HomeMy WebLinkAboutX2019-3650 - PermitsCity of Newport Beach - Building Division *X2019-3650* COMB Permit - X2019-3650
s: 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 2506-2019
Permit Counter Phone (949)644-3288
S Inspection Requests Phone (949)644-3255
- Issued Date : 0212012020
Combination Type - SFP ELEC MECH PLUM
Inspection Area : 6
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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: 12 SURFSPRAY BLUFF NB
Description: SFR INTERIOR REMODEL 1000 SF & ADDITION 161 SF. CONVERT GARAGE TO LIVABLE 25 SF
Legal Desc
Owner:
LAI GUOQIANG
Address:
12 SURFSPRAY BLUFF
NEWPORT BEACH, CA 92657
Phone:
Applicant:
LENG CODY
Address:
12 SURFSPRAY BLUFF
NEWPORT BEACH, CA 92657
Phone:
626-665-2210
Code Edit : 2016
Type of Construction: V-B
Occupancy Group: R31U
Added Mew sq.ft. Bldg: 161
Added /New sq. ft. Garage: -25
No of Stories: 2
No of Units: 1
Bldg Height: 0
Bldg Sprinklers:
Contractor:
PACIFIC WEST CONCRETE INC
Address:
3672 PROVINCETOWN AVE
IRVINE CA 92606
Phone:
7141396-0088
Con State Lic:
639232
Lic Expire:
05/3112021
Bus Lic:
BT30071085
Lic Exp Date:
12/3112020
Worker's Compensation Insurance -
Carder: EXEMPT
Policy No:
Expire:
Building Setbacks Rear: I
Front: /
Left: I
Right: I
Architect:
Address:
Phone: State Lic: f �✓
Engineer: SKUDLARSKI JASON
Address: 9751 OLYMPIC DR
HUNTINGTON BEACH CA 92646
Phone: 949-752-1612 State Lic:C-067712
Designer: HOWELL LIZ
Address: 20561 SUBURBIA LANE -
HUNTINGTON BEACH, CA 92646
Phone: 714-963-4600
Special Conditions: LANDSLIDE AREA/ .
CR&R TO HAUL DEBRIS
I-looa /one:
X
Use cone:
Parking Spaces:
0
Fire Hazara cone : N
Construction Valuation:
$170,000.00
Building Permit Fee:
$2,192.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $1,831.96
Additional Fee :
$0.00
Plan check Fee :
$160.00
Fire Inspection:
vQ.P0
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
o $0.00 - -
Investigation Fee:
$0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Demolition Fee
Record Management:
$38.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$24.00
Energy Compliance:
$119.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$197.00
CA Seismic Safety :
$22.10
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$564.00
Disabled Access:
$0.00
PAN Plan Check :
$41.25
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$153.44
San Dist:
$0.00
Building Green Fee :
$7.00
Mechanical %:
$87.68
NMUSD Fee:
$0.00
$0.00
-
Plumbing %:
$197.28
$0.00
TOTAL FEE : $5,634.71
Plan Check Fee:
$2,152.21
Fee Due at Permit Issuance :
$3,482.50
PROCESSED BY: PUBLIC WORKS APPROVAL: ^I
ZONING APPROVAL: ,r PLAN CHECK BY: �l !
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 L) 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).
[11, 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 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 legall)
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:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ofVision 3 of the Business and Professio a tense is in full force
and effect. License Class License No Da t "/iU� Contractor Signature f
WORKERS' COMPENSATION 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 ($100,000), IN ADDITION TO THE
COST OF COMPENSA,IUly, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm unuer penalty of perjury one of the following declarations:
111 hav3 and vJ11 mair.tain 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 thr
oerformance of the work forwhich this permit is issued. Policy No.
hoee 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'
ran:e carrier andpc.'icy number are:
Policy Number Expiration Date
cf Agent _ _ _ _ Phone#_
ertify 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
it[ should beromr subje o the7worry6ys pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �'7
rturs of Applicant L /f% Date_�U —l_) b
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).
Lenders Name Lender's Address
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners 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 a d state laws relating to building construction.
I authorize representatives of this city or county t ^er tth J�b v tified property for inspection purposes. �ppp n
Signature of Property Owner or Authorized Agent i%�'D!t</� F'�% Print Property Owners or Authorized Agent's Namer°
ACTION I DATE I BY 'DECLARATION OF CCMPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
PERMIT EXPIRED
PERMITEXTENDED
PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUED
REGULATIONS PART 61 OF TITLE 40 AND AQMD RU LE
1403
SUBMITTED ASBESTOS NOTIFICATION TO
SIGNATURE:
NOTIFICATION IS NOTABPLICABLE TO
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