HomeMy WebLinkAboutX2018-1557 - Permits��wrna� City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
'+ Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
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Construc on of .�Wnday- Friday, 7:00 a.m. to 6:30 p.m. and Saturday from
Job Address: 22 MORNING VIE DR NB .�lD®9 ..
Description: SFR BATHROOM MODEL (5) AND STEAM ROOM IN MASTER 3F-'STORWARK•
Legal Desc.: ku
m
Owner: OINGTAO LI C ra r: GAG
Address: 22 MORNING VIE DR A ' - TAM
NEWPORT BEACH CA 2
Phone: 626-388-7786 Phone:
Applicant: MING LEI PAM -Xcp1
PIRED B
Address: 22857 RIO LOBOS D DIAMOND BAR, C 917Phone: 626-388-7786
Code Edit: 2016 Worker's Compensation Insurance
Type of Construction: V -B Carrier:
Occupancy Group: R31 Policy N
Added /New sq.ft. Bldg: 0 xpi
Added /New sq. ft. Garage: 0
No of Stories: 2 f 1,BWWI��0g tb cks Rear: I
No of Units : 1 (work Aldl ec Front: I
Bldg Height: 0. Left: /
Bldg Sprinklers: Note: Right. /
Construction Valuation:
35
Building Permit Fee:
$5CO
Plan Check Fee: $471.54
$0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$542.00
Record Management:
$6.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $1,709.44
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
If @Wicable:
COMB Permit: X2018-1557
Project No: 1203-2018
Issued Date : 05/21/2018
Inspection Area : 6
a.QP"r ❑ 1'00% r
Address: AS"9011
to vok"" : __EXPJOSE-tt
Engineer:
Address: ELECTRICAL,
Phone:
Designer: MING LEI PAM
Address: 22857 RIO LOBOS RD
DIAMOND BAR, CA 91
e Phone: 626.388-7786
I � I
i t o iti s: I 0
(no work started) I ATffTAl
0 Fire Hazard Zone : N :twLL
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Plan -F6-e- SiU'1n$�H9t9:
ue 01e ant mm
i�+lnspetion:
Grading Bonds Fee:
$0.00
chec
00
-- Fire Plsli R
Grading PC Consultant :
$0.00
SJH Trans : $0.0
® ee
Grading Permit Fee:
$0.00
In -lieu Housing Fee: $0.00
Building Dept Adm
Grading PC Fee:
$0.00
Public Works Department -
General Service
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
co a
PAN Plan Check : $0.00
Grading Bond:
Electrical %:
$37.94
San Dist: $0.00
Mechanical W
$21.68
NMUSD Fee: $0.00
Plumbing %:
$48.78
Plan Check Fee:
$509.04 Fee Due at
Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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'ONENTS
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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 $.he 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 Bus;.-ess 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
BUSInesq 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
are not intendedor gffered 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
V!,egts:
for the urpose of sale).
wner 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
n 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).
❑ I am exempt from licensure under the Contractors' State License Law for the following reason:
my personal residence in which I must have resided for at least one year prior to completion of the improvement covered by this permit, I cannot legal)
By my signature below. I--acknowledg&thatX__
sell a structure that I have built a's an ownehas not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, ection 7044 of the Business and
Professions Code, Is.available upon.requeapRligytjon is supmit_t�ed or-_� t the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner -or Auth0 ized ate
Ti
LICENSED CONTRACTOR S D,EGJ AI hereby affirm under penalty of perjury tFlaed under pipvisions of Chapter 9 (commencing with es'o 60) of Division 3 of the Bu ess Professions Code, and my license is in full force
and effect. License Class License No Con nature
WORKERS'COMPENSATION DECLARATION„
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES PTO NE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
....
I have and �u jrygjrRain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN
pfrjgrgip:ce of the work for which this permit is issued. Policy No.
4 have and A n*aiQtain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatio
neuran8e carrier aryl policy number are:
Carrie* • Policy Number Expiration Date
• • • Phone # EIM
O
fy that, it 3h B�rformance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the w rkers' compensation laws of California, and agre
ragtirftl
eho Id be me subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions J
- '�---"'-----� ate/
SigneluraofA *cant
(CONSTRUCTION
&C!LAI'{{ATI .V.($AlDI LENDING AGENCY
11,@rgyy affirm under pelialty 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).
Bapg%r's•Name • •• Lender's Address
By my signature QBc,1 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 cityor unty to enter the above -identified property for inspection purposes.
\
Z'l
Signature of Property Owner I Aut ' e gent Print Property Owner's or Aut rl d Agent's Name / fl C!/Lr Date)
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE NA ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
10-2.-7.4
p/`
(SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
UEPA
PERMIT EXTENDED
PERMITFINALSBES
OS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF
ROP DEMOLITION
OCCUPANCYISSUED
SIG AT RE:--Za,
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