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Home My WebLink AboutP2021-0346 - PermitsCity of Newport Beach - Building Division 1111111111 HE11111111111111111111111111111IN 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 3017 RIVOLI Bldg: 1 Floor: Suite: Description of Work: MFR WATER HEATER C/O Inspector Area: 4 Code Edit 2019 Legal Description: Owner: IRVINE APARTMENTS Contractor: SCOTT PLUMBING INC Address: 550 NEWPORT CENTER DR Address: 10765 LAUREL AVE NEWPORT BEACH, CA 92660 SANTA FE SPRINGS, CA 90670 Phone: Phone: 562-944-9793 Con State Lic.813415 Issued Date:10/O6/2021 Lic Expire: 10/31/2022 Bus Lic: BT30049015 Processed By: Lic Exp Date: 11/30/2021 PLUMBING Permit: P2021-0346 Project No : Inspection Req is Phone (949)644-3255 Vd ,. Worker's Compensation Insurance Carrier: INS OF THE WEST emmmum Policy No:WSD502224508 Expire:11/0112021 m . m nocc m <: c m o memo o m m o ommo ® o 0 mm o oo mo o a. o mooco 0o m o m0000 FEES oom000 Bathroom Fixtures Kitchen Fixtures Misc. Misc. Other c o o c Toilet: 0 $0.00 Kitchen Sink: 0 $0.00 Water Piping: 0 $0.00 Roof Drain: 0 $0.00 9000om mmmm 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:0 $0.00 LndryfTrap: 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: $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). 111, as owner of the property, or my employees with wages as their sole compensation, will do U 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). ❑ 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 Iicensure 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 Iegall� 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 Qode, Ls available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html. Signature of Property Vwner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION a T ureiy affirm underpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force . and effect. "•' Contractor Signature �id%@Class • License No Date �C ��1�-� r� VtORKERS' (;6WF,%MNSATION DECLARATION m1AITIIJIF0.. FAILUROM MLCU RE 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 COST OF COMPENSpyOPi DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. i'rei%baffirm and'erpenalty of perjury one of the following declarations: n.I.Flaye and wilf 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 thf erformence of.the e�c for which this permit is issued. Policy No. ave and win 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' compensatioi (yrapee carrigr8VV. rlicy number are: Carrier ' Policy Number Expiration Date Name of Agent ' "-"-' ❑I certify that, in the performance of the work for which 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 ogre that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. itI _ ... M /i_ A i nature of Applicant M�/KG CLARATION REGARDING CONSTRUCTION LENDING AGENCY !reby 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). 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 is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter tz above-identifi property for Inspection purposes. (' nature of ProDertv Owner or Authorized Agent g[I "�6�1J Print Property Owner's or Authorized Agent's Name r e. (] ACTION DATE BY - DECLARATION OF COMPLIANCE WITH CODE OF FOR FEDERAL REGULATIONS PART 61 OF T17LE 40AND PERMIT EXPIRED AQMD RULE 1401 ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: PERMIT CANCELLED ❑ EPA PERMITEXTENDED El AQMD.. ❑ Aseesros N07I8CA11aNIs NOT APPLICABLE TO PERMIT FINAL PROPOSED DEMOLITION. CERTIFICATE OF SIGNATURE:. OCCUPANCYISSUED