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HomeMy WebLinkAboutX2022-1108 - Permits„ # City of Newport Beach - Building Diviak,.: 11IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 11 COMB Permit: X2022-1108 i 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 1 1 0 6 Project No : 1019-2022 v Permit Counter Phone (949)644-3288 si � Inspection Requests Phone (949)644-3255 Issued Date Combination Type - BLDG Inspection Area : 4 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: 5 RUE BIARRITZ NB r Description: SFR CITY STD BLOCK WALL 41430 LF (INSIDE P/L, MARKERS ON SITE) Legal Desc.: N TR 7809 LOT 24 Owner: LI JIAHUI/LIU XIN Address: 30781 VIA CONQUISTA SAN JUAN CAPISTANO CA 92675 Phone Applicant: SIGNORILE ALEX Address: 13491 CATALONIA CT CHINO HILLS CA 91709 Phone: 909-203.8378 Code Edit : Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: 11 Construction Valuation: Contractor: HARDSCAPE PAVING Address: 151 N ORANGETHORPE AVENUE PLACENTIA CA Phone: 714.993-4272 Con State Lic: 629808 Lic Expire: 09/3012023 Bus Lic: BT30078507 Lic Exp Date: 04/30/2023 2019 Workers Compensation Insurance VB Carrier: STATE COMP. INS U Policy No: 9276639 0 Expire: 0512312022 0 Building Setbacks Rear: 15' Front: 10' Left: 5' Right: 5' Building Permit Fee: $127.00 Plan Check Fee: $110.49 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $291.24 PROCESSED BY: ZONING APPROVAL: Architect: Cr. Address: 4 Phone: State Lic: 0 Engineer: Address: LU Phone: State Lic: Designer: HOWELL LIZ Address: 13491 CATALONIA CT VJ CHINO HILLS CA 91709 Phone: 714-963-9600 Special Conditions Zone: N Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 P/W Plan Check : $50.75 Grading Bond: $0.00 Electrical %: $0.00 San Dist : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing%: $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $291.24 PUPL IC WORKS APPROVAL: PI„AN CHECK BY: GRADING APPROVAL: u 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 ie 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 -rofessions Code) or that he or she is exempt from Iicensure 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 of more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved for the purpose of sale). 1 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 pply 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). 7 1 am exempt from Iicensure under the Contractors' State License Law for the following reason: ly 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 Iegalll ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. {ignature of Property Owner or Authorized Agent Date ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 o D vision 3 of the Business and Profe Sion Code,rr��nd my license is in full force nd effect. License Class License No Date Zt- Contractor Signature '�Y'7.�l1 VORKERS' COMPENSATION DECLARATION IARNING: 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 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 th, erfopance 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' mnce carrier aril'NlicY numb re: ie of Agent certify that, in the pl . if I should become Date laNce of the Vork 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 act to the wo ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. (L Signature of Applica DECLARATION REG STRUCTION LENDING AGENCY hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 7, Civil Code). Lender's 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 owner's behalf. I have read this application and the information I have provided is correct. �n SIFIVW¢It.E' 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 cou ty e r the a tified property for inspection purposes. //2 Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na Da l ACTION DATE BY DE N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED LIEPA - - PERMIT EXTENDED LJAQMD ERMITFINAL y 3� 43 ASBESTOS NOTIFICATION IS NOT APPLICABLE i0 C� CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: