HomeMy WebLinkAboutX2018-0561 - PermitsW1P City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
E Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC PLUM MECH
111111'IIIIIIIIIIIQIIIIIIIIIIIIIIIIIIIIIIJl
II COMB Permit: X2018-0561
Project No: 0462-2018
Issued Date : 06/25/2018
Inspection Area : 6
Code Edit: 2016
Type of Construction: VB
Occupancy Group: R31U
Added /New sq.ft. Bldg: 154
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
-1000 cone: A
Construction Valuation: $500.000.00
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 9060601
Expire: 0 710112 01 9
Building Setbacks Rear:
10'
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
10'
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'
Right:
0'
Plan Check Fee: $3,144.20
Additional Fee:
Job Address:
4 VIA AMBRA NB
$150.00
Fire Inspection:
Description:
SFR ADD 154 SF & REMODEL 1218,
NEW OUTDOOR KITCHEN, 2ND FLR DECK 166 SF
Grading Bonds Fee:
$0.00
Legal Desc.:
$0.00
Fire Plan Rev
'1 9 li- 666
Investigation Fee:
$0.00
Grading PC Consultant:
$0.00
SJH Trans :
Owner:
MINGXIANG HAN
Contractor: ERIC CONSTRUCTION
Architect:
BAILEY DAVID
Address:
6427 GOLDEN WEST AVE
Address: 5033 N MUSCATEL AVE
Address:
23183 LA CADENA DR #101
$0.00
TEMPLE CITY CA 91780
SAN GABRIEL, CA 91776
. Energy Compliance:
LAGUNA HILLS CA 92653
Phone:
$0.00
Phone: 626-757-7583
Phone:
949-573-1050 State Lic:CO27404
Applicant:
BAILEY DAVID
Con State Lic: 916093
Engineer:
HAKIM FADY
Address:
23183 LA CADENA DR #101
Lic Expire: 04/3012019
Address:
124 PEONY
Disabled Access :
LAGUNA HILLS CA 92653
Bus Lic: BT30063633
IRVINE CA 92618
Phone:
949-573-1050
Lic Exp Date:
Phone:
310.422-1536 State Lic:C-075736
Code Edit: 2016
Type of Construction: VB
Occupancy Group: R31U
Added /New sq.ft. Bldg: 154
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
-1000 cone: A
Construction Valuation: $500.000.00
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 9060601
Expire: 0 710112 01 9
Building Setbacks Rear:
10'
Front:
10'
Left:
0'
Right:
0'
Designer:
Address:
Phone:
Special Conditions: VHFSZ, IRSD
Building Permit Fee:
$3,696.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $3,144.20
Additional Fee:
$0.00
Plan check Fee:
$150.00
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 :
$56.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00
Building Dept Adm
$24.00
. Energy Compliance:
$268.00
Grading PC Fee:
$0.00
Public Works Department-
General Service
$197.00
CA Seismic Safety:
$65.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$564.00
Disabled Access :
$0.00
PAN Plan Check:
$38.00
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$258.72
San Dist:
$0.00
Building Green Fee :
$20.00
Mechanical %:
$147.84
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$332.64
$0.00
TOTAL FEE: $8,961.40
PROCESSED BY:
ZONING APPROVAL:
Plan Check Fee : $8,961.40 Fee Due at Permit Issuance : $0.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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
'not more than five hundred dollars ($500).
U I, as owner of the property, or my employees with wages as their sole compensation, will do U 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
improved for the'purpose of sale).
13 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 this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
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 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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 the
performance of the work for which this permit is issued. Policy No.
have 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'
rance carrier and policy number are:
of Agent
Policy Number Expiration Date
Phone #
certify that, in 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' compensation laws of California, and
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date_ _
CLARATION REGARDING CONSTRUCTION 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).
lder'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 owners 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 county to enter the above -identified property for inspection purposes.
