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HomeMy WebLinkAboutX2019-4090 - PermitsCity of Newport Beach - Building Division I IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�III 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 4 0 9 0 Permit Counter Phone (949)644-3288 v. Inspection Requests Phone (949)644-3255 Combination Type - MFP MECH ELEC PLUM PERMITS EXPIRE 180 DAYS AFTER Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. an Job Address: 8 ENCORE CT NB Description: MFR ALT 165 SF (KITCHEN) Legal Desc.: TR 7817 LOT 4 UNIT 242 OF PROJECT LOCATED ON AP 1-01 TOGETHER Owner: NGUYEN STACEY Address: 8 ENCORE CT #242 Record Management: NEWPORT BEACH CA Phone: $0.00 Applicant: WEATHERBEE EN Address: 15361 BAFFIN C Hazardous Mat HUNTINGTON BE CH Phone: 714-862-6408 Code Edit : 2016 Type of Construction: VB Occupancy Group: R21U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 6 Bldg Height: 0 Bldg Sprinklers: N Building Permit Fee: $296.00 Plan Check Fee: $257.52 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $12.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $665.72 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Wxcise ax:�( nal Fee Grading Bonds Fee: Grading PC Consultant: Fee : Rear: / =ront: / Let& Ax $0.A00 $O 00 $000 $20.72 $11.84 $26.64 Plan Check Fee T1 COMB Permit: X2019-4090 eroi#,ct No: 2820-2019 :12/19/2019 Area: 3 from 8:-Yd6:01pO1xnNo'(s9dt'fr'on Su dayt orHolidays 0 $o��o/o 01 Q U ION Arr,�i S! _- kl1 �y} SS: ,,dnrlfeu Housing Fee : co• o� DD $0.00 PAN Plan Check.: � San Dist: Do D D $0.00 $0.00 DSD $0.00 General Service $0.00 Refund Deposit $0.00 GGL T1 COMB Permit: X2019-4090 eroi#,ct No: 2820-2019 :12/19/2019 Area: 3 from 8:-Yd6:01pO1xnNo'(s9dt'fr'on Su dayt orHolidays 0 $o��o/o 01 Q U ION Arr,�i S! _- kl1 �y} SS: ,,dnrlfeu Housing Fee : - Fire Department Public Works Department - ParkDedication: $0.00 PAN Plan Check.: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 State I XIAO QIANG 1520 BROOKHOLLOW DR SANTA ANA CA 92705 714-662-0510 � e 00 ' - Fire Department $40.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $665.72 Pl_sBLeC Vt-+ORKMAPPROVAL: 4 •v D D Ff D D PLAN CHECK BY: APPROVAL TO.ISSUE: o D D G Gu 00G O 4 OOU 40D 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 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 pplicant 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 (_) portions of , and the structure is riot 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, t employees' or personal effort, ilds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within o of completion, the Owner -Builder will h e the burden of proving that it was not built or improved for the purpose of sale). I %ab�E%' -1, C ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to c theproject �((����74d, Busines§ g�{(���l!lmfeions Code: he Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who con tracts projects witha Iicerf�e&DolStractor pyla n�Atd lT7a Contractors' Stat icense Law). ❑ 1 am exempt from licensure under the Contractors' State License LawfaMe following reason: 0 O By my signature below I acknowledge that, except for my pars sldence in which I mu a resided for t one year prior to com of the impro ments covered by this permit. I cannot legal sell a structure that I have built as an owner-builder'f i t be n nstructed i ntirety by lic sed con ractors. I unde fond a copy of the applicabl. law, Section 7044 of the Business and Professions Code, is available upon request w Is applic ti s bmi r at the folio ite:http://www.I al. ov/calaw.html. Signature of Property Owner or Autho ' g �r - Date LICENSED CONTRACT CLA N I hereby affirm under pe y of perjury that I e un r provisi f as :'I .r 9 ( Section 700 of Diw Ion 3 f the Business and P`rof� ode, a my ' Is in ull force and effect. License CIa c No Date'' Contractor Signafai� WORKERS' COMPEN TICIIIIII DECLARATIO i WARNING: FAILURE TO SECURE ,ORKERS' C TION ERAG IS D SHALL SUBJECT N YER CRI L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS IDD iLARS ($100,000), IN ADDITION TO TH COST OF COMPENSATION, DAMA ES AS ED IN SE N 3T O HE LABOR CODE, INTER - I hereby affirm under penalty f per ry one o folio eclarations: ��►�( I have and will maintain certi a ant to self -ins f we o e ati is ued by the Director of Industr ti s Ovid for by Sect nx1 0 of the Labor Code, for t pe ormance of the work for wh _h IN is issued. I have and will mai or rs' com insur s r Section 3700 of the Labor e, r t nce $f��;la for w c h' rmit is s y workers' compensati� insurance carrier and licy pm r are mv, 5 Carrier 1 Poli be iExpiration Date-?L..i Name of Agent `~. Phone # I certify that, in the performance o In wor for which this p mitt 1 ed, s klwlmsploy any person in any manner so as t me sup�'pyS�6j81�1� r er ' ensation laws of California, and agr that, if I should become su j - to th orkers' com s n 3700 of the Labor Code, I shall forthwit ply w�t�ose. �idl]Islons Signature of Applicant DECLARATION REGAR ING CONST CTIN L DI AGEN((4 $ I hereby affirm under penalty of perjury t t the onstrup4{IQZhbng agency for the pe nce of the work ich rmit is issued (Section 3097, Civil Code). Lender's Name \\-- is Address By my signature below, I certify to each of Ie following: I am the property owner or authorized tact on the property o er' ehalf. I have read this application and the in at}op,l��il�e Ided is correct. I agree to comply with all applicable city ddi�c`bb}}'f I ordinances a e la Ing to building construction. I authorize representatives of this city or c unt ante ove=�+ ed property for inspection purposes. Signature of Property Owner or Authorized ADS t %)'](:"K F Print Property Owner's or Authorized Agent's Nam e ACTION DATE BY CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED 0 I SUBMITTED ASBEST% NOTINEATIOW TO ••• +•+ •++ PERMIT CANCELLED EPA . ; • + + [PERMIT EXTENDEDr. QMDERMITFINAL ASBESTOS NOTIFICATION IS APPLICA LE T CERTIFICATE OF P POSEDDEM LI ON • �� OCCUPANCYISSUED SIGNATURE: • • • • •.•