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Home My WebLink AboutX2019-0864 - PermitsCity of Newport Beach -Building Division -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. Yo 6:00 p.m. No work on Sundays or Holidays "Job Address: 1613 112 W BALBOA BLVD NB Description MFR COAT: EXISTING ROOFING WITH ELASTOMERIC ROOF COATING Legal Desc.t NEWPORT BEACH SEC BLKI6 LOT23 Owner. WAN ZHIXIA & VICKY Contractor: OWNER/BLDR Architect: Address: 1021 E BELMONT ABBEY LN Address: AUTH AGENT: CHANGE PHILIP Address: F, w CLAREMONT.CA 9171.1 X2017-1406 Phone: 626-202-8685 Phone: Phone: " State Lic: '. � Applicant: CHANG PHILIP. Con State Lie' OIB Engineer: Address: :.140 N.HARVARD AVE Lie Expire: Address:. - CLAREMONT CA 91711 Bus Lie: ' Phone. 909-374-8178 Lie Exp Date: - Phone: ". State Lie: D°. �� Code Edit . 2016 Worker's. Compensation Insurance Designer: Type of Construction VB Carrier. Address: Occupancy, Group: 'R31U Policy No: Added /New sq.ft;. Bldg. 0 '-Expire: Phone: Added /New. sq. ft. Garage: -. 0 j No of Stories 2 - Building Setbacks '' Rear: / Special Conditions: LIQUEFACTION AREA.. No of Units : `2' Front: '/ Bldg Height: : 0.. Left: / Bldg Sprinklers: : -. Right: I -. Flood Zone: 0.2 Use Zone. Parkin Spaces: 0 Fire Hazard Zone: N Construction Valuation -53,000.00 Building Permit $120.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee: $0.00 Fire Inspection: $0.00 - Overtime Plan Ck: .$0.00 : Grading Bonds Fee: $0.00 Fait 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: $0.00 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 PM 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 %: $0.00 ;$0.00 TOTAL FEE : $121.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $121.00 PROCESSED BY: ° G qD'PdJBLIC'WORKE APPRIOVAI°:i ° ZONING APPROVAL: o PIAN CREC4 BY: ' r' GRADING APPROVAL: APPROVAL TO ISSUEL. o•• ° EVO D 4.0 9 y.D � wI•r,,� ��III�IIIIIIIIIIIIilllllllllllllllllll� �� COMB Permit :X2019-0864 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 0. 8 6 4 .Project No : 0944-2017 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949j644 3255 '�e"'iaxoue'� Combination Type.- MFP Issued Date :03/16/2019 Inspection Area : 1 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) ction 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 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) tri-Divi=ion 3 of the Business and fessions 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 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, liness 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 roved 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 ,ly 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 licensure under the Contractors' State License Law for the following reason: 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 legalll 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 fessions Code, is available upon request wherA,KaIppllcation is submitted or at the follow>Jte�f4 //www.leginfo.ca.gov/calaw.html. nature of Property Owner or Authorized Agepppt//\'N --. -' - _ • v� TENSED CONTRACTOR'S DECLARATION„- ireby affirm under penalty of perjury that I am licensed under Isnons of Chapter 9 (commencing with Sectio --”'"• -.f Division 3 of the Business and Professions Code, and my license is in full force effect. License Class License No Da•, Contractor Signature )RKERS' COMPENSATION DECLARATION WING: FAILURE TO SECURE 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 T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. reby affirm under penalty of perjury one of the following declarations: I have and will maintain 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 'ormance of the work for which this permit is issued. Policy No. have 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' compensatiol Trance carrier and policy number are: Policy Number Expiration Date of Agent certify that, in the performance of the work for whic thlsI-pe rmit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Cafilfpmla, and ,if I should become sub act to the w-orfy! en n �sla/� of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicanti_ // :LARATION REG I 9"WMIDTIONLENDING AGENCY reby affirm under penalty of p t fh qury thaeWls a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ier's Name Lender's Address ny 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., 1 agree to comply with all applicable city and county ordinances and.state law r tela to building construction. I authorize representatives of this city or count enter the abo I&III r pection purposes. lature of Prooerty Owner or Authorized AGent -.>'` 'nt Property Owner's or Authorized Agent's Nam ate EXPIRED FINAL DATE BY ,��REGTTI NS PART61 OFATITLE 4lCD AOMD RULE AL I FOR OFFICE USE ONLY MDQ •� STOS POTIFICATION IS NOT APPLMLE TO MOUTI W- IV e