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Home My WebLink AboutX2018-0022 - Permitscwt City of Newport Beach - Building Division b4 A 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 - Inspection Requests Phone (949)644-3255 �4realir` '' Combination Type - SFP MECH ELEC PLUM IIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2018-0022 x 2 0 1 8 0 0 2 2 Project No: 0012-2018 Issued Date: 01/2612018 Inspection Area : 8 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. to 6:00 p.m. No work on Sundays or Holidays Job Address: 456 VISTA TRUCHA NB Description: MFR REMODEL KITCHEN & (1) POWDER 250 SF UNDER STAIRS Legal Desc.: N TR 6885 LOT 3 4 R Owner: MCCLURE CRAIG/MCCLURE BEVERLY Address: 80300 VIA PESSARO Record Management: LA QUINTA CA 92253 Phone: $0.00 Applicant: NGUYEN DAN Address: 10182 CENTRAL AVE Hazardous Mat GARDEN GROVE CA 92843 Phone: 714.420.0907 Code Edit : 2016 Type of Construction: VB Occupancy Group: R3 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X $25.000.00 Building Permit Fee: $442.00 Plan Check Fee: $384.54 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $6.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $i . 0 FEE : $997.44 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: BUILTEK CONST & INV Address: 13422 HOPE ST Designer: GARDEN GROVE CA 92843 Phone: 949-394.5468 Con State Lic: 920423 Lic Expire: 09/30/2018 Bus Lic: BT30061826 Lic Exp Date: 01/31/2019 Worker's Compensation Insurance Carrier: EXEMPT Policy No: Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: I 3arkina Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $30.94 $17.68 $39.78 Plan Check Fee �V- Architect: Address: Phone: Engineer: CHU TIEN MANH Address: 9542 PACIFIC AVE a State Lic: Special Conditions: Planning Department - ANAHEIM CA 92804 Phone: 714-829-5053 State Lic:C-072324 Designer: NGUYEN DAN Address: 10182 CENTRAL AVE In -lieu Housing Fee: GARDEN GROVE CA 92843 Phone: Park Dedication : Special Conditions: Planning Department - Fire Department Plan check Fee Fire Inspection: Fair Share: Fire Plan Rev SJH Trans: Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication : $0.00 PAN Plan Check: $38.00 San Dist: $0.00 NMUSD Fee: $0.00 $254.04 PUBLIC WC PLAN CHEC APPROVAL APPROVAL: BY: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Issuance: $743.40 e � oeo ooc� e ° eo �, m C 0 0 00 mopes e ooma0 000( OC G C 0 0 oe•000 ° 0 0000 Fire Department $37.50 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: APPROVAL: BY: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Issuance: $743.40 e � oeo ooc� e ° eo �, m C 0 0 00 mopes e ooma0 000( OC G C 0 0 oe•000 ° 0 0000 OWNER -BUILDER DECLARATION 1 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 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). ❑ 1, 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, 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 im roved for the purpose of sale). 1, 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 ,analy 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). b{yam exempt from licensure under the Contractors' State License Law for the following reason: By rely 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, sellstructure 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.govicalaw.htmi. Signature oLPropeirty Owner or Authorized Agent Date LICENSMCONTRACTOR'S DECLARATION I hereby affirpl under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000 vision 3 of the Business and Professw e, 3n��y license is in full force 2rM effect. • ItHi! a Class License No Date Contractor Si nature WORKERS' COMPENSATION DECLARATION 42NING: FAILLIRE TO -SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5700,000), IN ADDITION TO THE COST OF COMCENSATigN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 'rh Mby affirmundpr penalty of perjury one of the following declarations: L have arid' WDlAaintain 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 7gvg14nance of tre work for which this permit is issued. Policy No. and will mIntain 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' carfl2r'andpolicy number are: in the performance of become suMect to the Policy Number Date for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and co pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. i nature of Applicant _ Dat�C i vFn lid t �' CLARATION RE RDING ONSTRU N L N0 G AGENCY Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address 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 cou t e th ove-i tified property for inspection purposes. ! �YPs� ACTION DATE*BE�STOS ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY V NS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED ITTED ASBESTOS NOTIFICATION TO OS NOTIFICATION IS NOTAPPLICABLE TO DEMOLITT N PERMIT CANCELLEDPERMIT EXTENDEDDPERMIT FINAL CERTIFIC4TEOF OCCUPANCVISSUED IE: ///ti ku ) ) @ \ � 13 3 { Q ■ 3