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Home My WebLink AboutP2021-0216 - Permits„ City of Newport Beach - Building Division �+ 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Y'2a21 - 0 Z[ �- g o IY-VIVkc Nc Job Address: 880 IRVINE AVE Bldg: 1 Floor: Suite: Description of Work: MFR -"BLDG K" CHANGE OUT (1) WATER HEATERS Inspector Area: 3 Code Edit 2019 Legal Description: P BK 15 PG 36 PAR 1 *P2021-0216* Owner: UDR NEWPORT BEACH NORTH L Contractor: Compensation Insurance - mmmm Address: PO BOX 06408 Address: 2510 N GRAND STE 110 CHICAGO, IL ms•oo<� SANTA ANA CA 92705 Phone: 0 Phone: 714-315-5607 • Work�Ose°, Con State Lic:556812 Issued Date: Lic Expire: 02/28/2023 e Bus Lic: BT30073028 Processed By: sisl= Lic Exp Date: 09/30/2021 r PLUMBING Permit: P2021-0216 Project No : Inspection Requests Phone (949)644-3255 SERVICE FIRST Carrier: STATE NATL INS CO Policy No:AMX0820021004 Expire : 10/01/2021 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. mmmm FEES m•e • ms•oo<� •e Bathroom Fixtures • Work�Ose°, Kitchen Fixtures mo Misc. m • e Misc. Other om m 0 o m m •ewc 0 $0.00 Water Piping: •mono $0.00 Roof Drain: 0 $0.00 mo•emo $0.00 Bidet . m o em 0 $0.00 emmmo� m e o oo®mmo ammo m $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. 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 $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 Lndrylfrap: 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. 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 `) 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 owpOr"%operty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I aan exempIfIdfi licensure under the Contractors' State License Law for the following reason: NhgSjgnature, bel" 4 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 Iegall� sell a structlwD 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 044 of the Business and . Profassions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. •Sigrizl'ure of Property Qwner or Authorized Agent ate • LICENSED CONTRACTOR'S DECLARATION •I hElreby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the BusiX d Pofe s e, and my license is in full force ••endeffect. •.. J-ip wv?Class • •• License No Date d� Eb`' Contractor SignWORKERS'COMPE•N'SATION DECLARATIONWARNING:FAILURa TO %&CDREWORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ANO SHALLSUBJECTAN EMPLOYERTO CRIMINAL PENALTIESANO CIVIL FINES UP TODRED THOU AN OLLARS ($100,000), IN ADDITION TO THE qg %T O.. OMPENS"ON, DAMAGES AS PROVIDED FORM SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hherebraffirm under Qonalty of perjury one of the following declarations: I 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 IN performance of the work for which this permit is issued. Policy No. have 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' Nance carrier and policy number are: 'ler Policy Number Expiration Date me of Agent I certify that, in the pi I, if I should become nature of Applicant ermit is issued, I shall not employ any person in any manner so as to become subject to provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provikil hereby affirm unde alty of perjurytha�4here is a construction lending agency for the performance of the work for which this permit is issued ender's Name y/ Lender's Address y my signature below, I certify to eachUff the following: I am the property owner or authorized to act on the property I have read this application and the information I have prov I agree to comply with all applicable city and county ordi 94n I authorize representatives of this city or county4ente 1055, laws relating to building construction. ed property for inspection purposes. Print Property Owner's or Authorized workers' compensation laws of California, and Code). ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 64 OF TITLE40 AND AOMD RULE 4403. PERMIT EXPIRED ❑ i SUBMITTED ASBESTOS NOTIFICATION TO:. ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ASBESTOS NORFICARON IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATE OF SIGNATURE: OCCUPANCYISSUED