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Home My WebLink AboutP2021-0348 - Permitsw1Y p City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 a &7 PLUMBING Permit: P2021-0348 Project No Inspection Requests Phone (949)644-3255 n. A. Job Address: 3019 RIVOLI Bldg:1 Floor. Suite: a"a Description of Work: MFR WATER HEATER C/OJT Inspector Area: 4 Code Edit 2019 6 Legal Description:% Owner: IRVINE APARTMENTS Contractor: Address: 550 NEWPORT CENTER DR SCOTT PLUMBING INC Worker's Compensation Insurance - Address: NEWPORT BEACH, CA 92660 10765 LAUREL AVE SANTA FIE SPRINGS, CA 90670 Carrier: INS OF THE WEST °••®• Phone: Phone: 562-944-9793 Policy Expire:11/01/2021 No:WSD502224508 ° Con State Lic:813415 ° • ° • Issued Date: LC Expire: 10/31/2022 ° • • • f ° Bus Lic: BT30049015 °°°° ee f Processed By: LicExpDate: 11/30/2021 o e °••° o 0 ° ® o mem. m m m emmoo mmomo 0 oemooa Bathroom Fixtures Kitchen Fixtures Misc. FEES Misc. Toilet: 0 $0.00 Kitchen Sink: 0 $0.00 Bidet Water Piping: 0 $0.00 Roof Drain: 0 Other $0.00��®m° ° ° ° • ° m°••° 0 $0.00 Garbage Disp: 0 $0.00 Urinal 0 $0.00 Water Softener: 0 $0.00 Grease Trap: 0 $0.00 $0.00 Bar Sink: 0 $0.00 Bath Tub: 0 $0.00 Vegetable Sink: 0 $0.00 Water Heater: 1 $31.00 Grease Interceptor:0 $0.00 Shower Stall: 0 $0.00 Ice Maker: 0 $0.00 Gas up to 4 outlets: Gas over 4 outlets: 0 0 $0.00 $0.00 P-Trap: 0 $0.00 Record Mgmt Fee: $0,00 Wash Basin: 0 $0.00 Dishwasher: 0 $0.00 Backflow up to 2": 0 $0.00 Sewer Sewer: 0 Investigation: $0.00 $0.00 Hydro -Mass Tub: 0 $0.00 Lndry/Trap: 0 $0.00 Floor Sink: 0 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair:0 Plan Check: $0.00 $0.00 Issuance: $38.00 Regulator: 0 $0.00 Floor Drain: 0 $0.00 Lawn Sprinkler: 0 $0.00 Hose Bibb: Drinking Fountain: 0 0 $0.00 $0.00 Sewer Abandon: 0 $0.00 Supplemental Fee: $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 chec cture, p 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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or party portions of the work, and the structure is not intended or offered for sale (Section provided t Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions bode, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Date Signature of Pldilei tyjDwner or Authorized Agent •••• LICENSED CONTRACTOR'S DECLARATION • I herefiy affirrl9 pp$e`r penalty of perjury that I am licensed under provisions of Chapter 9 (commencing withSection Division 3 of the Business and Professions Code, and my license is in full force •� rM IO effect. • Date D Contractor Signatur •e ✓�6cL ✓O�'� .License Class License No WORKERS' 6afV ANSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$'100,000I, IN ADDITION TO THE pp%T•(r COMPEVAT(It?, pAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 11bflrptfaffirm Ond2r1penalty of perjury one of the following declarations: fob Section 3700 of the Labor Code for the and wild maintain a certificate of consent to self -insure for workers' compensation, issued by the d d Ice of tRe Wb:: for which this permit is issued. Policy No. .. and will mairtain workers' compensation insurance, as required by Section 3700 of the Labor Code carrioNwW policy number are: _Policy Number Director of Industrial Relations as prove a r y for the performance of the work for which this permit is issued. My workers' Date is of Agent 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 if I should become subject to the workers' com>pnsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions._ / b1i ignature of Applicant2p✓� `� r ' DECLARATION REGARDING CONSTRUCTION LENDING AGENCY 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). Ender's Name Lender's Address y 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 a4ove-identi d property for inspection purposes. X�'"1 Ignature of Property Owner or Authorized AgencN Print Property Owner's or Authorized Agent's NamQ ACRON I DATE I BY CANCELLED FINAL OF ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AIMO ❑ ASBESTOS N077RCA77ON IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: OCCUPANCYISSUED