HomeMy WebLinkAboutF2019-0013 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 4 VIA AMBRA NB
Inspector Area: 6
Owner:
MINGXIANG HAN
Address:
4 VIA AMBRA
Occupancy Group:
NEWPORT COAST CA 92657
Phone:
714-630-6100
Applicant:
ZHANG WENDY
Address:
2318 CHICO AVE
No of Units :
S ELMONTE CA 91733.
Phone:
310-895-4449
Code Edit: 2016
OTHER DEPARTMENT:
Type of Construction:
V -B -SPR
Occupancy Group:
R31U
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
2
No of Units :
0
Flood Zone:
BT30060400
Bldg Sprinklers:
Y
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FIR'?ermit : F2019-0013
Project, No: 0099-2019
Inspectich Requests Phone (949)644-3255
Description: RES FIRE SPRINKLERS/RELOCATE (11) HEADS X2018-0561
Legal Description:
OTHER DEPARTMENT:
Contractor:
UNITED FIRE & SAFETY CO
Address:
2318 CHICO AVE
Building PC Fee:
SOUTH EL MONTE CA 91733
Phone:
951-279-8208
Con State Lie:
621096
Lie Expire:
06130/2019
Bus Lie:
BT30060400
Lie Exp Date:
0613012019
Worker's Compensation Insurance
Carrier:
STARNET INSURANCE
Policy No:
BNUWC0133756
Expire:
11/0112019
Issued Date: 0111012019
Setback- Front:
$444.00
Rear:
Left:
Right:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
$0.00
$0.00
j $0.00
$0.00
$0.00
State Lie:
State Lie:
ZHANG WENDY
2318 CHICO AVE
S EL MONTE CA 91733
Records Management.:
$0.00 Fee Due at Permit Issuance :
6
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$2.00
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$444.00
PROCESSED BY:
OTHER DEPARTMENT:
FEES
Construction Valuation:
$3,500.00
) (yam APPROVAL TO ISSUE:
_EXPIRES
Building PC Fee:
$202.00
Fire Residential Alarm PC Fee
Building Overtime PC Fee:
$0.00
Planning Counter Review:
Building Extention Fee :
$0.00
Planning Zoning PC Fee
Building Investigation Fee:
$0.00
Fire Plan Check Fee:
$0.00
Public Works PC Fee:
Fire Permit Fee:
$0.00
Public Works Traffic Plan Check Fee;
Building Permit. Fee :
$240.00
TOTAL FEE :
$444.00
Plan Check Fee:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
$0.00
$0.00
j $0.00
$0.00
$0.00
State Lie:
State Lie:
ZHANG WENDY
2318 CHICO AVE
S EL MONTE CA 91733
Records Management.:
$0.00 Fee Due at Permit Issuance :
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$2.00
$0.00
$0.00
$444.00
PROCESSED BY:
OTHER DEPARTMENT:
ZONING APPROVAL:
PLAN CHECKED BY::
FIRE APPROVAL:
) (yam APPROVAL TO ISSUE:
_EXPIRES
PERMIT 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
LINER -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)
action 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
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
rfessions 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
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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
6iness 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
)rovements 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
)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
Ay 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
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)
I 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
rfessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
nature of Property Owner or Authorized Agent Date
TENSED CgNTRIACTOR'S DECLARATION
-reby affirm under -penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, is in full force
1 affaol.
ense Class """ License No Date J •'J I Contractor Signature T
5RKSRS' COMPENSATION DECLARATION
ENING: FAILURE TO 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
IT OPCOMPENSATI®N,OAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Irebp affirm underPenalty of perjury one of the following declarations:
'I'Aatg) and wsl"WAtain 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
Vrmnce of the work for which this permit is issued. Policy No.
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'
carrieP2rfd'ISo]icy number are:
W& Agent -
certify that, in the performance of the work
if I should become subject)a-the workers
of
Policy Number
Date
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
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisil-nE. -
nneo j LYitJ' 1 %
,ECLARATION REGARDING CONSTRUCTION LENDING AGENCY '
hereby 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).
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.
I authorize representatives of this city or county t to4he� 4e identified property for inspection purposes.
ignature of Property Owner or Authorized Agent [.% Print Property Owner's or Authorized Agent's Name
AEON DATE BY
DECLARATION OF COUPLIANCEMTHCODEOF
FOR OFFICE USEONLY
FEDERAL REGULATIONS PART 61 OFTITLE40AND
AQMDRULE9403.
PERMITEXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO.
❑ EPA
❑ AQMD
PERMITCAIVCELLED
PERMITEXTENDED
❑ ASBESTOS NOURCATTONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL J
CERTIF[CATEOF
SIGNATURE:
OCCUPANCY/SSUED