HomeMy WebLinkAboutX2018-1550 - PermitsCity of Newport Beach - Building Division
o 4 100 Civic Center Drive, Newport Beach, CA 92660
'g Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
''r`a rrrx�x� Combination Type - BLDG ELEC
"X2018-1550*
PERMITS EXPIRE 980 DAYS AFTER ISSUANCE OR LAST VALID INSF
""'Construction Hours: MondayFriday 7:00 a.m. to 6:30� r om 8:00 a.m, to 6:6
Job Address 33,3,,33,Y�tl COAST HWY N13 y P.R.pr'r"
Description Cpjyj)yl'C -- 07
0
Legal Desc IRVINE�SUB LOT BLK 2 POR OF BLK c50% or [] 1 oo /o refii `'<
a
Owner H4's�•.'ARCAN
Contr' METRO RF SERVICES INC Architect:
Address M7 5 NE1NH0 e Sr@GXh -"'VE .------Address:
F, ll A71 ARIO CA 91761
Phone:.. " . - �I Phone: 909-230-4920 Phone:
Applicant ,SHIN$TE,LA 6
Address 1745 W D N D T 03 JE
04/ 2019
Phone i$ 2�-527-8'A 9 %B 061751
112019
Code Edit: 2016 Worker's Compensation Insurance
Type of Construction: Carrier: OLD REPUBLIC GENERAL INS.
Occupancy Group U Policy A 1
Added /New sem: �Itlg F'?°' '3 Expire: 0 5 -f9-
Added /New sg ft. Garage � A�� a
No of Stories 0 Building Setbacks Re�,/� y ,y, -t.:
No of Units : 01workstarted) Frox. `Y
Bldg Height: 0 Left: I
Bldg Sprinklers: Right: I
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
COMB Permit: X2018-1550
Project No: 1192-2018
Issued Date : 07/03/2018
Inspection Area : 7
No work on Sundays or Holidays
State Lic:
LEE CHRIS SHIUH-GUANG
27758 SANTA MARGARITA PKWY 238
MISSION VIEJO CA 92691
949.468-9702 State Lic:C-061054
Special Conditions:
00 0
0 0 0
om o
co oeo'o
0 0
omoo
Flood Zones. i ,,:,.,�,.
Use Z
--�-0' Fire Hazard Zone : N
V
Construction-`luahon:...
25000.00
Building Permi,(,,e:._
$0.00
..Manning Department -
Fire Department
Plan Check -Fee: -$384.5
-
s=mc.a.•v:::
Plan check Fee: $37.50
Fire Inspection:
$0.00
Overtime PWdZ; � '
$0.00
Grading Bonds Fee:
$0.00
Fair Share : $0.00
Fire Plan Rev
$179.00
Investigation Fee:
$0.00
Grading PC Consultant:
$0.00
SJH Trans: $0.00
Demolition Fee
Record Management:
$28.00
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
PAN Plan Check: $0.00
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$57.86
San Dist: $0.00
Building Green Fee :
$1.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE: $1,129.90
Plan Check Fee : $448.96 Fee Due at Permit Issuance :
$680.94
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING 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
is 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 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
of 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 (_) 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 pursuantto the Contractors' State License Law).
1 am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature beiow 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 legal
ell a structuR,tFjyJ 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 bi javailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
.Vh94lre of Iroperty Owner or Authorized Agent Date
JCFNSED CbNTRACTOR'S DECLARATION
hereby affirm ulider penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 I sl n f the Business and Profes CAO and my Iicen
'its in full force
nrieffect. LiceR&Qlass License No DateContractor
9 � f Contractor Signature r�
VD914ERS' COMPENSATION DECLARATION
rARNING: FAILUR1�EE Tp SMErGURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUNDR D THOUSAND DOLLARS ($10D,000(, IN ADDITION TO THI
OSTCF�COMPEI�8ipTION, DAMAGES AS PROVIDED FOR IN SECTION 9105 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
frerCBy affirm under penalty of perjury one of the following declarations:
5....
.I have and.vyilj Mntain 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 tl
erformance of the work for which this permit is issued. Policy No.
4:F1ay..
@ and uyiR 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' compensatir
isurance carrier -and Qolicy number are:
'ier
Policy Number Expiration Date
is of Agent
Phone #
certify that, in the perfor
n e of the won or 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
if I should become subj
t t e w rke pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant
Date
:LARATION REGAR
STTI N LENDING AGENCY
hereby affirm under pe Ity of rjury that there is a construction lending agency for the performance of the work for which this permit Is Issued (Section 3097, Civil Code).
Ender's Name Lender's Address
ly 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 pr vided is correct.
I agree to comply with all applicable city and count o a-
ces and state laws relating to building construction.
I authorize representatives of this city or county t ent he o e -identified property for inspection purposes.
;i nature of Property Owner or Authorized Agent Print Prooertv Owner's or Authorized Agent's Namj���/ate
NCTION DATE BY DECORATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND ACIMD RULE
PERMITEXPIRED %A \9
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
EIEPA
PERMIT EMENDED
UAQMD
PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUED
BESTOS TIFICATIONISNOT APPLICABLE TO
PROPO EDD L j10 N A
SIGNATURE• i(