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Home My WebLink AboutP2021-0029 - Permits.� City of Newport Beach - Building Division 1111111111��il��ll100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 441 BEGONIA AVE Bldg: 1 Floor: Suite: Description of Work: PLUMB/CHANGE OUT (E) WATER HEATER Inspector Area: 5 Code Edit 2019 Legal Description: Owner: SHEN YVONNE Contractor: OWNER/BLDR Address: 441 BEGONIA AVE Address: SHEN YVONNE NEWPORT BEACH CA 92625 Phone: 949-315-1387 Phone: Con State Lic:O/B Issued Date:02/1612021 Lic Expire: Bus Lic: Processed By: .� Lic Exp Date: PLUMBING Permit: P2021-0029 Project No : Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : Policy No: Expire : FEES Bathroom Fixtures 0 $0.00 Kitchen Fixtures Kitchen Sink: 0 $0.00 Misc. Water Piping: 0 $0.00 Misc. Roof Drain: 0 $0.00 Other $0.00 Toilet: 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 Fee: $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 $0.00 Shower Stall: 0 $0.00 Ice Maker: 0 $0.00 Gas over 4 outlets: 0 $0.00 Sewer 0 $0.00 Investigation: Plan Check: $0.00 Wash Basin: 0 $0.00 Dishwasher: 0 0 $0.00 $0.00 Backflow up to 2": Backflow over 2": 0 0 $0.00 $0.00 Sewer: Sewer AlterlRepair:0 $0.00 Issuance: $37.00 Hydro -Mass Tub:0 0 $0.00 $0.00 Lndryfrrap: Regulator: 0 $0.00 Hose Bibb: 0 $0.00 Sewer Abandon: 0 $0.00 Supplemental Fee: $0.00 Floor Sink: Floor Drain: 0 $0.00 Lawn Sprinkler: 0 $0.00 Drinking Fountain: 0 $0.00 Additional Fee: $0.00 TOTAL: $68.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $68.00 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. or,o owo 0 ooe 0:0 0 0 0 o a c+ o 0 0 0 o c o won s �o e o c o 0 0® a o ee G> C V O O E3 o r,o 0 0 o coo 00 o u o 0 0 0 - o OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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',do#;{ars ($500). ❑ I, as owner of the propell my employees with wages as their sole compensation, will do U ail 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): ❑ 1, as owner of the properEy,dam 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). El I am exempt from lidensuIre under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which 1 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 guilt as an owner -builder if it has not been constructed in its entirety by licensed contractors. I Virderstand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request w e his lication is submitted o at the follgwing b site:http: /www. ginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agen Q O�Y\ e �4 L �/ D JCENSED CONTRACTOR'S DECLARATION U 1 hereby affirm under 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 and effect. ' 1 License Class I 1 11 License No Date Contractor Signature VORKERS' COMPENSATI'1 1ON DECLARATION /ARNING: 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 :DST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty o€1,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 th erformance of the work fDtwhilllch this permit is issued. Policy No. 11 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' compensatio issrance carrier and DOlicv'number are: :artier Policy Number Expiration Date lame of Agent Phone # 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 agre if I should become subject'to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio s. ignature of Applicant.)i �1 �- �t U`-^ D -- j 6 '- � 0 2/ iECLARATION REGAR NG CONSTRUCTION &ENDING AGENCY hereby affirm under penalty oilpe- jury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). endel's Name I 1 Lender's Address y 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county4,o epter t e above -identified property for inspection purposes. ignature of Property Owner orAuthorized Agent V- Print Property Owner's or Authorized Agent's Names AiMON PATE By DECLARATtONOFCOMPLIANCE WTHCODE OF FOR OMCE USE GIVLY FEDERAL tEGULATT a3PA7�T&l ir' i TWA AtyPd D RULE 1-403. .. PERMIT E PFRED f S€,tl'MITTEDAS `'5Tf4S '17F1Cr-'TI04,Td- Z ❑ EPA ❑ A€ MD PEWIT CANCEL PEftd fTD TF1VFjtED l ® ASBESTOS N077t7CARONIS NOT APPLICABLE TO PROPOSED DEM—OLITI , P€Rd4fiTFdNAfV 1, (JA 17-1 CERTIEfCATEOF OCCUPANCYISS ED SIGNATURE: