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HomeMy WebLinkAboutX2019-4096 - Permitsua„ City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2019-4096 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 4 0 9 6 Project No: 2680-2019 Permit Counter Phone (949)644-3288 v. Inspection Requests Phone (949)644-3255 '�tar.rw*�'' Combination Type - SFP ELEC MECH PLUM Issued Date : 12/1912019 0 Inspection Area : 8 I 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: 6 ROCKINGHAM DR NI3 Description: SFR -REMODEL (4) ADDITIONAL BATHROOMS (SHOWERS) Legal Desc.: N TR 11449 LOT 51 _ SP Owner: YIXIN LIU Contractor: OWNER/BLDR Architect: �� Address: 8 N IST AVE Address: MAJIDI SEYED Address: ARCADIA CA 91006 OIB AUTH ATT Phone: Phone: Phone: State Lic: Applicant: YIXIN LIU Con State Lic: OIB Engineer: AZARIAN BEHROOZ Address: 8 N IST AVE Lic Expire: Address: 24182 LA HERMOSA + ARCADIA CA 91006 Bus Lic: LAGUNA NIGUEL CA 92677 ++e++• m Phone: 949-687-7599 Lic Exp Date: Phone: 949-495-8822 State Lic:C-041732 Code Edit : 2016 Worker's Compensation Insurance Designer: a e+ Type of Construction: VB Carrier: Address: 0 Occupancy Group: R31U Policy No: a `° Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I Special Conditions: No of Units: 1 Front: I Bldg Height: 0 Left: I ' Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $20.000.00 Building Permit Fee: $392.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $341.04 Additional Fee: $0.00 Plan check Fee : $40.00 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: $6.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PNV Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $27.44 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $15.68 NMUSD Fee: $0.00 $0.00 Plumbing %: $35.28 $0.00 TOTAL FEE : $858.44 Plan Check Fee : $381.04 Fee Due at Permit Issuance : $477.40 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: 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 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 U 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 YIroved for the purpose of sale). , 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 pply to an owner of property who builds or improves thereon, and ho contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State LicLpee w for the follow' eason: ly my signature below I acknowledge that, except for my personence in whic usthaveresided for at least one year prior to completion of the improvements covered by this permit, I cannot legall! ell a structure that I have built as an owner -builder if it h no 6nstructed i 1 entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of t Business and 'rofessions Code, is available upon request when this psi do ted or the fo iiig Web site:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent D .ICENSED CONTRACTOR'S DECLARATI N hereby affirm un4r peripIty of perjury that I am lice ed under provis' ns 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. Licelfse•QIs1S License, o Date Contractor Signature I"KfJZS' COWPWATION DECLARATION 'QRNING: FPAILURE fgiEtU13E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OSiFOF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. heretaya#firm under penalty of perjury one of the following declarations: ItPal%and wtlNrtldlhj in a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th e-$rforrnance of the work for which this permit is issued. Policy No. JI'hM and will` l;Fpjn 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' compensatioi i9Ut0rild9 carrier anq policy number are: *mor• 0: Policy Number Expiration Date Ary a Of 6�ont ... I.. Phone* in this 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 bec wwAbject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant Date_ )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 ly 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 to epter the above -identified property for inspection purposes.s linnnfilre of Prnnerty Owner or AIIthori7P.d Anenf Print Pronertv Owner's or Authorized ADent's Name ACTION DATE BY / DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITCANCELLED PERMIT EXTENDED QMD PERMIT FINAL n' BESTOS NOTI CATION IS NOT CERTOCCUIPANCV SUED �� �\ /"1" SIGNATI REMQ TION N 00n O) r 41>(L) O cL N o Lm wO O IO' cm N�O ¢mN Y r N O cc c v O C O al E C C R V C N - C C_ a)E uo 0 E o o o T 0 c N a O a o C:> 0 2 c N+ o Y m t a3 m °9 cmw ° ¢ .N p 7 N a`)o >o� 3 O N No t C Y E N C a) 0n CL(D IDC c 0) a) nUoopa`icco C a`)NaEi c o >p c) o U 0-0 o w 0c°."4(D yc(D r°E2NNOO1oY N U T n N a) C N C@ n= C m c Np_ cu O E O U C CL 2NTC3'w c Q a) o o •; °)E m¢ a)3 m o� 2 3 a) 0 w E 0 n o n G N L 3 N C =) N O ✓ U .D V N O C ` c a o c o m @ o cm c.o :,m To 'Fu `O N O-• O N.T• o 'c N a) •p 'c .p {p E o m o 3 3 3_ o a a _p rn 3 o ' 0-0 E o L... 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