSATION DECLARATIONDARNING• FAILURE 10 SLMRE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP T OOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OP COMPEN94TJA, QAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I have
irm ur&der penalty of perjury one of the following declarations:
•. .
and will maintain a certificate of consent to self -insure for workers' compensation,
e of the work for which this permit is issued. Policy No.
issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
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:
me of Agent _
I certify that, in the
t, if I should bacon
Date
this permit is issued, I shall not employ any person in any manner so as to become subject to t e workers' compensation laws of California, and
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pi ;4S.
,natureof Applicant 14\ Date
CLAR(
CLARATION REGA N TRU ION LENDING AGENCY V
:reby affirm under p y of perjury t t there is a construction lending agency for the performance of the work for which this permit is issued (Sectio 3097, Civil Code).
tder'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 r er alf. /
I have read this application and the information I have prov ed is ect. /
I agree to comply with all applicable city and count Ordi nces tat s relating to building construction.
I authorize representatives of this city or county ty,/y�(Eeer he ab Ide I d property for inspection purposes.
Signature of Property Owner or Authorized Agent / / \ Print Property Owners or Authorized Agent's Name !GSA _ Dat
A.C77ON DATE BY 61
DECLARATION OF COMPLIANCE 1917TH CODE OF
FOROFIVELISEONLY
-
FEDERAL REGULATIONSPART 61 OF TITL.E40 AND
AQMDRULE 9403.
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS N077FICATION TO:
❑ EPA
❑ AQMO
PERMIT CANCELLED
PERMITEXTENDED
❑ ASBESTOS IV077FICA71ON IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL D„ Z -T
CERTAFICATEOF
OCCUPANCYISSUED
SIGNATURE: