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Home My WebLink AboutX2022-0622 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 u Inspection Requests Phone (949)644-3255 Combination Type - SFP MECH ELEC PLUM "X2022-0622` COMB Permit: X2022-0622 Project No : 1859-2021 ' T ' rN Issued Date Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: DELTA 2 REVISION ADD'L SCOPE FOR (N) FIREPLACE & TANKLESS WATERHEATER. REVISE BATHROOM. (X2021-2142) 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 Lic: Applicant: HOSSTUDIOS - ARASH Con State Lic: 1022234 Engineer: Address: 30902 CLUBHOUSE DR 20G Lic Expire: 01/31/2023 Address: LAGUNA NIGUEL, CA 92677 Bus Lic: BT30071153 Phone: 949-313-9191 Lic Exp Date: 03104/2023 Phone: State Lic: Code Edit: 2019 Type of Construction: V-B Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Valuation: $8,500.00 Building Permit Fee: $229.00 Plan Check Fee: $199.23 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 Worker's Compensation Insurance Carrier: STATE COMP INS FUND Policy No: 9290529 Expire: 01/08/2023 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: / Left: I Right: / rking Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $16.03 $9.16 $20.61 IITOTAL FEE: $539.03 Plan Check Fee PROCESSED BY: ZONING APPROVAL: pL 0 Designer: HOSSTUDIOS Address: 30902 CLUBHOUSE DR #20G LAGUNA NIGUEL, CA 92677 Phone: 949-742-9141 Special Conditions Planning Department - Plan check Fee Fair Share SJH Trans: In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $251.23 Fee Due at Permit Issuance : $287.80 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 L) 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). ❑ 1, 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 Iruln licensure under the Contractors' State License Law for the following reason: 9y my signature :JLIJXI 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 Iegall ,eli o A ucture :hat 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:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereov affirm ander penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of ivision 3 of the Business and Professions ode, and�� ns� a is in full force and a.fect. License Class License No Date /�' LD L2 Contractor Signature )C s� COCIPENSATION DECLARATION IIWARNAG: 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 ,Ir'CST 0° COMPENSArION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. iI hereby affirm Lnde. penalty of perjury one of the following declarations: ❑ i 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 thl dcrr'c-mance of -the Wurk for which this permit is issued. Policy No. EII 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' compensation insurance carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the work forwhich 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 , if I should become subject su'bject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / iature of Applicant//`4'Lt>.,� Date 3 /O4/( ZDZ % ., A, Ar, 1 M=/ A-l.11 r ^Kl I I �1r1.r r CY 1111 111I' :reby 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 Ider's 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 t0 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. of PrODertv Owner or Authorized ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED I DATE I BY r� DECLARATION OF COMPLIANCE WITH CODE OF FEDEI REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO PROPOSED NOTIFICATION IS NOT APPLICABLE TO FOR OFFICE USE ONLY Civil Code). 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