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HomeMy WebLinkAboutP2021-0220 - Permits�whx City of Newport Beach - Building Division *P2021-0220* �+ -,�, 100 Civic Center Drive, Newport Beach, CA 92660 }` Permit Counter Phone (949)644-3288 �rl _� yl 0 �o Job Address: 880 IRVINE AVE Bldg: 1 Floor: Suite: Description of Work: MFR -"BLDG 7 CHANGE OUT (2) WATER 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 o r Issued Date: Lic Expire: 02/28/2023 4 Bus Lic: BT30073028 Processed By: S Lic Exp Date: 09/30/2021 PLUMBING Permit: P2021-0220 Project No : Inspection Requests Phone (949)644-3255 SERVICE FIRST Carrier: STATE NATL INS CO Policy No:AMX0820021004 Expire : 10/01/2021 V!•d s m•mmA FEES mm• • •mamee • a o r • ° WorkeC's m 4 • 1 C Other 04 f am m $0.00 L 0 V A fl md� • tl Roof Drain: 0 $0.00 eo CJ Bidet 0 c u mm�ac. ,tl a m $0.00 Grease Trap: 0 •mo©� tl Urinal 0 $0.00 �•mmcac •m O p t • $62.00 m J a mme Bath Tub: 0 acme me fl m m c m m • m.e. i0____.. __ m nm m m $0.00 Record Mgmt Fee: 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 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 $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: 2 $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 (_) all 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-Builderwill 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 ownelrgf,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 tQrq licensure under the Contractors' State License Law for the following reason: EJy TWy Pnature beiquy Lacknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements cove ed by this permit, I cannot [egall,, 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, Se tion 7044 of the Business and Professions Lode, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. :S'ighpluffe of Property Owner or Authorized Agent e ,•, LICENSED CONTRACTOR'S DECLARATION •1 hereby affirm u'nUer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Section 000) of Division 3 of the Business and Pr IS o , and my license is in full force anrreffect. .• L°iL`Ar%%Qlass • • License No Date V40161Contractor Signatur 06WERS' COMPENSATION DECLARATION ••,,.• NgRgING:FAILURE TO SEQIiRE 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 LOST OF OOMPENSAI10R, D�MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I inereb) Bffirm under penalty of perjury one of the following declarations: •I•Fave and wil 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 performance of the work for which this permit is issued. Policy No. and will maintain workers' compensation insuranc, ams regll!red by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' carrier and policy number are: / Number me of Agent Date I certify that, in the performanWh ich 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 agref It, if I should become ject tensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provis' s� // [nature of Applicant Date :CLARATION REGA UCNDING AGENCY areby affirm under of pconstruction lending agency for the performance of the work for which this permit is issued (Sectio 3097, Civil Code). 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 I have read this application and the information I he I agree to comply with all applicable city and county I authorize representatives of this city or couN to 9 ACTION PERMIT EXPIRED PERMIT FI NAL CERTIFICATEOF OCCUPANCYISSUED behalf. and a ws relating to building construction. red property for inspection purposes. Print Prooertv Owner's or Authorized By ` "CULHHA i 1VIV Vl't-ViYIYLIHYVi.0 YYI tR UVUC VF FEDERAL REGULATIONSPART 61 OF TITLE40AND AQMD RULE 1403. ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO l� PROPOSED DEMOLITION. SIGNATURE.'