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HomeMy WebLinkAboutX2020-1354 - Permits,�, City of Newport Beach - Building Division *X2020-1354" COMB Permit: X2020-1354 a'1 "h. 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone Project No: 1044-2020 �, 9 (949)644-3288 Address: 11291 CAROLEEN LN Hazardous Mat Inspection Requests Phone (949)644-3255 Building Green Fee : `Ma,.owew $0.00 Combination Type - MFP MECH ELEC PLUM Issued Date : 06/1512020 Inspection Area : 1 PERMIT EXPIRES 180 DA YS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0611612023 OR PERMIT WILL BE INVALID 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: 29TH ST NB MF Description: MFR REMODEL KITCHEN 61 SF **STOP WORK** Legal Desc.: LAKE TR BLK 126 LOT 7,_, ,__ _� Owner: TRAM T VAN Address: 11291 CAROLEEN LN Record Management : GARDEN GROVE CA 92841 Phone: 714-763-6219 Applicant: TRAM T VAN Address: 11291 CAROLEEN LN Hazardous Mat GARDEN GROVE CA 92841 Phone Code Edit: 2019 Type of Construction: VB Occupancy Group: R31U Added /New sq.ft. Bldg: Added/New sq. ft. Garage: No of Stories: 2 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $235.00 Plan Check Fee: $204.45 Overtime Plan Ck: $0.00 Investigation Fee: $235.00 Record Management : $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTALFEE: PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: OWNER/BLDR Architect Address: TRAM T VAN Address: Phone: Phone Con State Lie: O/B Engineer: Lie Expire: Address: Bus Lie: Fire Plan Rev Lie Exp Date: Phone: Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: / �arkina Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $16.45 $9.40 $21.15 Plan Check Fee WANG YANG 2975 HUNTINGTON DR #205 SAN MARINO )Ar 108 949-1180-5226°N $tOLic:C���C State Lic: 0®q T® @r+p� R� gp�® moomm®� AS I�q�ess ERr/m1T ®'tl S dI n EXPOSE A� STRUCTURAL �� ELECTRICALgp� I n ii�s�O/�A TH ®ACHED o°Op MECHANICAL COMP(6-1914"'' 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 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 0 ooc o c mm o 0 om 0000ec omom e o mmmoo . e9.oa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $765.95 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: Fire Department $41.50 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: 0 ooc o c mm o 0 om 0000ec omom e o mmmoo . e9.oa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $765.95 PUBLIC WORKS APPROVAL: 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 applicant for is 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 'rofessions 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 re than five hundred dollars ($500). _"tbg, Jtr-operty, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness 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 nprovements 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 nproved for the purpose of sale), I, as owner of the property, am,ezctusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply 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: 11 ly 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 c vered by this permit, I cannot legall, ell a structure that I have built as an owner -b 'Ider if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, S _tion 7044 of the Business and 'rofessions Code, is available upon reque hen th( pp c ion 's u fitted or al the following Web site:http://www.leginfo.ca.gov/calaw.htmi. UZn'd signature of Property Owner or Authoriz Agent ate .ICENSED CONTRACTOR'S DE TION 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 nd effect. License Class License No Date Contractor Signature IIORKERS' CQaIP.ENSATION DECLARATION 'ARNING: FAILURP'[ , VI&RE WORKERS' COMPENSATION COVERAGE'IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE ,OST OF GOMPENSAir0N, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Mfdbylffirm Lintgrpanally of perjury one of the following declarations: 31 have and wily 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 erformance of the work for which this permit is issued. Policy No. 11 pa ft and vA;rR2i?1&in 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 Isurame carrier Ild Rolicy number are: b • • • • Po I'INumber Ex nation Date Agent cuy p Phone # ertify that, in the performance of the work for which this permit -is issued - I shall not employ person in any manner so as to become subject to the worker' compensation laws of California, and ogre It, if I should besame • ubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ygU44ofA nt• to :CLARATI ARDING CONSTRUCTION LENDING AGENCY ereby affirm drider penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 7, Civil Code). nder'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 owner's behalf. I have read this application and the information I have provided is correct. 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