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Home My WebLink AboutX2017-2765 - Permits�w.a•ot ' City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ti '+ ^ermit Counter Phone (949)644-3288 nspection Requests Phone (949)644-3255 ram r wa' Combination Type- MFP GRAD ELEC MECH PLUM III II ID ILI 10 III�I I I I I IA I7� I 6I�I III I I FIRE SPRINKLERS COMB Permit: X2017-2765 Project No: 1241-2016 Issued Date : 08131/2017 Inspection Area : 1 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_W_qr rradndays or, Job Address: 407 38TH ST NB �Ji Description: MFR - ADD 933 SF, REMODEL 116 SG & ADD 294 SF TO GAR, DECKS 400 SF Legal Desc.: CANAL SECTION BLK 438 LOT 15 _ ,,z�YY��rr11 a��• Owner: LI HONG GUO FAMILY TR Contractor: O Arireart'1iG p 1 Q�% Ce{��tCi Address: 1817 VISTALOMITAS DR Addre I HONG Address: FULLERTON CA 92831 t�''� g`J% or Phone: 909-319-6888 Phone: 1-77/ � Pdne': ate Applicant: PATROSKE WALT C ic: O/B rsLEn' gi eerWhll TA GIL Address: 2132 S GROVE AVE #F ®�� ° Lic Expire: cfl„drff 20505 E VALLEY BLVD #110 ONTARIO CA 91761 Bus WALNUT CA 97789 Phone: 951-756-1109 _� Li^p p te: Phone: 909-598-5045 State Lic:S-0 Code Edit : 2013 Type of Construction: V -B -SPR Occupancy Group: R -3/U Added /New sq.ft. Bldg: 933 Added /New sq. ft. Garage: 294 No of Stories: 2 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: Y Construction Building Permit Fee: $2,133.00 Plan Check Fee: $1,609.29 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $64.00 Energy Compliance: $175.00 CA Seismic Safety: $32.50 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $10.00 TOTAL FEE : $9,526.62 PROCESSED BY: ZONING APPROVAL: n's m s n on Mawnce nPATROSKE WALT Carn VA)dsesr: : 2132SGROVE AVE #F Policy No:'ONTARIO CA 91761 Expire: : 951-756-1109 4 g Se .3 Special Conditions: IF � ,�; g. � on "II i Left: /_ Right: / one: Parkins Snares O.. ireHa]ard 7.naet�M C3L`�' h. 3sr-4,.0 h< $81 00 Bt R`s Fee i y„0.00 PC Consulta�Rt : $459.61 Permit Fee: $820.00 PC Fee: $100.90 w. _x$0.00 Electrical %: $149.31 Mechanical "/or- $85.32 Plumbing %: - $191.97 Planning Department -.F4re-Dbpartm-e� �� , I Plan check Fee : $j)'00- Fir�,gTg}aeC((dn-° •-r �� Fair Share : $0.00 i, •- .Fire Plan Rev ,�..--- Demolition SJH Trans---- $0.00 ' Fee in -lieu Housing Fee: _'--$6A0 _ Building Dept Adm Public Works_Departtnent - General Service „Bark -Dedication :. `$0.00 Refund Deposit PM/ Plan Check: $228.00 Grading Bond: San Dist: $735.00 NMUSD Fee: $1,716.72 Plan Check Fee : $0.00 Fee Due at Permit Issuance o,0UBL°I0 WORKS APPROVAL: r cc�o c u ees PLAN CHECK BY: GRADING APPROVAL: � _ Y/I AOROVAL TO ISSUE: n` ooc cc oo c c c.,o o�� $0.00 $0.00 $24.00 $197.00 $564.00 $0.00 $0.00 $0.00 $9,526.62 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) Section 7031.5, Business and Professions Code: Any city or county that requires a permit 1;9 cgpstruct„salter, improve, demolish, or repair any structure, prior to its issuance, also requirme the applicant for he permit to file a signed statement that he or she is licensed ursuantlo 1hb�rp`lls�ons oft e C I' ' ' ' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Irofessions Code) or that he or she is exempt from licensure andA4 bis9s'Tof thg'alle$ ed' e p on. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of lot more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their 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 vements 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 ,Tprove3tilifor the purpose of sale). - 61 I, a wrier 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 Io 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 licensure under the Contractors' State License Law for the following reason: 3y 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) yEli 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 Irofessions Code, is available upon request when Is applica�0 Is subml r at the following Web site:http://www.leginfo.ca.gov/calaw.html. >ignature of Property Owner or Authorized Agen;„� �1 Date Vie/ �Z .ICENSED CONTRACTOR'S DECLARATION _ /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 Ind effect. License Class License No Date Contractor Signature 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 :OST 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: 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 erformance 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' rance carrier and policy number are: Policy Number of Agent Date certify 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 j' if I should become subject, �o he work erp-cvmpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant_,1 Date CLARATION REGA DING 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). lder'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. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. y I authorize representatives of this city or county anteryt�de above-jdenfified property for inspection purposes. > nature of Prooertv Owner or Authorized Aoent Qp. l/!��/i. _ Print Property Owner's or Authorized Agent's Name bn L _ Date se: I ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE PERMIT EXPIRED 0 I SU BMITTED ASBESTOS NOTIFICATION T® • + + PERMITCANCELLED/ EPA • • • a a ••• a w PERMIT EXTENDED QMD PERMIT -FINAL ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF PR OSEDDEM UI -r ° OCCUPANCYISSUED SIGNATURE. e. • a • • • a e •• ••• • • •• •• •••