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Home My WebLink AboutP2020-0025 - Permits0' City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllll PLUMBING Permit: P2O20-0025 �'� - 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 0 0 0 2 5 Project No Permit Counter Phone (949)644-3288 C� � Inspection Requests Phone (949)644-3255 teraw� NG GONSTRUCTIONI NO IS Job Address: 601 LIDO PARK DR Bldg: 1 Floor: Suite: Description of Work: MFR REPLACE *LIKE FOR LIKE* (2) HOT WATER STORAGE TANKS Inspector Area: 1 Code Edit 2019 Legal Description: TR 7695 LOT 1 UNIT 7E G-1-28 OF PROJ LOCTD ON AP 47-021-29 Owner: LITWIN MICHELLE Contractor: KAARMA PACIFIC Address: 601 LIDO PARK DR Address: 1440 S STATE COLLEGE BLVD #4H NEWPORT BEACH, CA ANAHEIM CA 92806 Phone: Phone: 714-999-1177 ewe Con State Lic:936846 Issued Date:02105/2020 Lic Expire: 08/31/2021 INSFPCIC Bus Lic: BT30070913 Processed By: v Lic Exp Date: 02/28/2021 Worker's Compensation Insurance- Carrier: MID CENTURY INS e POlicyNo:A09491963 eo e° mo°eo Expire : 09101/2020 e e coeo ewe e a c INSFPCIC 'eee°o e FEES 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 °oee° Bathroom Fixtures Kitchen Fixtures Misc. Misc. Other a°°°°• •••e Toilet: 0 $0.00 Kitchen Sink: 0 $0.00 Water Piping: 0 $0.00 Roof Drain: 0 $0.00 01Y 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: 2 $34.00 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: $35.00 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-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 structursithatl 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 %oft.11 available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. rFAnetute of Proeerty.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 (commencing with Se tion 7000) of Division 3 of the Busine an rof ^i s od nd my licens is in full force Iar"4frect. ' / LiFens� Class • • • • License No Date 2 5 %UZQ8ontractor Signat \ i W01Kl='RS' COMPENSATION DECLARATION 4VI"IjJ6: FAILURk•1R%SEC((RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER O CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF OOMPEN TIOM.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Me'rely affirm under penalty of perjury one of the following declarations: Vt hate and yAll m9otain 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 tIH e ormance of the -work for which this permit is issued. Policy No. I.hare and vy if lhld%ain 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' compensatior I :once carrier9Ad policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # ❑I certify that, in the p ppr nce of th work fqq�� wNc this permit is issued, I shall not employ any person in any manner so as to become subjec to the workers' compensation laws of California, and agref that, if I should become ub' o t e :kers' dom sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr Islons. Signature of Applicant `` ��/�.(� ate 2' =.reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is 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 correct. I agree to comply with all applicable city a d co "eb state laws relating to building construction. I authorize representatives of this city or unly nti iQdprppartyfor inspection purposes. nature of PrODertv Owner or Authorized Aoent��/ Print ProDertv Owner's or Authorized ADent ACTION PERMITEXPIR€D PERMIT CANCELLED PERMIT€XTENDED PERMIT FINAL CER77FICATE OF OCCUPANCYISSUED DATE I / BY (Section 3097, Civil Code). Name V( /v� �AIY I ULYf�T Date �L_ 61r A FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMDRULE1403. f SUBMITTEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: