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Home My WebLink AboutX2019-1606 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIII��I�IIIIIIIIIIIIIIIIIIII II ". 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 6 0 64 N = Permit Counter Phone (949)644-3288 ea : Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC PLUM MECH COMB Permit:X2O19-1606 Project No : 0462-2018 Issued Date: 0512012019 Inspection Area : 6 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: 4 VIA AMEBA NB Description: SFR`CHANGE OF CONTRACTOR* ADD 154 SF & REMODEL 1218, NEW OUTDOOR KITCHEN, 2ND FLR DECK 166 SF Legal Desc.: Owner:. MINGXIANG HAN Contractor: SIMPSON GENERAL BLDG Address: 6427 GOLDEN WEST AVE - Address: 26181 TIERRA CIRCLE TEMPLE CITY CA 91780 Plan Check Fee: $0.00 MISSION VIEJO CA 92691 Phone: Phone: 949-378-8074 Applicant: BAILEY DAVID Con State Lic: 810572 Address: 23183 LA CADENA DR #101 Lic Expire: 02/28/2021 LAGUNA HILLS CA 92653 Bus Lic: BT30065476 Phone:. 949-573-1050 Lic Exp Date: 1213112019 Code Edit: .2016 Worker's Compensation Insurance Type of Construction: V-BSPR Carrier: STATE COMP Occupancy Group:. R31U Policy No: - 9242800 Added/New sq.ft. Bldg: 154 Expire: 12/14/2019. Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: 10' No of Units : 1 Front: 10' Bldg Height: 0 Left: 0' Bldg Sprinklers: Y Right: 0' PROCESSED BY: Excise Tax: Construction Valuation: Additional Fee: $35.00 Building Permit Fee: $0.00 Grading PC Consultant Plan Check Fee: $0.00 Grading permit Fee: $0.00 Overtime Plan Ck: $0.00 WQ Insp. Fee: Investigation Fee: $0.00 310-422-1536 State Lic:C-075736 Record Management: $0.00 Address: Energy Compliance: $0.00 $0.00 CA Seismic Safety: $0.00 REPLACE X2018-0561 Disabled Access: $0.00 $0.00 Hazardous Mat $0.00 Building Green Fee : $0.00 PROCESSED BY: Excise Tax: $0.00 Additional Fee: $35.00 Grading Bonds Fee: $0.00 Grading PC Consultant $0.00 Grading permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 TOTAL FEE: $35.00 ZONING APPROVAL: Electrical %: Mechanical %: Plumbing %: $0.00 $0.00 $0.00 Architect: BAILEY DAVID Address: 23183 LA CADENA DR #101 Fire Plan Rev LAGUNA HILLS CA 92653 Phone:. 949.573.1050 State Lic:CO27404 Engineer: HAKIM FADY - Address: 124 PEONY In -lieu Housing Fee: IRVINE CA 92618 Phone: 310-422-1536 State Lic:C-075736 Designer: Park Dedication : Address: $0.00 Phone: $0.00 Special Conditions: VHFSZ, IRSD San Dist: REPLACE X2018-0561 Planning Department- Fire Inspection: Plan check Fee : Fire Plan Rev $0.00 Fair Share : $0.00 SJH Trans : General Service $0.00 In -lieu Housing Fee: $0.00 $0.00 Public Works Department - Park Dedication : $0.00 $0.00 P/W Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: ' $0.00 Plan Check Fee: $0.00 Fire Department Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond:. $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $35.00 PUEkIC Y?QRKS APPROVAL: ° o PLAN CHECK BY: GRADING APPROVAL: ° �. ° ° m o AP,PRQA.IAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjurythat 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 legall) 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://www.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section) ) Div' ion 3 of the Business and Prole ion , and my license is in full force and effect. License Class License No Date Contractor Signature INORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED471TUSAND DOLLARS ($100,000(, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION $706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby 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 'ormance of the work for which this permit is issued. Policy No. have and willmaintain 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' ,ance carrier a licy numbeLare: Number is of Agent r Date certify that, in the performanc o the work 's -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 if] should becomes jec r ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iature of Applican Da /�` /%� l :LARATION REG D ST UCTION LENDING AGENCY reby 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). 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 ve provided is rrect. I agree to comply with all applicable city and coon inan and state laws relating to building construction. I authorize representatives of this city or cc ntY tt _ e above -identified property for inspection purposes. `' Iature of Pronertv Owner or Authorized ADeS Print Propertv Owner's or Authorized Agent's Name Y odea 2l QA Dat DATE BY PART 61 O TIATION OF T E 40 AND AQMD RULE E WITH CODE OF AL FOR OFFICE USE ONLY REGULATIONS PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NO.TMATION TO PERMITCANCELLED LIEPA • • • • • • • • •• PERMITEXTENDED 13AQMD • • • ••• PERMITFINAL(t �' ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCY ISSUED•� ••• • • • ••• SIGNATURE: • • • • • • • • • � •• ••• • • •• •• •••