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Home My WebLink AboutX2021-1585 - PermitsCity of Newport Beach - Building Division "X2021-1585* COMB Permit: X2021-1585 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 2357-2018 Permit Counter Phone (949)644-3288 1�y Inspection Requests Phone (949)644-3255 ' I wi`� V Sr BA^ �® K Combination Type - BLDG `J � \ Issued Date : 06/18/2021 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 0611812024 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: 4313 CHANNEL PL NB Description: SFR BLOCK WALL 6' X 45 LF INSIDE P/L (REV21-0966) Legal Desc.: CANAL SECTION LOT 7 ELK 143(AND NELY 4.42 FT LOT fiBLK 143 Owner: VAN DUONG Address: 13880 HARBOR BLVD #613 GARDEN GROVE, CA 92843 Phone: Applicant: DOING TRUONG Address: 10692 SILVER CIR GARDEN GROVE, CA 928 3 Phone: 714-204-2874 Code Edit: 2019 Type of Construction: VB Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Valuation: 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 : $1.00 PROCESSED BY: Contractor: O W N E RI B LD R Address: DONG TRUONG Architect: Address: Phone: State Lic: , .=�C n t _�O/e Addd"rreessQ� 'IC$�1le:q Date: '-.. s' PpeaAc�0�0 �r ❑ i Q�% C51�t2'Li f p Wor�ers Compensation Insurance { Designer: 1141 Gamier c 6 " AQQ�e$6t�" om: ,_,. Policy No - Expire: Phone: r Building Setbacks Rear 5 y -flD Special Conditions: LIQUEFACTION AREA g �! Front 8 HIGH DENSITY Left 3 T Right 3 Use Zane. Parkino Spaces: 0 Fire Hazard Zone : N cis€ p Ewa I� diti ��ggee�muu $b ng Bonds Fee: Grading � $kI r $Q.00 edo0.00 Grading ermit Fee: $6 00 Grading PC Fee: $0.00 NCtT.Q Insp. Fee : $0.00 TOTAL FEE: $240.49 ZONING APPROVAL: GRADING APPROVAL: Electrical %: $0.00 Plan Check Fee e Plannin Dep rtm nt°, Plan Bra : a ��,F'( i:e �. u P 'In Pr1T19p n: Fair Share : $ Work$g rt-^..ra� Fire Plan Rev SJH Trans: �r1O Demolition Fee In -lieu Housing Fee : $0.00 Building Dept Adm Public Works Department - General Service PAN Plan Check: $0.00 ry Gra San Dist: $0.00 insp. int Ia,ls: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $240.49 PUBLIC WORKS APPROVAL: PLAN CHECK BY: ..% 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 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). 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 -reside - - r- - at have residedla• ^"---' ^^^a/e:•�.f Y'^' ^^ nP'� ents covered by this permit, I cannot legalh sell a structure llat I have built as an owner -builder if h not b n co ad in its a irety by licensed contrac understand that a copy of the applicable w, Section 7044 of the Business and Professions Cole, Is available upon -request, whe th' ap�l a' J i d at th following Web ' p:// .legmfo da. ov/calaw.html. Sinnatiire of Prooe t,, Owner'or Authorized -Agent 2,'Date I LICENSED (,ONTRACTOR'S DECLARATI I hereby affirm under penalty of perjury that am licensed un a visions of Cklapter 9-(commencing i SectioV0 Iv o (eying ,�rj�?,r fe dons Code, and my license is in full force and E`fect. License Class License No �'` - Date-' "" "'t In@bMr�aQtdr�i9*13LVt dJORKERS' ZZAIPtiNSATION D RATION NAR.1t�JG: FAILURE TO SECURE WORKERS'(, PE TION COVERAGE is UNLAWFUL, AND SHALL SUBJECT AN EMPLgY6 IMII�� P�INO CIVIL FINES UP TO ONE HUNDRED OUSANO DOLLARS (5100,000), IN ADDITION TO THE COST OF COMPENSATION DAMAGES AS PRIDEDFO IN SECTION 3706 OF THE LABOR CODE INTEREST, AND ATT61ift hereby affirm under penalty i of perjury one of the following declarations .we and well maintain; a certificate of consert;to self insure for workers compensation Issueff`bj"ge Director of Industrial Relations as provided for y Section 3700 of the Labor Code, for th Derformance of the •vo-k for which this permit is issued. Policy No. I m�e and will maintain workers .cprppensation insurance, as required by Section 3700 of the Labor C6$e, for the performance of the work for which this ermit is issued. My workers' compensatiol r3-urarlce carrior ccd policy number"at� - - 2:arrier - Policy Number Expiration Date me of Agent 7 Phone # i certify that, in the perforr_Ianc h arm rmi II not emplo any rso i rzy r ado co I{eCtpie worke compensation laws of California, and d, if I should becom s ct tot ke ro Io 3700 of the abor od , I _;Irp th t os' eprtJVsaol6. /f mature of AoDllcant ,. --�' Catl ��-✓//I' !( !// I hereby affirm on penalty] of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097!( it Cole). Lender's Name dd r " Lender's Address By my signature below, I; ce-i of the following I am the property owne for authorized to act on the property owner's behalf. I have read this appli alorl god the information I have provided is cGrzei_ __ Insp. EI'3 i�La ,PAC^ `� �• I agree to comply with I a Iicable cityand county ordinan and stat laws relating to building construction._ - I authorize representatives of this city or cou o en er a or inspection purposes "' "'W — Signature of Property Owner or Authorized Age Print Property Owners or Authorized Agent's Name ACTION DATE BY ION OF COMPLIANCE WIT ERAL FOR OFFICE U5E ONLY CATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCEb ED EPA PERMIT EXTENDED AQMD PERMIT FINAL ""'To' NOTI ICATI IS NO APPLICABLE TO CERTIFICATE OF 0 DDETI OCCUPANCY ISSUED SIGNATUR