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HomeMy WebLinkAboutX2018-2918 - Permits1rp City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ra Permit Counter Phone (949)644-3288 ki Inspection Requests Phone (949)644-3255 ° v}� Combination Type - SFP MECH ELEC PLUM X 2 0 1 8 2 9 1 �������III COMB Permit: X2018-2918 Project No : 1151-2018 Issued Date : 1010212018 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 an Sundays or H�FECTOR Job Address: 900 SPRING TIDE DR NB Pt Description: SFR DELTA 4, KITCHEN REMODEL 300 SF Legal Desc.: N TR 15243 LOT 29 Owner: CHI & AEMMY LIM Contractor: CABINET WHOLESALERS INC Architect: GUINA RICHARDO Address: 900 SPRING TIDE DR Address: 6414 EAST HIGHTREE LANE Address: 2915 REDHILL AVE #G-102 NEWPORT BEACH CA 92660 ORANGE CA 92867 COSTA MESA CA 92626 Phone: Phone: 714-693-1111 Phone: 949-294-8365 State Lic:C030161 Applicant: LOOK HANNA Con State Lic: 931469 Engineer: Address: 3300 IRVINE AV STE 135 Lic Expire: 0 413 012 01 9 Address: • ° NEWPORT BEACH CA 92660 Bus Lic: BT30064662 • • o ° e Phone: 714-486-3318 Lic Exp Date: 1 013112 01 9 Phone: State Lic: ... o e e Code Edit: 2016 Worker's Compensation Insurance Designer: 0... Type of Construction: VB Carrier: SECURITY NATIONAL Address: ° Occupancy Group: R31U Policy No: SWC1204855 moon 0 Added /New sq.ft. Bldg: 0 Expire: 09170/2019 Phone: .... Added /New sq. ft. Garage: 0 m ° No of Stories: 2 Building Setbacks Rear: I Special Conditions: REV18-2918 DELTA 4 No of Units: 1 Front: / Bldg Height: 0 Left: I Bldg Sprinklers: N Right: I Flood Zone: X Use Zone: Parkin S aces: 0 Fire Hazard Zone: IN Construction Valuation: $24.000.00 _ • ° oa o Building Permit Fee: $456.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $396.72 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: $12.00 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: $3.12 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 Electrical %: $31.92 San Dist: $0.00 Building Green Fee: $1.00 Mechanical %: $18.24 NMUSD Fee: $0.00 $0.00 ;E Plumbing %: $41.04 $0.00 TOTAL: $1,000.04 Plan Check Fee: $436.72 Fee Due at Permit Issuance : $563.32 PROCESSED BY: PUBLIC WORKS OVAL: - ZONING APPROVAL: PLAN CZE BY: GRADING APPROVAL: APPROV TO ISSUE: e n oee.00 m m ° o m m om c 0 m omo 00 0 mamoa °0000c coommo 0 0 0 UOp93O OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable3tem(5) a (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 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). 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 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 legal) 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 this application is submitted or at the following Web site:http://ww .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm upVj r p*alty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ,pf D isi n of the Business and Profe;gj. od my license is in full force and effect. License Class License No Date t i Contractor SignaturelJ-[_J Vyl\- ` Uy&MjRS' CPMIS [JSATION DECLARATION WARNINGC�: FAILURE Tb-ACURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE C.09T�OF'COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370$ OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I bembf affirm undarnEnalty of perjury one of the following declarations: 0 _ •wave and w111"dintain 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( rforma ce sof this woxkfor which this permit is issued. Policy No. ... . . . and will"aint2in 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' compensatior Surabe carrier antl policy number are: CVrribr; . Policy Number Expiration Date np.ot Agent rnv„o„ 0edify that, im the�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' compensat728780 lf California, and agree I, if I should become sub'sct to thEiwor s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant �slGh 1Q761' Datd� D CLARATION REG/fRDING CONSTRUCTION LENDING AGENCY ff' d I f enu that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code) Hereby a Irm un er pena ty o p I ry -ender's Name Lender's Address 3y 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 coun t v -i ntified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACTION DATE RY OF iREGULATIONS PART061 OF IITLE 40 AND AQMD RULECE WITH CODE OF �L' FOR OFFICE USE ONLY PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED rtmvGr rll—� CERTIFICATE OF • /� "`5 OCCUPANCYISSUED.. I SUBMITTED TO NOTIFICATION IS NOT APPLICABLE TO