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HomeMy WebLinkAboutX2017-3742 - Permits1v/ City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG ELEC PLUM IIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2017-3742 Project No: 2613-2017 ConsYrucd y - Friday 7:00 a.m. to 6:30 n - ,d Saturday from 8:0 Job Address: 14 MAR BONNE NB Description: NEWFIREPIT PLAT RM{f4,QA1F,Y.EXTG RETNFanl�ee-- r Legal Desc.: N TR 9860 LOT 13 LSIL� _ Owner: YANG WEN -TING L MAR Address: 14 NARBONNE CAdcc'A949-633-8001 -� ECdI,.m� NEWPORT BEACH, C 926 MI O 1 Phone: Applicant: MITCHELL MARK Con State 2 r Address: MISSION V014 EEJO CA 92 2 L1 0 1 .- Issued Date: 1 Ra"P pA: No work on Sunda, 08 G% or 0 1 Qo% refund tQAVP ;CII: Phone: State Engineer: TRAIN JOHN DINH Address: 14371 EUCLID ST #2F GARDEN GROVE CA 92843 Phone: 949-633.8001 is E .11/30 1 �` D. Phone: 714-265-1200 State Liaq Code Edit: 2016 Wor er's Compensation Insurance Designer: IE Type ofConstruction: Carrier: STATE FUND aAddress:,�� n't bn Occupancy Group: U Policy No: 9048302 Added/New sq.ft. Bldg: 0 s Expire 1BRt10n Added /New sq. ft. Garage: 0 ,}� eedl No of Stories: 0 n a ks Rear: / (n0906eSIk0_Adi �. / No of Units : 0 r¢�'ont: I Bldg Height: 0 (�1Qr�(�s �r'-rt`dr. eft: / Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: ire Hazard Zone :<V, Construction Valuation: 26000.0 i MD. Construction Building Permit Fee: $386.00 Excise Tax: ._�_$,..^_n_---- Piannmg De a gym, - Fire Department Plan Check Fee: $342.50 AddiOonaFFee".'_ QQ s +�=Pf#ifLtSeck Fee : $0.00 Fire Inspection: Overtime Plan Ck: $0.00 Gr nde=F-e�"�""'•'$'00..00 Fair Share : $0.00 Fire Plan Rev Investigation Fee: $0.00 ^°`' rading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $14.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- General Service CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit Disabled Access : $0.00 P/W Plan Check: $0.00 Grading Bond: Hazardous Mat $0.00 Electrical %: $27.02 San Dist: $0.00 Building Green Fee : $2.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $34.74 TOTAL FEE: $843.76 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee : $0.00 Fee Due at Permit Issuance : PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: e sommmo e e 000mcm e m 0o m a o e m oe a m GOV40C O oaooas v . a emeeea m 0 00000 O COCCJ coamco 0 0 0 q C 0040 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item($)' 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 applicapt4or 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 cessions 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 applioant 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 (_) portions of the work, and the.structure is not inten :iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or perso or imps Movements are not intended or offered for sale. If, however, the building or improvement is sold within one year of com 'PIP en�h :49W=ill will have the burde uoved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contracto s_ - as4fdCPtfia project (Section 7044, Business' T@Ssions Code: The Contra fly to an owner of property who builds or improves thereon a _ - s or the projects with a li nsed. p ractol�Fpuis�iaht L�Ca ontractors' State Lirze�sl:�l I am exempt from licensure under Deet ate License Law for the following reason: l O�D [l 1 t my signature below I acknow d -phat, except for my personal residence in Wh[c a resided for at least one y¢�a�i l (6 n of the improvements a structure that I have built a an ner- Ild ir�f a has not be in its entirety by licens a rs. I understand that a copy of the applicable law, S fessions Code, is available uFi� uest(R+re' a Ion is submitted or at the f wi s p:// .leginfo.ca.gov/calaw.html. nature of Property Owner or A' p ed Agent R& v .n yyhntYl: hereby affirm under pecalty of p .(y at I licens unde rovisiontaJ9 m` vit tl'on 700 ivi ' of ai a usiness and Prof Ind effect. Liceh1d Gids Li c a �o ["� Date 4ntractor Sign - 00PAIRS' COMPENSATION E T IARNING: FAILURE TS . 1l�E WORKER ENS A ERAGE IS UNLAWFUL,XANDSH T A ENA ES ANO CIVIL FINES UP TO ONE HUNDRED THOUSAND 0C :SISTOYCOMPENSATION, DAMAGES ASP SAID FOR IN SECTION 3T060FT N F tiereisy affirm under penalty of pepF �oof t I a Ions:T6 have and 21.rilaiatain a cartLe2te f co sent t -insu or wensati ,Issued by the Director of Industrial Relations as provided for by coon ortilance of the wort for which thl per it is sued. y No ,,� fir^ p6h haver and w1l mainf9in workers Damp nsati ce, as required by Section 3700 of the Labor Co a er i o�'{°tJE rl ,ff wl� t iVermit is a ... 0. 19�i 1� j G m isurance carrier aqd policy number arff iarner° e _ Policv Number .w E L''9 ?� _ EKDil;�fieppllgi�..r� etjiN that, Q tod aArformance of t for ch is itiSissued, I s_h..331%ppt�mploy any person in any manner so as to become subject to the if I should become subjegtio the fke ' co a ion prq(IplggpWf ��@¢rL of the Labor Code, I shall forshwijhh_oomply with tho i . signature of Applicant IECLARATION REGARMNIG CONS RUCTI N LENDING AGENCY hereby affirm under penalty of perjury that th re's a cp(A�sfruction lendinyLageRe ie performance of the work I ender's Name (6LG•—^'�— Lender's Addres ly my signature below, I certify to each of the [lowing: I am the property owner or authorized to a on the ro w ehalf. I have read this application and the informs on have r I agree to comply with all applicable city an ordinan and state laws relating to building construction. I authorize representatives of this city or ggp � tPy41a ave�iden'M pro ecti42n purposes. ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED iD \1 Ij( V�,h� I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED PERMIT EXTENDED ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF SPROPOSED IGNATURE DEMOLITION OCCUPANCVISSUED Code). sale (Section 7044, )party, provided that the 3 that it was not built or License Law does not this permit, I cannot legalll j of the Business and license is in full force 0,0001, IN ADDITION TO THE o, he Labor Code, for th My orkers' compensatiol LwsGalifornia, and afire