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Home My WebLink AboutX2021-2647 - Permits„kN rk City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 s Inspection Requests Phone (949)644-3255 Combination Type - MFP ELEC GRAD MECH PLUM NO CONSTRUCTION COMB Permit: X2021-264 Project No : 0957-2019 Issued Date : 09/2912021 )3pxon Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BX994W20240R 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 Description: MFR/CHANGE OF CONTRACTOR* NEW DUPLEX & GARAGE 2316/770 SF ON THE WEEKEND / �y Legal Desc.: RIVER SECTION LOT 10 BLK 46 NELY TRIANG 27 FT -INC30 FT STRIP IN SEC 6d Owner: STANFORD RONALD D TR Address: 156 PEPPERTREE CT WALNUT, CA 91789 Phone: 949-576-4116 Applicant: SHUM SIMON Address: 156 PEPPERTREE CT WALNUT CA 91789 Phone: Code Edit : 2016 Type of Construction: V-B-SPR Occupancy Group: R3 / U Added /New sq.ft. Bldg: 2316 Added /New sq ft. Garage: 778 No of Stories: 3 No of Units : 2 Bldg Height: 29 Bldg Sprinklers: Y Flood Zone: 0.2 Construction Valuation: Building Permit Fee: $0.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $0.00 TOTAL FEE: $38.00 PROCESSED BY: ZONING APPROVAL: Contractor: OW N ER/BLDR Address: STANFORD RON 156 PEPPERTREE CT Phone 949-576-4116 Con State Lic: Ora Lic Expire: Bus Lic: Lic Exp Date: Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Rear: 5 Front: 10 - Left: 3 Right: 3 Use Zone: R-2 Parkinq Spa Excise Tax: $0.00 Additional Fee: $38.00 Grading Bonds Fee: $0.00 Grading PC Consultant: $633.86 Grading Permit Fee: $0.00 Grading PC Fee: $139.14 WQ Insp. Fee: $0.00 Electrical %: $0.00 Mechanical W $0.00 Plumbing %: $0.00 Architect: SHUM SIMON TAK-WONG Address: 385 S LEMON ST UNIT E383 WALNUT CA 91789 Phone: State Lic:CO22647 Engineer: LI DAVID Address: 2446 N SAN GABRIEL BL #101 ROSEMEAD CA 91770 Phone: 626-288-1216 State Lic:C-058075 Designer: Address: Phone: Special Conditions: high density form attach Fire Hazard Zone : N 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 $0.00 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 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $38.00 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 licensors 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-Builderwill 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 licensors 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 t>e Business and Professions Code, is. available upon request when this a Iication Is ed or at the following Web site:http://www.leginfo.ca.gov/calaw.htm1. oYf/ _Ql 2r.•,—/ Signature of Property Owner or Authorized Agent x Date 7� LICENSED CONTRACTOR'S DECLARATIO I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' CCfd?ENSATION DECLARATION WARNING: FAILURE -C EE-URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF 1OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. rI' hereby affirm under penalty of perjury one of the following declarations: 4J ' 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 performance of the work forwhich this permit is issued. Policy No. havE and will maimain 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' ranee carrier Drcl pclicy number are: Policy Number of Agent Date 'certify that, n'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. na?ore of Applioal,t_ Date CLARATION REGARDING CONSTRUCTION LENDING AGENCY areby 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. n /� /(' / g/Z, g/2,) 1 agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or CountY�tnt he above- a ti r or inspection purposes. mature of Prooertv Owner or Authorized ADent l� . Print Prooertv Owner's or Authorized Aaent's Name Y Date ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED DATE BY DECLARATION OF REGULATIONS PA T M OF TITLE 40 AN OAQMD RULERAL FOR OFFICE USE ONLY in I SUBMITTED ASBESTOS NOTIFICATION TO PROPOSED D SIGNATURE: TION IS NOT APPLICABLE TO