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Home My WebLink AboutP2020-0024 - PermitsCity of Newport Beach - Building Division ' ! 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 705 BAY AVE W Bldg: 1 Floor: Suite: Description of Work: PLUMB REPAIR SEWER LINE II IIII�II 0II�2II 0II��VI0I IIII II4 II Inspector Area: 1 Code Edit 2019 Legal Description: EAST NEWPORT LOT 1 BLK 5 AND LOT 2 BILK 5 WILY 30 FTOF LOTS No CO�VSr;�t PLUMBING Permit: P2020-0024 Project No : Inspection Requests Phone (949)644-3255 Owner D H & M CLARK Contractor: ROOTER HERO PLUMBING ' °r /o(er's Compensation Insurance - Address: 705 E BAY AVE Address: 11150 SEPULVEDA BLVD STE 2A t �/l rJJ��' PARTMENT OF INDUSTRIAL NEWPORT BEAH CA 92661 A¢` MISSION HILLS, CA 91345 Pd)rtT2372Z1 Phone: Phone: 818-301-1410 Expire 04/01/2020 Misc. Con State Lic: 1028886 00 .°° Issued Date: 2/103/2020 Lic Expire: 07/31/2021 Kitchen Sink: 0 $0.00 Bus Lic: BT30053516 .... Processe By: Lic Exp Date: 01/31/2021 Bidet 0 $0.00 GarbageDisp: 0 ¢ 00 4 ¢600°t: Water Softener: 0 $0.00 Grease Trap: 0 0 O ¢ O ( ° ¢O 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 0000 A¢` Bathroom Fixtures Kitchen Fixtures Misc. Misc. Other °..¢¢° 00 .°° 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 GarbageDisp: 0 $0.00 Water Softener: 0 $0.00 Grease Trap: 0 $0.00 ¢db¢00 Urinal 0 $0.00 Bar Sink: 0 $0.00 Water Heater: 0 $0.00 Grease Interceptor:0 $0.00 0 ° ° 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 Fear. $0.00 ` 11 Shower Stall: 0 $0.00 Ice Maker: 0 $0.00 Gas over 4 outlets: 0 $0.00 Sewer Investigation: o °.$6.00 ° Wash Basin: 0 $0.00 Dishwasher: 0 $0.00 Backflow up to 2": 0 $0.00 Sewer: 0 $0.00 Plan Check: °0¢$0.00 Hydro -Mass ub:0 $0.00 Lndry/Trap: 0 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair:l $36.00 Issuance: 0.4341.00 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: $71.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $71.00 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 r 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 (_) 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 Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (cam encing with Section 7000) of Division 3 of the Business and Professions) Code, and my license is in full force and effect. License Class License No ate Zc Cont r ct r Signature ��--- - NRKERS' COMPENSATION DECLARATION G f ING: FAILURE Tt SWORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL OF COMPENSATISRI MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. It;•• a irm undL tr plrfiilty of perjury one of the following declarations: DOLLARS ($100,000), IN ADDITION TO THE bavi 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 ce of the work for which this permit is issued. Policy No. ve'and will'rpaiptp?h 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 ante carrier lq policy number are: 'r. Policy Number Expiration Date 66.66 — ,.... certifythat, ins he Qeriormance of the work for ww7lich this permit is issued, I shall not employ any person in any manner so as to become sy�y lot, ifhs ould become s�lbject tb-t a workers compeRsahon provisions of Section 3700 of the Labor Code, I shall forthwith comply with t. o p IECLA TI N RBflARBING'CONSTRl1,GTION LENDING AGENCY hereby a 1 andyr penalty of perjut�y-t�Fat there is a construction lending agency for the performance of the work for which this a emit is issued ander's Name / % 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 represe alive of this city or county -to ent-er t�_above Identified property for inspection purposes. ignature of Property w ror Authorized Agent _ --,.� i'� Print Property Owner's or Authorized Agent's Nam to the workers' compensation laws of California, and J Civil Code). ACTION`-- BY DECLARATION OFCOMPLIANCEMTHCODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 61 OFTTTLE40AND AOMD RULE 1403. PERMIT EXMRED El I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ElASBESTOS NOTIFICATTONTS NOT APPLICABLE TO PROPOSED DEMOLITION. 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