The URL can be used to link to this page

Home My WebLink AboutP2021-0219 - Permits�w •rF� City of Newport Beach - Building Division 'P2021-0219" 100 Civic Center Drive, Newport Beach, CA 92660 -," Permit Counter Phone (949)644-3288 NOHNSPECTUOR Job Address: 880 IRVINE AVE Bldg: 1 Floor: Suite: Description of Work: MFR -"BLDG R" CHANGE OUT (1) WATER HEATERS Inspector Area: 3 Code Edit 2019 Legal Description: P BK 15 PG 36 PAR 1 Owner: UDR NEWPORT BEACH NORTH L Contractor: Compensation Insurance - Address: PO BOX 06408 Address: 2510 N GRAND STE 110 CHICAGO, IL SANTA ANA CA 92705 Phone: 0 Phone: 714-315-5607 Con State Lic:556812 Issued Date: Lic Expire: 02/28/2023 Bus Lic: BT30073028 Processed By: Lic Exp Date: 09/30/2021 PLUMBING Permit: P2021-0219 Project No : Inspection Requests Phone (949)644-3255 SERVICE FIRST smmmmWorker's m•mm • Carrier: STATE NATL INS CO omo Policy No:AMX0820021004 mGm s Expire : 10/01/2021 E� ms , ¢ • e a Gomm a G mm c a• • m • . maeo: 0• G O mID&( dID9&f^ as a m m • o m • oo� 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. ®Y>OGC FEES oaaoom eom-a Bathroom Fixtures Kitchen Fixtures Misc. Misc. Other m 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: 1 $62.00 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:0 $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: $100.00 Plan Check Fee : $100.00 Fee Due at Permit Issuance: $0.00 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). I 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 b this permit, I cannot Iegall) sell a structurEjl" 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 044 of the Business and Professions•C`q(7g• IS available upon request when this application is submitted or at the following Web site:http:L/www.leginfo.ca.gov/calaw.html. iigra•tore of Property Owner or Authorized Agent Date • LICENSED CONTRACTOR'S DECLARATION Lhereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing Section 7000) of Division 3 of the Business and Pr fes s (1, and my license is in full force %i j gffect. Llcenje Class +`— • • License No Date 6slavl Contractor Signature tSVCMKl5RS' COIVIPE•NSATION DECLARATION INN: FAILURI�%V'byRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS/1MD DOLLARS ($100,000), IN ADDITION TO THE IT OF COMPENSIOTION•DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. U// eby affirm under penalty of perjury one of the following declarations: 1 ha$e and y.All ipbaitain 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 f_ormance of ttfework for which this permit is issued. Policy No. and vylt pyaAain 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 pGlicy number are: me of Agent I certify that, in the performance of It. if I should become su8iect to the Policy Number Date ermit is issued, I shall not employ any person in any manner so as to become subject to provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisj9 ',ignature of Applicant L,/ D IECLARATION REGA NG C TRILIOCTION LWDING AGENCY hereby affirm under pena perjury that the construction lending agency for the performance of the work for which this permit is issued ender's Name Lender's Address Iy my signature below, I certify to each of the fo owing: I am the property owner or authorized to act on the prooer'I have read this application and the information I have pI agree to comply with all applicable city and county Orr s relating to building construction. I authorize representatives of this city or county ente property for inspection purposes. ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam ACTION DATE BY DECLARATION OF COMPLIANCE 4YITN CODE OF FEDERAL REGULATIONS PART 61 OF T17LE40 AND AQMD RULE 9403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS N077FICATION'TO:. ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS U07IRCA77ON IS NOT APPLICABLE TO PERMIT FINAL }. (AR PROPOSED DEMOU TION. CERTIFICATEOF I' OCCUPANCYISSUED SIGNATURE: workers' compensation laws of California, and Code). FOR OFFICE USE