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Home My WebLink Aboutp2021-0418 - Permits (2)City of Newport Beach - Building Division . 100 Civic Center Drive, Newport Beach, CA 92660 +.� Permit Counter Phone (949)644-3288 v ra �atrrir�.�> Job Address: 4056 RIVOLI Bldg: 1 Floor: Suite: Description of Work: MFR WATER HEATER C/O Inspector Area: 4 Code Edit 2019 Legal Description: Owner: NEWPORT BLUFFS LLC Contractor: SCOTT PLUMBING INC Address: 550 NEWPORT CENTER DR Address: 10765 LAUREL AVE NEWPORT BEACH CA 92660 SANTA FIE SPRINGS, CA 90670 Phone: Phone: 562-944-9793 Con State Lic:813415 Issued Date:10/14/2021 Lic Expire: Bus Lic: 10/31/2022 BT30049015 Processed By: Lic Exp Date: 11/30/2021 PLUMBING Permit: P2021-0418 Project No : Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : INS OF THE WEST Policy No:WSD502224508 Expire : 11/01/2021 ° ° • o a •o aaao °°°•° ° - 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 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: $69.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $69.00 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 L) all of or L) 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). 111, 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 exemp;from Jjcensure under the Contractors' State License Law for the following reason: By my signature -"Ow 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 legal) + 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 FSAe+,'savailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Sjynqure of Prop&Wwner or Authorized Agent Date • LICENSED CONTRACTOR'S DECLARATION •Ihereby affirm und� penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business) n Professions Code, and mylicense is in full force . andaffect. yy r� [icedb13 Class License No Date 4o- Contractor Signature" I@bMk%RS' CONIBEOISATION DECLARATION 1'A AIAG: 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 008"ROOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. of perjury one of the following declarations: M94 and wW 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 Itrfance of tfuli sfor which this permit is issued. Policy No. ave 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' compensa once carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the 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 subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi�ionnp, of ereby 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 co my ordinances and state laws relating to building construction. authorize representatives of this city or coup to enter the bove-identified perty for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACnON DATE BY DECLARATION OFCOMPLANCE WITH CODE OF FOROFRCEUSEONLY FEDERAL REGULATIONS PART61 OFT17LE40AND AQMD RULE 1403, PERAWIT EXPIRED ❑ L SUBM17 TEDASBESTOS NOTIFICATIONTO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS M07IRCA770NISNOTAPPL/CA8LETO PROPOSED DEMOLITION. PERMIT FINAL (p —22 —2Z CER77FICATEOF SIGNATURE: OCCUPANCYISSUED