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Home My WebLink AboutP2020-0188 - PermitsCity of Newport Beach - Building Division IIII�III�IIIIIIIIIII�lllllllllullllllllullllllll III 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 G. �', r.eu+''• 1° t2 -o20 Job Address: 18 CORMORANT CIR Bldg: 1 Floor: Suite: B �@ i1� ' 1J ��® Description of Work: PLUM WATERHEATER CHANGE OUT t Inspector Area: 3 Code Edit 2019 Legal Description: N TR 12529 LOT 9 Owner: VOSS MELANIE& MICHAEL Contractor: OWNER/BLDR Address: 18 CORMORANT CIR Address: AUTH AGENT: NEWPORT BEACH, CA 92660 • PAT SIMONIAN Phone: Phone: 949-721-8585 O Con State LIC:O/B Issued Date:11/25/2020 Lic Expire: � Bus Lic: •• Processed By: vl( Lic Exp Date: oo . • • PLUMBING Permit: P2020-0188 Project No : 1753-2020 Inspection Requests Phone (949)644-3255 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. . • • Worker's Compensation Insurance- a • ®•...• • o e•°'.o O Carrier: Policy No: •• • o °.o° a Expire : oo . • • oo e o . Kitchen Fixtures c coo •c` c 0 0 0 •ocoo Other Toilet: 0 moaoo Kitchen Sink: 0 $0.00 Water Piping: 0 •oe ooc Roof Drain: 0 mo o $0.00 Bidet 0 $0.00 Garbage Disp: 0 $0.00 Water Softener: OOOCOn $0.00 400® $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. O 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: 1 $31.00 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 Lndrylfrap: 0 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair:0 $0.00 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: $68.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $68.00 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 1 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 I proved 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 a,p ly 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 exV ftLfjdm licensure under the Contractors' State L' aLaw for the following reason: By my signature beldw I acknowledge that, except for my pers nal ,,Besidence in w /Ch I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegalll •. I a structure that I have built as an owner -builder it h note San construct d in its entirety by licensed contracto . I understand that a copy of the applicable law, Sectio 7044 of th�usiness and Pfofessiotill t'b8t is available upon request w this pli not, is s mitt or at the following Web site:http:// .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date .. LICENSED CONT C R'S DECLARATION I hereby affuA under penalty of perjury that I am Icensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, nd my license is in full force •.Vb effect. License Clast• • • _ License No _ Date Contractor Signature ffiRKERS'•COMPENSATION DECLARATION ��IIJJjffjjNNjjrr'{{G: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU13JECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE CIjS`YCIP COMPENBATIG" DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I here6 affirm uac er penalty of perjury one of the following declarations: 0 ... I htave anrj Wllf 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 pertonmance of the -work for which this permit is issued. Policy No. 131 have and will maintain 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' compensatiol insurance carrier and policy number are: rier Policy Number Expiration Date ie of Agent Phone # certify that, in the p$$rform Ce o the work for�[y��ich this permit is issued, I shall not (tnploy any person in any manner so as to become subject to . if I should becomdaubj t to a workers' colkensation provisions of Section 3700 `Fq the Labor Code, I shall forthwith comply with those provRic workers' compensation laws of California, and If __). t -t i70i7� ) Signature of Applicantv r DECLARATION REGA D-.CONSTRU TION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the propily owner's behalf. I have read this application and the informatiopq I hav pro Id is c Ftect. I agree to comply with all applicable city and obun ord' antes and tate laws relating to building construction. I authorize representatives of this city or cou e r e a ova entified pro 3erty for inspection purpo as. IYY'� QY��Q,I'� Date Sianature of Prooertv Owner or Authorized ADent _ roper Owner's or Authorized Agent's Nam ACTION DATE L BY rnna,.vvt ... FEDERAL REGULATIONSPART 51 OFTtD_E40AND AQMDRULE1483. PERMlTEXPIRED ❑ ISUBMI7TEDASSESTOSNO77FLCATIONTO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS N077FICATIONISNOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED