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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. 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