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Home My WebLink Aboutp2022-0130 - PermitsCity of Newport Beach - Building Division IpIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 r• � 'rtrrv�ti Job Address: 200 PROMONTORY DR W Bldg: 1 Floor: Suite: Description of Work: MFR 6 WATER HEATER C/O'S (900 W APT) Inspector Area: 'y Code Edit 2019 Legal Description: PARCEL MAP 49-15 PAR 1 POR OF PAR Owner: NEWPORT BLUFFS LLC 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:06/0212022 Lic Expire: 1013112022 Bus Lic: BT30049015 Processed By: c Exo Date: 11/30/2022 PLUMBING Permit: P2O22-0130 Project No : Inspection Requests Phone (949)644-3255 }R 3. mm0a gW60Ja a a m a Worker's Compensation Insurance -4. Carrier: INS OF THE WEST Policy No:ZAWC12551900 Expire : 11/01/2022 i G a o 0 mm mm a 0 am4um ao m m o a s o a ao voe�m mm o 0 0 00° 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: 6 $186.00 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 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: $224.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $224.00 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). 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 -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 ePprroperty, who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). . I an; exemptTlCMlicensure under the Contractors' State License Law for the following reason: 132"? 1nature �belvrA 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 legall) sell a structure AtJ 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 �'P�roi%sions Corjp, is available upon request when this application is submitted or at the following Web site:http://www.leginfo. ca.gov/calaw.html. Signatere of Prop.Y Owner or Authorized Agent Date • LICENSED CONTRACTOR'S DECLARATION t hersgy affirm under' enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business W,Professions Code, and my license is in full force ..IQeffect. ,' 4%evri Class '• • License No Date 1JQ(QLQ Contractor Signatur Wfj131, ,R& COMPENSATION DECLARATION N$RNING: CP.ILURE jC SFdJE 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 COMPENSAT6QN, DA AGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ••••• hereby Irm under penalty of perjury one of the following declarations: I have and wilt fhairRain 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 performance of the work for which this permit is issued. Policy No. ave 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' compensatior ce carrier and policy number are: Policy Number Expiration Date of Agent I certify that, in the performance of the work forwhich 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 It, if I should become subject to the workers' compensation J isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. , ignature of Applicant U ✓ Dat a as DECLARATION REGA CONSTRUCTION LENDING AGENCY hereby affirm under pe alty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec on 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 owners 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 enjer the above -identified prgperty for inspection purposes. n r r, ACTION DATE BY DECLARATION OF COMPLIANCE VATH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 51 OF TITLE40AND AQMD RULE 1403. PERMITEXPIRED ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD.. PERMITC,4NCELLED PERMITEXTENDED / ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATEOF I SIGNATURE: OCCUPANCYISSUED