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Home My WebLink AboutX2020-2390 - Permitsrti•, r(r4, City of Newport Beach - Building Division j F r 1 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 F+ ry Inspection Requests Phone (949)644-3255 Combination Type - SFP PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIIN II COMB Permit: X2020-2390 x 2 0 2 e 2 3 9 0 Project No : Issued Date : 10/19/2020 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 10/20/2023 OR PERMIT WILL BE INVALID 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: 16 BELLEVUE NB Description: SFR "STOP WORK" (3) BATHROOM UPGRADES, TILE REPLACEMENT (60 SF) Legal Desc.: N TR 14895 LOT 25 Owner: HUANGYUAN Contractor: OWNER/BLDR Architect: ��nv�� Address: 16 BELLEVUE Address: HUANG YUAN Address: INSPECTOR NEWPORT BEACH, CA 92657 Phone: Phone: 626-636-5256 Phone: State Lic: Applicant: HUANG YUAN Con State Lic: OIB Engineer: Address: 16 BELLEVUE Lic Expire: Address: NEWPORT BEACH, CA 92657 r� AS BUILTtPekFMIT Phone: LBicsEx'p Date: Phone: Code Edit : 2019 Worker's Compensation Insurance � /��f Designer: EXPOSE ALL STRUCTURAL Type of Construction: VB Occupancy Group: R31U Carrier: Policy No: Address: ELECTRICAL PLUMBING, AND Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 ft. Expire: Phone ^`J AL COMPONENTS No of Stories: 2 Building Setbacks Rear: / C hdl 8 2 3 Special o ti ns: 2 3 No of Units : 1 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $15,000.00 Building Permit Fee: $331.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $287.97 Additional Fee : $0.00 Plan check Fee : $46.25 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: $331.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management : $2.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 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 P1W Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist : $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $29.79 $0.00 TOTAL FEE: $1 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $0.00 Fee Due at Permit Issuance : $1,029.01 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 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) 3eclion 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 1e 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 'rofessions 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 of 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, lusiness 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 rovements 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 RjoAecl for the purpose of sale). 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 pply 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). I am exempt from lioensure under the Contractors' State License Law for the following reason: ly 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 improvemen s covered by this permit, I cannot legall, ell a structure that I have built as an owner -bus er 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 'rofessions Code, is available upon reques w en this application is sub 'tted or at the fol wing W site: leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized A nt Date .ICENSED CONTRACTOR'S DECLA A ION :1I_Ua]; affirm u.idLr penalty of perjury thail A licensed under provis ns o Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professi ns Code, and my license is in full force nd effect. Licen;r lass . License No Date Contractor Signature VORKERS' CCMPENSATION DECLARATION 'ARNING. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE'ISHNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE OST bF COMPENSA'i II}%; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. herauy affirm under penalty of perjury one of the following declarations:.. I hate and v: i': T.aintain a certificate of consent to selfinsurefor workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th errormance of the work for which this permit is�issued. Policy No. hava and wili maa.tain workers' compensation insurance. as' require d by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatioi Isurance carder and palicy number are: ,artier Policy Number Expiration Date Jigm of Agent Phone # I ertify that, in the ertormance of the work for which this permit is issued, I shall not employ_ony person in any manner so as to become subject to the worker compensation laws of California, and ogre hat, if I should beco a subject to the w kers' compensation provision of Section 3700 f� Labor Code, I shall forthwith comply with those provisions. signature of 'ant Dat %% rp/�/,'L?y� )ECLARATI EGARDING CON TRU TION LENDING AGENCY hereby affirm under penalty of perjury 6t 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 3y my signature below, I certify to each of the following: 1 am the property owner or authorized to act on the property owner's behalf. I have read this application and the information 1 have provided is I agree to comply with all applicable city and county or ' ces d state laws relatin building construe I authorize representatives of this ci city coun ente the ve identified p erty for' ion purposes. Signature of Property Owner or Autho d ent Print Property Owner's Authorized Ag f Name at ACTION DATE BY DECLARATIO" COMPLIANCE WITH CODE OF FEDERAL FOR OF ICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMITEXTENDED LJAQMD PERMITFINAL DA, SBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF OCCUPANCYISSUED ZZ R�" ! '2 p � SEDD TICON n SIG I / 1— "-,—A)