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HomeMy WebLinkAboutP2021-0167 - Permits9 City of Newport Beach - Building Division 111p11111111111111111111111111111111p1p11p1111p 11 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 2 1 0 1 6 7 Permit Counter Phone (949)644-3288 Job Address: 4685 MACARTHUR CT Bldg: 1 Floor: 2 Description of Work: PLUM/SEWER LINE REPAIR Inspector Area: 7 Code Edit 2019 Legal Description: P BK 196 PG 40 PAR 1 Owner: IRVINE CO Compensation Insurance - Address: 550 NEW NEWP T BI Phone: Issued Date:/ 26/2021 Processed B . Suite: 220 Contractor: PROFESSIONAL PLUMBING AND DRAIN CLEANING INC TER DR Address: 2292 BATAVIA STE B CA 92660 ORANGE CA 92865 Phone: 714-715-4611 Con State Lic:880658 FEES Lie Expire: 07/31/2022 Bus Lip: BT30073559 Lie Exp Date: Bathroom Fixtures PLUMBING Permit: P2021-0167 Project No : Inspection Requests Phone (949)644-3255 Carrier: FALLS LAKE FIRE Policy No:FLA01510200 Expire : 09/01/2021 Worker's O •YO YYIPOO Ye a 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 °k ° 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 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: 0 $0.00 Grease lnterceptor: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 Lndryfrrap: 0 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair:l $38.00 Issuance: $37.00 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: $75.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $75.00 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). 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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). ❑ 1, 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 legaili 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 (commencing with Section 707 0 0) of ivision 3 of the Business and Proles ' n de, y license is in full force and effect. •••••• /_11 License Class • •.. ( License No . Date SL W61A Contractor Signature -116 YORK€RS' CPTPENSATION DECLARATION NARNING: FAILURB TO BaCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE i(%T OP COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 'herdb)( affirm urtlter ge�nalty of perjury one of the following declarations: a�i he. nd * II, maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the ' n,a of th9Wlgrk for which this permit is issued. Policy No. ,• • , l,hay and v0111 m9fitain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this perm) Is issued. My workers' compensatiol nsuren car ier a d otic number are: //----� �I h ,tom �o-t�t •••. • Y ril— V�J �Oi� /ri Expiration gal i /�-c Policy Number p' anon Da�tie ��mg Agent--- ,-y ( Phone # `z 4 'i o2/ UI.oe$t'I y that, Atiia4rformance of thew>Srk {fir which this prmit 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 :hat, if I should becomd subject to the wor ers' om ens provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 7 of ?CLARATION REGPADING CONSTRUCTION LENDING AGENCY ereby affirm under enally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued ection 3097, Civil Code). nder's Name Lender's Address my signature belo , I certify to each of the following: I -am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provide I correct I agree to comply with all applicable city and county ordinan s d Ste IS I authorize representatives of this city or county to enter t a -id Iec is relating to building construction. property for inspection purposes. Authorized ACTION DATE BY --- � —1 FEDERAL REGULATIONSPART 61 OF TITLE40AND AQMD RULE 1403. . PERMITEXPIRED ❑ i SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANC€LLED PERMITEXTENDED ❑ ASBESTOS NOTIFICA71ONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL "�'L .� CERTIFICAT€OF SIGNATURE:. OCCUPANCYISSUED