HomeMy WebLinkAboutX2022-0643 - Permitsn
City of Newport Beach - Building Division *X2022-0643* COMB Permit: X2022-0643
100 Civic Center Drive, Newport Beach, CA 92660Permit Counter Phone (949)644-3288 B � rn�Project No : 1859-2021
Inspection Requests Phone (949)644-3255 1 o Y L� CTO,
Combination Type - SFP PLUM
Issued Date : 03104/2022
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0310412025 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: 1 SEYNE NB
Description: SFR PEX REPIPE WHOLE HOUSE X202 f 2.14 Z
Legal Desc.:
Owner:
YU BING 8 QIN WANG
Contractor:
BUILDERWELL
Architect:
Address:
1 SEYNE
Address:
1622 EDINGER AV STE E
Address:
NEWPORT COAST, CA 92657
TUSTIN CA 92780
"
Phone:
949-668-3613
Phone:
949-232-0555
Phone:
State Lie: ^ ^
Applicant:
BUILDERWELLIMARCOS
Con State Lie:
1022234
Engineer:
Address:
1622 EDINGER AV STE E
Lie Expire:
01/31/2023
Address:
-
TUSTIN CA 92780
Bus Lie,
BT30071153
Phone:
949-232-0665
Lie Exp Date:
0310412023
Phone:
State Lie:
Code Edit: 2019
Worker's Compensation Insurance
Designer:
Type of Construction: V-B
Carrier: STATE COMP INS FUND
Address:
Occupancy Group: R3/U
Policy No: 9290529
Added /New sq.ft. Bldg: 0
Expire: 01108/2023
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:
Right: /
-iooa cone:
A
Construction Valuation:
$4,500.00
Building Permit Fee:
$161.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $176.49
PROCESSED BY:
ZONING APPROVAL:
use cone:
Excise Tax:
$0.00
Additional Fee :
$0.00
Grading Bonds Fee:
$0.00
Grading PC Consultant :
$0.00
Grading Permit Fee:
$0.00
Grading PC Fee:
$0.00
WQ Insp. Fee:
$0.00
Electrical %:
$0.00
Mechanical W
$0.00
Plumbing %:
$14.49
u
rare nazara cone : n
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PIW Plan Check:
$0.00
San Dist :
$0.00
NMUSD Fee:
$0.00
Fire Department
$0.00
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
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $176.49
PUBLIC WORKS 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
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 (_) 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).
❑ I am exemp: f-um licensure under the Contractors' State License Law for the following reason:
By my signature be'cw 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 legall).
sell a s:mcture 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
orofesElons Ccde, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm 1maer penalty of perjury t at I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cade, and m ly icense i=in full force
and effect. Licedse Class Sv_a ✓1 �- License No Date ?S G 3 (CY 11?w Contractor Signature'fi r//I/�
NORKERS' GLIMPENSATION DECLARATION
NARNING. 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 ($10a,aoo), IN ADDITION TO THE
.Os r OF COMPENSATON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm urder penalty of perjury one of the following declarations:
❑ 1 have and w,ll 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
^erfgrmrnce of the work for which this permit is issued. Policy No.
have and will maintain 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'
ranee carrier and policy number are:
Policy Number
of Agent
Date
JI certify that, in the 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 agre
tat, if I should become subject
ytyo�the
_workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant, 'ram ram' Date
IECLARATION 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
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 county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
ianature of Pronertv Owner or Authorized Agent /K Print Property Owners or Authorized Agent's Name IK A wcoS /V Ae? Date /01 i
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
PERMIT EXPIRED
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
LJEPA
PERMIT EXTENDED
42MD
PERMITFINAL
��
���
BESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF
PROPOSED DEMOLITION.�
OCCUPANCYISSUED
SIGNATLIRF- )C //OLo_il-- /' L✓ s