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Home My WebLink AboutP2017-0404 - PermitsCity of Newport Beach - Building Division 111111111111111111111111111111111111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 7 0 4 0 4 F Permit Counter Phone (949)644-3288 a � - yLiWY7f PLUMBING Permit: P2017-0404 Project No : Inspection Requests Phone (949)644-3255 Job Address: 2011 BARRANCA Bldg: 1 Floor: Suite: , is Description of Work: PLUMB- SEWER CLEAN-OUT FEES 0 0 0 S Inspector Area: Code Edit 2013 Kitchen Fixtures Misc. Legal Description: N TR 6227 LOT 26 Misc. Other j Owner: THE BLUFFS HOA Contractor: ROTO ROOTER Worker's Compensation Insurance - Kitchen Sink: 0 Address: 2141 VISTA ENTRADA Address: 23311 MADERO STREET Carrier: FEDERAL INSURANCE $0.00 Roof Drain: 0 NEWPORT BEACH, CA 92660 MISSION VIEJO CA 92691 Policy No:54309480 .... 0 Phone: Phone: 714-476-3603 Expire : 07/29/2018 $0.00 m Con State Lic:290688 $0.00 Grease Trap: 0 m m m ° IssuedDate:09111/2017 icExpire: 08/31/2017 0 m •• °°° Bus Lie: BT00000858 Water Heater: 0 •• ° Processed By: Lie Exp Date: 12/31/2017 m m ...... o m • ° mo 0 0 $0.00 Vegetable Sink: mmomom m mmomo m •omoo 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 0 0 0 Bathroom Fixtures Kitchen Fixtures Misc. Misc. Other o•°°°° Toilet: 0 $0.00 Kitchen Sink: 0 $0.00 Water Piping: 0 $0.00 Roof Drain: 0 $0.00 m100m m°°°°. Bidet 0 $0.00 GarbageDisp: 0 $0.00 Water Softener: 0 $0.00 Grease Trap: 0 $0.00 $0621 °°°° 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 $32.00 Issuance: $32.00 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: $64.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $64.00 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 C.) 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 -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://www.leginfo.ca.gov/calaw.htmi. Signature of Propwvewner or Authorized Agent Date •.... • LICENSED CONTRACTOR'S DECLARATION hereby affirm uwder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business a rotes fe s Code, and my license is in full force and Effect. •..:. tsie;nse, lass License No D Qj - �� (? Contractor Signature TION DECLARATION 1`AIIIIIING:FAILURE-rb%WfViE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO I OST ariCOMPENSATION, ItAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm up$ar.Wtally of perjury one of the following declarations: 3•1•I1E4e 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 r fence of the work for which this permit is issued. Policy No. have'and will-run'in 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' compensa' ;;tMtg carri%anUolicy number are: :afrltt- . . Policy Number Expiration Date ie of Agent rnone aF certify that, in the perfom�aFt o 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 if I should become sulirle thew kers' compensation nrnv Ews-of-Section 3700 of the Labor Code, I shall forthwith comply with those provisions. j nature of Applicant) Date CLARATION REGARDING CONSTRUCTION LENDING AGENCY :reby 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 h d is correct. I agree to comply with all applicable city and unty ordinances nd state laws relating to building construction. I authorize representatives of this city or comy "enter the ve-ide per£y-for-inspection purposes. nature of Prooertv Owner or Authorized AGe _ Print Property Owner's or Authorized Agent's Name U AC77ON DATE BY DECLARATION Of COMPLIANCE WifH GULIE OF FOR FEDERAL REGULATIONS PART 61 OFT17LE40AND AQMD ROLE 4403. PERMIT EXPIRED I SUBMITTEDASSESTOS NOTIF1CATtON TO. ❑ EPA ❑ AQMD PERMITCANCEdLED PERMIT EXTENDED ❑ ASBESTOS N017RCARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINA1 9 / p CERTIEfCATE OF SIGNATURE: OCCDPANCYtSSDED