HomeMy WebLinkAboutX2019-3459 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
J' Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
°�xixr w` Combination Type - SFP ELEC MECH PLUM
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IICOMB Permit: X2019-3459
x 2 6 1 9 3 4 5 9 Project No : 2392-2019
Issued Date: 1111 2/2 01 9
Inspection Area : 8
Applicant: THONG WILLIS
PERM/TS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
1059227
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. No work on Sundays or Holidays
Job Address:
4 GLENEAGLES DR NB
Description:
SFR - CONV 1 CAR GARAGE TO BED/BATHROOM 206 SF
10131/2021
Legal Desc.:
N TR 15388 LOT 36
'v r G
INSPECTOR N S P CCT® R
Owner:
ZHANG LI JUN Contractor: TRUADDITIONS CORP Architect:
�6dl
Address:
4 GLENEAGLES DR Address: 630 S GLASSELL ST SUITE #201 Address:
NEWPORT BEACH, CA 92660 ORANGE, CA 92866
°
0000i
Phone:
Phone: 714-289-4652 Phone:
State Lie:
Applicant: THONG WILLIS
Con State Lie:
1059227
Engineer:
AFSHAR HOOSHANG
Address: 630 S GLASSELL ST STE 201
Lie Expire:
10131/2021
Address:
17 COROZAL
ORANGE CA 92866
Bus Lie:
BT30060454
FOOTHILL RANCH CA 92610
°
0000i
Phone: 714.2894652
Lie Exp Date:
09130/2020
Phone:
949-413-4362 State Lic:C-061157
m
ao°oo�
Code Edit: 2016
Worker's Compensation insurance
Designer:
HURTADO ALEX
Type of Construction: V-8
Carrier:
EXEMPT
Address:
630 S GLASSELL ST STE 201
Occupancy Group: R3/U
Policy No:
ORANGE CA 92866
Added /New sq.ft. Bldg: 0
Expire:
Phone:
714-2894652
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: 10'
Special Conditions:
No of Units : 1
Front: 10'
Bldg Height: 0
Left: 5'
Bldg Sprinklers:
Right: 5'
°°°mm<,
o ..
Flood Zone: X
Use Zone: PC
Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $40.000.00
° °
0C
Building Permit Fee: $636.00
Excise Tax:
$0.00
Planning Department
-
Fire Department
9('OM
Plan Check Fee: $553.32
Additional Fee :
$0.00
Plan check Fee :
$40.00 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share:
$0.00 Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00 Demolition Fee
Record Management: $16.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00 Building Dept Adm
$0.00
Energy Compliance: $56.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access: $0.00
P/W Plan Check :
$123.75
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$44.52
San Dist:
$920.00
Building Green Fee :
Mechanical %:
$25.44
NMUSD Fee:
$0.00
$0.00
rFEE
Plumbing %:
$57.24
$0.00
TOT2,474.27
Plan Check Fee
: $634.57
Fee
eat Permit Issuance :
$1,839.70
PROCESSED BY: "
PUBLIC WOS
APPROVAL:
ZONING APPROVAL:
PLAN CHEC
BY:
GRADING APPROVAL:
APPROVAL TO
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 applicab a 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 L) all of or L) 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).
13 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 legall)
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 Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Ivisi n 3 of the Business and Prof gs�5ie{Is C9de, and my,bcensei In full farce
and effect. LicP<r�sg.C�laN License No D Contractor SignatureJC �,ii/Iiei�oA(L"r. - ll .
WORKERS' COMPENSATION DECLARATION
PtARAIEI8yFAILURF.1:).Vg4RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI NAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hecebyeffirm under penalty of perjury one of the following declarations:
a] have and )y§I,rpVIDtain 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
;errermance of the worle for which this permit is issued. Policy No.
have and w4rmaiTleain 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'
jEIr(pB carrier gild policy number are:
jer_ _ Policy Number Expiration Date
I C0 IN that, in the performance of the work for which this ermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of alifornia, and agre
rats Lshould hecolnehubject to th workers' compensati provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
e..e
I natura of Applicant
IECLARATION REG DING C N LEN G AGENCY
hereby affirm under natty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 97, 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 coupty to enter the ��gI��(+ove-i�J�O
de�ntified prope for i spection purposes. �/ f)
innahire of Proneriv Owner or Aue
fhnrized ADnt\ /) //r A/f/VW ./Jfi� t Prooertv Owner's or Authorized AGent's Nast G f C`i� L7
v9 e Dates' ��� SLI
ACTION DATE BY / DECLARATION OF COMPLIANL'E WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITEXTENDED
PERMITFINAL LUASBESTOS NOTIFICATION IS NOTAPPLICAB TO
CERTIFICATEOF ��Q //%Q{� PROPOSED DEMOLITION% J
OCCUPANCYISSUED N'"V SIGNATURE: /iY r f 1 / / 1.4i
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