HomeMy WebLinkAboutX2019-1380 - PermitsCity of Newport Beach - Building Division
*X2019-1380*
COMB Permit: X2019-1380
". 100 Civic Center Drive, Newport Beach, CA 92660
Project No: 0967-2019
Permit Counter Phone(949)644-3288
-
Inspection Requests Phone (949)644-3255
Issued Date :04/3012019
Combination Type - MFP MECH PLUM
Inspection Area : 1
,,.,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: 1631 W BALBOA BLVD N133
Description: MFR -REMODEL SHOWER IN MASTER BATH 20 SF (UNIT #B)
Legal Desc.: NEWPORT BEACH SEC B BLK 16 LOT 15
Owner JU PROPERTIES LLC - Contractor:
OWNERIBLDR
Architect
Address: 10132 CUTTY SARK DR Address:
Address:
$!,
HUNTINGTON BEACH, CA 92646
Phone: 714-436-3341 .Phone:
Phone:
State Lie:
Applicant:. JU LIN Con State Lie:
O/B
Engineer: SUM JOAQUIN a°O°O°,.
Address: 10132 CUTTY SARK DR Lie Expire:
Address: 27662 COUNTRY LN RD ° ° ° °
HUNTINGTON BEACH, CA 92646 Bus Lie:
LAGUNA
NIGUEL CA 92677 a e
Phone: 714436-3341 Lie Exp Date:
Phone:
State Lic:C-071565 ....
Code Edit 2016 Worker's Compensation
Insurance
Designee
Type. of Construction: VB Carrier:
Address:
Occupancy Group: R31U Policy No:
° ° ° o 0
Added /New sq.ft. Bldg: 0 Expire:
Phone:
Added /New sq. ft. Garage: 0
....
No of Stories: 2 Building Setbacks
Rear: /
Special Conditions:
° °0000
No of Units; 2:
Front: /
° ° °pO 000
Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: /
° °
......
Flood Zone: Use Zone: Parking Spaces:
0 Fire Hazard Zone : N
° ° °
Construction Valuation: $2.000.00
Building Permit Fee: $104.00 Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $90.48. 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: $4.00 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
PAN Plan Check: $0.00
Grading Bond: $0.00
Hazardous Mat $0.00 ctrical %:
$0.00
San Dist: $0.00
Building Green Fee : $1.00 Me hanical %:
$4.16
NMUSD Fee: $0.00
$0.00
Plu bing %:
$9.36
$0.00
TOTAL FEE $$253.00 Plan
Check Fee :
$0.00 F ue a
rmit Issuance : $253.00
PROCESSED BY:
PUBLIC WORKS PPROVAL:
' l
.
ZONING APPROVAL: W
PLAN CHECK BY:
'
GRADING APPROVAL:
APPROVAL TO ISSU
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 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
n9f—Maire than five hundred dollars ($500).
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,
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).
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).
❑ 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 legally
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 hi pplic tion is submitted or at the follow in Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent ( .L 1��i _ --f / Datte
LICENSED 00N4jtACTOR'S DECLARATI N
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. LjWi;e Class License No Date Contractor Signature
WORKERS' CE)UPENSATION DECLARATION
NARPRPF: FAILURECO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE
CdS,TAF COMPENSATIoiI, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
,hereby affirm: urltlgt penalty of perjury one of the following declarations:
:10 4iave and ix&iiiaintain 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 the
3o0op mance of tpeywirk for which this permit is issued. Policy No.
olive 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'
Mite carrier.and policy number are:
ier'
..... Policy Number Expiration Date
INify that, irfNe performance 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 workers' compensation laws of California, and agree
should become subject to the kers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. �\
ignature of Applicant i'0 � tev V Da
iECLARATION REGARDINGSTtU ON LCN AGENCY
hereby affirm under banally 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).
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.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction. jam- v G
I authorize representatives of this city or cou y to enter the above -identified property for inspection purposes.
ianature of Propertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam,\�O,i1_ 6-"h D
PERMIT EMENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
NOTIFICATION IS NOT APPLICABLE TO
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