of PrODertv Owner or Authorized
ACTION
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
I DATE I BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDEI
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
SUBMITTED ASBESTOS
UASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
FOR OFFICE USE ONLY
Date
"a City of Newport Beach - Building Division *X2018-0561" COMB Permit: X2018-0561
100 Civic Center Drive, Newport Beach, CA 92660 Project No: 0462-2018
Permit Counter Phone (949)644-3288
v Inspection Requests Phone (949)644-3255
8s s Combination Type - SFP ELEC PLUM MECH Issued Date:
Inspection Arearea :2018
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 VIAAMBRA NB
Description: SFR ADD 154 SF 8 REMODEL 1218, NEW OUTDOOR KITCHEN, 2ND FLR DECK 166 SF
Legal Desc.:
Owner:
MINGXIANG HAN
Contractor:
ERIC CONSTRUCTION
Architect:
BAILEY DAVID
Address:
6427 GOLDEN WEST AVE
Address:
5033 N MUSCATEL AVE
Address:
23183 LA CADENA DR #101
Hazardous Mat
TEMPLE CITY CA 91780
Building Green Fee :
SAN GABRIEL, CA 91776
$0.00
LAGUNA HILLS CA 92653
Phone:
Phone:
626-757-7563
Phone:
949-573-1050 State Lic:CO27404
Applicant:
BAILEY DAVID
Con State Lie:
916093
Engineer:
HAKIM FADY
Address:
23183 LA CADENA DR #101
Lie Expire:
04/3012019
Address:
124 PEONY
LAGUNA HILLS CA 92653
Bus Lic:
BT30063633
IRVINE CA 92618
Phone:
949-573-1050
Lie Exp Date:
Phone:
310.422-1536 State Lic:C-075736
Code Edit : 201
ISep
Type of Construction: V13
Occupancy Group: R31U
Added /New sq.ft. Bldg: 154
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: `Or
Bldg Sprinklers: M
Building Permit Fee: $3,696.00
Plan Check Fee: $3,144.20
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$56.00
Energy Compliance:
$268.00
CA Seismic Safety:
$65.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$20.00
TOTAL FEE: $8,961.40
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 9060601
Expire: 07/01/2019
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WO Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 10'
Front: 10'
Left: 0'
Right: 0'
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$258.72
$147.84
$332.64
Designer:
Address:
Phone:
Special Conditions: VHFSZ, IRSD
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
$0.00
$0.00
$24.00
$197.00
$564.00
$0.00
$0.00
$0.00
Plan Check Fee : $3,562.20 Fee Due at Permit Issuance : $5,399.20
PUBLIC WORKS APPROVAL: \ O
PLAN CHECK BY:
APPROVAL TO ISSUE:
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$24.00
$197.00
$564.00
$0.00
$0.00
$0.00
Plan Check Fee : $3,562.20 Fee Due at Permit Issuance : $5,399.20
PUBLIC WORKS APPROVAL: \ O
PLAN CHECK BY:
APPROVAL TO ISSUE:
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 aplicanljor
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 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
improved 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 blow 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 legali
sell a structgfg "al lhave 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 COE@,1s available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
�Igp.ture of PfOpIty Owner or Authorized Agent Date
LICEWSED:CONfRACTOR'S DECLARATION
I helapy affirm under penalty of peri t 1 am licensed under provisions of�hagter 9 (commencing with Section 70 0) of Division 3 of the Business and Prof Bions Code, and my license is in full force
and effect. Ligl ns%Class ; License No 166 oR 2 Date 2 Contractor Signature '
INORKERS''GOMPENSATION DECLARATION ��
NARNrNG: FAILUSS IO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
. S79F COMPEFISJWrI01?DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
PppPI affirm under penalty of perjury one of the following declarations:
:].I kerve and yill 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 th
eRormsnce o"@ Ma ( for which this permit is issued. Policy No.
1d1 acid wig malnlain 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' compensatiol
$Nrance carri@tand policy number are:
;arrier Policy Number Expiration Date
Vame of Agent Phone #
:1I certify that, in the pert rmance 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' co pensation laws of California, and agree
hat, if I should becomes bject tot worrs' compensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions. Via/'
signature of Applicant / - Date `" J he
)ECLARATION REG CTION LENDING AGENCY
hereby affirm under na ty 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
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 cou ty ordinanc and state -laws relating to building construction.
I authorize representatives of this city or county o enter=derltift property for inspection purposes. ( ?�
signature of Property Owner or Authorized Agent Print PrODertv Owner's or Authorized Agent's Name - to
ACTION DATE DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED DEPA
PERMITEXTENDED OAQMD '
PERMITFINALASBESTO OTIF ATION IS NOTAPPLICABLETO
CERTIFICATE OF t I�'G� —PROPOSED EMO TON
OCCUPANCYISSUED Il SIGNATOR