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HomeMy WebLinkAboutX2021-2950 - Permits€tk° City of Newport Beach - Building Division r< 100 Civic Center Drive, Newport Beach, CA 92660 w "+' Permit Counter Phone (949)644-3288 s: Inspection Requests Phone (949)644-3255 "urofc'" Combination Type - SFP MECH ELEC PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-2950 Project No : 2561-2021 Issued Date : 1111812021 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1111812024 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: 2633 BAMBOO ST NB Description: SFR KITCHEN AND BATHROOM REMODEL, BEAM REPLACEMENT 445 SF (STOP WORK) Legal Desc.: N TR 4892 LOT 57 ®® Owner: XIANJUN PENG Contractor: R J H CONSTRUCTION Architect: Z Address: 2633 BAMBOO ST Address: 27071 CABOT RD#124 Address: NEWPORT BEACH, CA LAGUNA HILLS CA 92653 Phone: Phone: 800-524-1612 Phone: State Lic: Applicant: MASON RICHARD Con State Lic: 605852 Engineer: SINGER JOANNE (' e Address: 27071 CABOT RD Lic Expire: 11/3012022 Address: 24451 MUELA LAGUNA BEACH, CA 92652 Bus Lic: BT30072691 MISSION VIEJO CA 92692 Phone: 800-524-1612 Lic Exp Date: 08/3112022 Phone: 949-413-9057 State Lic:C-026900 Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: STATE FUND Address: Occupancy Group: R3/U Policy No: 9020683 �sd Added /New sq.ft. Bldg: 0 Expire: 12/06/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: N Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $76,000.00 Building Permit Fee: $1,017.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $884.79 Additional Fee : $0.00 Plan check Fee : $52.00 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: $1,017.00 - Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $8.00 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 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 PAN Plan Check: $50.75 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $71.19 San Dist : $0.00 Building Green Fee : $4.00 Mechanical %: $40.68 NMUSD Fee: $0.00 $0.00 Plumbing %: $91.53 _ $0.00 TOTAL FEE : $3,236.94 Plan Check Fee : $936.79 Fee Due at Permit Issuance : $2,300.15 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WZRKS APPROVAL: PLAN CHECK BY: © APPhdVAL TO ISSUE: a a 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 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 U 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 improved for the purpose of sale). ❑ I, 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 apply 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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 legal sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of gery'ury that I am licensed under provisions of Chapter 9 (commencing with Section 0 ) of Divisio 3 of the Business and PrettsSions Code, and my licens aii-fot and effect. License Class f S License No r7�{'t�L Dale Contractor Signa WORKERS' COMPENSATION DECLARATION 'ARNING: 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 ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 37DG OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: have and will 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 ;;Rance of the work for which this permit is issued. Policy No. have and w' m Intain workers' rance car rie nd olicy number to of Agen('_ certify that, in the performance if I should become subject latureofApplicant / insurance, as the work for which this workers' comoensath by Section 3700 of the Labor Code, for theperformanceof the work for which this permit is issued. My workers' Date Ted, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r CLARATION REGARiyING CONSTRUrN LENDING AGENCY �rebnder y affirm upenal 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). Iders 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. I agree to comply with all applicable city and county ordinances and state I elating to building construction. I authorize representatives of this city or count Eton/}�r�the above-i Ified property for inspection purposes. ,^M) \' nature of PrODertv Owner or Authorized Aoent x � �. \ /A Print Property Owners or Authorized Agent's Nam + V ACTION DATE BY L JPCOMPLIANCE WITH DE OF FEDERAL FOR OFFICE USE ONLY REGUSPA TTE AND 1403 ' ••• ••• •.• • .•• .•• PERMIT EXPIRED I SUBMITTF;D ASBESTOS NOT}FICATN)N TO t z PERMITCANCELLED UEPA 1 '• .• `: PERMITEXTENDED LJAQMD PERMITFINAL 9 1:jry S BESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF ROPOSED D O ION • . • • • • s • a OCCUPANCVISSUED SIGNATU • • s ^I= c �