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Home My WebLink AboutP2021-0218 - Permits0 City of Newport Beach - Building Division *P2021-0218* 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 W,02� -02tK g f 0 1 rvise VIE_ Job Address: 880 IRVINE AVE Bldg: 1 Floor: Suite: Description of Work: MFR - "BLDG P" CHANGE OUT (2) WATER HEATERS Inspector Area: 3 Code Edit 2019 Legal Description: P BK 15 PG 36 PAR 1 Owner: UDR NEWPORT BEACH NORTH L Contractor: Compensation Insurance - Address: PO BOX 06408 Address: 2510 N GRAND STE 110 CHICAGO, IL SERVICE FIRST SANTA ANA CA 92705 Phone: 0 Phone: 714-315-5607 Con State Lic:556812 Issued Date: Lic Expire: 02128/2023 �- Bus Lic: BT30073028 Processed By: Lic Exp Date: 09/30/2021 PLUMBING Permit: P2021-0218 Project No : Inspection Requests Phone (949)644-3255 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 SERVICE FIRST ••• Worke Bathroom Fixtures .® Carrier: STATE NATL INS CO Misc. • Misc. POlicyNo:AMX0820021004 •• < 0 •a • Kitchen Sink: Expire : 10/01/2021 $0.00 <- 0 00 Roof Drain: 0 $0.00 •. Bidet 0 $0.00 Garbage Disp: 0 $0.00 Water Softener: .• . Grease Trap: 0 $0.00 memoo $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 $0.00 P -Trap: 0 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. 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). 1, as owner of the property, or my employees with wages as their sole compensation, will do `) 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-Builderwill 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). I am exempt from licensure under the Contractors' State License Law for the following reason: By my signaturebeloly 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 Iegall� sell a structure.tbat7 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, Secti n 7044 of the Business and • •P•rpj�ssion%Cor" is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.html. •Signatere of Property Owner or Authorized Agent D • LICENSED CONTRACTOR'S DECLARATION I hereby affirm and erp realty of perjury that I am licensed under provisions of Chapter 9 (commencing w'th Sectio, ,I n 7000) Division 3 of the Business d rote de, and my license is in full force • and effect.. • � /1 }.ic2ndeff effect. •• ' License No Date' Q� Contractor Signatu =IJKERS' G(SM V6NSATION DECLARATION 1Vf,P.\W. FAILURE RO MURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU DRIED THO AND DOLLARS 1$100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I.hwebyaffHm under penalty of perjury one of the following declarations: lye and Jlra;tain 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 the no. pante of1tr viii] for which this permit is issued. Policy No. I have and will mainiain workers' compensation insur nce, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the pertormaWofor 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 agree that, if I should become jectompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prov slo:s ry Signature of Applicant Dat r ✓l' cp )ECLARATION REGARI}F1`].6'CONSTRUVTION LENDING AGENCY hereby affirm under p ty of perjury thdt there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). .ender's Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the propert d�ywr s beh f. I have read this application and the information I have pr id d' torr t. agree to comply with all applicable city and county or pan nd laws relating to building construction. I authorize representatives of this city or covl{to en r t ve- tified property for inspection purposes. of Property Owner or Authorized Print Property Owner's or Authorized ACTION DATE 8 DECLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USEONLY - FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMDRULE 9403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS N077FICATION TO:. ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS N07713CA RON IS NOTAPPLICABLETO PROPOSED DEMOLI TION. PERMIT FINAL ? l CERTIFICATEOF ' SIGNATURE:. OCCUPANCYISSUED