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Home My WebLink Aboutp2022-0122 - PermitsCity of Newport Beach - Building Division IIIII�IIIIIIIIIIIIIII�I�IIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 2 0 1 2 2 Permit Counter Phone (949)644-3288 V a Job Address: 200 PROMONTORY DR W Bldg: 1 Floor: Suite: Description of Work: MFR 6 WATER HEATER C/O'S (800 W APT) Inspector Area: Z- Code Edit 2019 Legal Description: PARCEL MAP 49-15 PAR 1 POR OF PAR Owner: NEWPORT BLUFFS LLC Contractor: SCOTT PLUMBING INC Address: 550 NEWPORT CENTER DR Address: 10765 LAUREL AVE NEWPORT BEACH CA 92660 SANTA FE SPRINGS, CA 90670 Phone: Phone: 562-944-9793 Con State Lic:813415 Issued Date:0610212022 //�/J Lic Expire: 1013112022 L �j(�j us Lic: ST30049015 Processed By: c Exp Date: 11/30/2022 PLUMBING Permit: P2022-0122 Project No : Inspection Requests Phone (949)644-3255 Worker's Compensationlnsurance- ° 2 •°° Carrier: INS OF THE WEST Policy No:ZAWC12551900 Expire : 11 /01 /2022 .... °. 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: 6 $186.00 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:O $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: $224.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $224.00 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. 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 U 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 frt"licensure under the Contractors' State License Law for the following reason: Bymy signature bclow.1 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 legalh sell a %tructurg tRat j 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 Cocjg, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. %ignatnre of Property Owner or Authorized Agent Date .•• •• LICENSED CONTRACTOR'S DECLARATION (hereby of rrn un4 Ir penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force . japrjgffect. .• .•; License glass •• • License No Date c a a Contractor Signature! W.QF3JWL2S' COMPENSATION DECLARATION NVNMG: Pjj11ILURE =OSV$E 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 COST OF CbMPENSAT", DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I [ieTeby affirm under pwwIty of perjury one of the following declarations: I... . have and wPlhaintain 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 thi performance of the work for which this permit is issued. Policy No. 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: Policy Number of Agent Date I 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 it, if I should become subject to the workers' compensat)on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I of DECLARATION REGARDTNG-20flSTRUCTION LENDING AGENCY r ' I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec ton 3097, Civil Code). Lender's Name Lender's Address By 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 cou9fyordinances and state laws relating to building construction. I authorize representatives of this city or count o enter the above -identified pro y for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam& mar--joate G AC77ON DATE BY DECLARATION OF COMPLIANCE MTH CODEOF FOR OFFICE USE ONL o� FEDERAL REGULATIONSPART 61 OF TITLE 40AND AQMDRULE 1403. PERMITEXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED / PERMITEXTENDED ❑ ASBESTOS NOTIFICA770MIS NOT APPLICABLE TO PROPOSED DEMOLITION, PERMITFINAL r �f CERTIFICATEOF SIGNATURE. OCCUPANCytSSUEO