HomeMy WebLinkAboutX2022-0640 - PermitsCity of Newport Beach - Building Division
'X2022-0640"
COMB Permit: X2022-0640
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100 Civic Center Drive, Newport Beach, CA 92660
Project No : 0580-2022
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Permit Counter Phone (949)644-328B
Inspection Requests Phone (949)644-3255
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Issued Date: 0410612022
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Combination Type - SFP ELEC MECH PLUM
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Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0410612025 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: 5 RUE BIARRITZ NB
Description: SFR (ATT) BATHROOM REMODEL 201 SF
Legal Desc.: N TR 7009 LOT 24
Owner: LI JIAHUI/LIU XIN
Address: 30781 VIA CONQUISTA
SAN JUAN CAPISTANO CA 92675
Phone:
Applicant:
HOWELL GREG
Address:
20561 SUBURBIA LN
HUNTINGTON BEACH CA 92646
Phone:
714-9634600
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: N
Contractor:
PACIFIC WEST CONCRETE INC
Address:
3672 PROVINCETOWN AVE
IRVINE CA 92606
Phone:
714-396-0088
Con State Lic:
639232
Lic Expire:
05/31/2023
Bus Lic:
BT30071085
Lic Exp Date:
12/31/2022
Worker's Compensation Insurance
Carrier: EXEMP
Policy No: NO EMPLOYEES
Expire:
Building Setbacks Rear:
15
Front:
10
Left:
5
Right:
5
Architect
Address:
Phone:
State Lic:
Engineer:
DAD, VINH HUU
Address:
13191 DEAN ST
TUSTIN CA 92780--
Phone:
State Lic:C-078147 _
Designer:
HOWELL LIZ - ..
Address:
20561 SUBURBIA LN
HUNTINGTON BEACH CA 92646
Phone:
714-963-4600
Special Conditions:
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Construction Valuation:
$35,000.00
Building Permit Fee:
$619.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $538.53
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:
$0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Demolition Fee
Record Management :
$6.00
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
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access:
$0.00
P/W Plan Check :
$0.00
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$43.33
San Dist :
$0.00
Building Green Fee :
$2.00
Mechanical %:
$24.76
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$55.71
$0.00
TOTAL FEE: $1,341.33 Plan Check Fee : $590.53 Fee Due at Permit Issuance : $750.80
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ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: 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 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 (_) 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 legally
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
7. Gfessions Gode, 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 CCNTRACTOR'S DECLARATION
hereby affirm t.r.da, penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profeions Code, nd my license is in full force
and effect. LIc^rrs Class License No Date - -z'z Contractor Signature �P i
NORKERS' CCr.IPENSATION DECLARATION
NARNINI: FAILUCE 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
CO1- OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
h-m')� affirm under oonalty of perjury one of the following declarations:
1 have and v.T! 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 IN
]U.Gnnance of the wnr4 for which this permit is issued. Policy No.
have and wii; ,nainiain 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'
rance carrier and policy number are:
Policy Number
of Agent
Date
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
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Iature of Applicant /\„ DateZ�--
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
Ireby 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).
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 to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or countyto enter the abovlidentified property for inspection purposes.
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ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE
1403
PERMITEXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
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PERMIT EXTENDED
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PERMITFINAL
93 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
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OCCUPANCVISSUED
SIGNATURE: 7_ ,