HomeMy WebLinkAboutX2019-3880 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
'wa n Ins,.;ection Requests Phone (949)644-3255
Combination Type - SFP MECH ELEC PLUM
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2019-3880
x 2 0 1 9 3 8 8 0 Project No : 2680-2019
Issued Date : 12/09/2019
Inspection Area : 8
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: 5 ROCKIN DR NB �TO
1�4'
Description: SFR REMODELDEL 925 SF (KITCHEN &MASTER BATH) *STOP WORK 119.3230 e SFNE m
Legal Desc.: N TR 11449 LOT 51 pl�
Owner:
YIXIN LIU
Contractor:
Address:
8 N IST AVE
Address:
Energy Compliance:
ARCADIA CA 91006
CA Seismic Safety:
Phone:
Disabled Access:
Phone:
Applicant:
YIXIN LIU
Con State Lic:
Address:
8 N IST AVE
Lic Expire:
Address:
ARCADIA CA 91006
Bus Lic:
Phone:
949-887-7599
Lic Exp Date:
Code Edit : 2016
Type of Construction: VB
Occupancy Group: R3/U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: N
Construction
Building Permit Fee: $931.00
Plan Check Fee: $809.97
Overtime Plan Ck:
$0.00
Investigation Fee:
$931.00
Record Management:
$24.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$3.00
TOTAL FEE: $2,925.17
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
OWNERIBLDR
YIXEN LIU
O/B
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Use Zone:
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: I
'arkina Soaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$65.17
$37.24
$83.79
Plan Check Fee
Architect:
Fire Department
Address:
Fire Inspection:
Fair Share
Fire Plan Rev
Phone:
State Lic:
Engineer:
AZARIAN BEHROOZ
Address:
24182 LA HERMOSA
$0.00
LAGUNA NIGUEL CA 92677
Phone:
949-495-8822 State Lic:C-041732
Designer:
NMUSD Fee:
Address:
Phone:
Special Conditions: OWNERIBLDR ATTACHED
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:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
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$0.00
$0.00
$0.00
$0.00
$0.00
$849.97 Fee Due at Permit Issuance : $2,075.20
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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Fire Department
$40.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
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$0.00
$0.00
$0.00
$0.00
$0.00
$849.97 Fee Due at Permit Issuance : $2,075.20
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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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
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 DivisioA 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 (_) all of or U 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
p/oved for the purpose of sale).
Ilyi�n�+� ,_asowner 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
gpply`tQ,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).
11 1 am�exempt from licensure under the Contractors' State License Law for the following reason:
By m�,signatute 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 legal
sell aWructure� Ojtl have built as an owner -builder if it as not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7014 of the Business and
professlonttode, is available upon request when thi applica i0' = - mitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. /Q_ D�
S,igrrature of .fopaity Owner or Authorized Agent, Date
penalty of perjury that I am
Class
TION DECLARATION
under prdvisic
License No
of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions
Date Contractor Signature_
and my license is in
SECURE 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
)M, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
penalty of perjury one of the following declarations:
rr;pintain 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
a rk for which this permit is issued. Policy No.
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'
number are:
Policy Number Expiration Date
Phone #
�I certify that, in the perfo mance of the work for which this permit is issued, shall not employ any person in any manner so as to become subject to the workers' co ensation laws of California, and ogre
lot, if I should become s ject to �kkorry compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant G" Date
DECLARATION REG DING CO S UCTION LENDING AGENCY
hereby affirm under p nalty 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 countordinances and state laws relating to building construction.
or
I authorize representatives of this city county t enter th&449yPA' property for inspection purposes. A",n _-1 , /�.� O,,j
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
Owner or Authorized
BY
I PZ}pr
PART 61 OF TITLE 40 AND AQMD RULE
IS NOTAPPLICABLE TO
FOR OFFICE USE ONLY
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