HomeMy WebLinkAboutX2018-2365 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Gs Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
COMB Permit: X2018-2365
IIIIIIIIIIIII0I�III�IIIIIIIIIIIIIIIIIIII6IIIIII� II
Project No: 1876-2018
Issued Date: 08107/2018
Inspection Area : 6
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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: 3 SILVER PINE NB
Description: SFR REMODEL BATHROOMS (170 SF), LIGHTING, WATER FEATURE WALL, SOME FINISH WORK THROUGHOUT A r, 71
Legal Desc.:
Owner: XIAOLONG XU
Address: 3 SILVER PINE
NEWPORT COAST CA 92657
Phone:
Applicant: T G M CONSTRUCTION
Address: 2958 CALLE GRANDE VISTA
SAN CLEMENTE, CA 92672
Phone:
Code Edit:
Type of Construction:
Occupancy Group:
Added /New, sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Contractor: T G M CONSTRUCTION
Address: 2958 CALLE GRANDE VISTA
SAN CLEMENTE, CA 92672
Phone: 949-533-0764
Con State Lie:
860191
Lie Expire:
0 613 012 01 9
Bus Lie:.
BT30064105
Lie Exp Date:
0 8/3112 01 9
2016 Worker's Compensation Insurance
VB Carrier:
MIDWEST EMPLOYERS
R3/U Policy No:
BNUWC0143216
0 Expire:
0211512019
0
CA Seismic Safety:
Building Setbacks
Rear: I
$0.00
Front: I
$0.00
Left: /
$4.00
Right: /
Building Permit Fee: $1,066.00
Plan Check Fee: $927.42
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$22.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$4.00
TOTAL FEE: $2,270.12
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Excise Tax:
$0.00
Planning Department -
""
Additional Fee :
K
Architect: WARREN MARK
0 �
•
Address: 34 N VISTA DE CATALINA
Fair Share:
0
LAGUNA BEACH CA 92651
$0.00
SJH Trans :
Phone: 9491499-8551 State Lic:C015870
Grading Permit Fee:
$0.00
Engineer:
Grading PC Fee:
Address:
Public Works Department -
WQ Insp. Fee:
Phone: State Lie:
Park Dedication :
$0.00
Designer:
PAN Plan Check:
Address:
Electrical %:
$74.62
Phone:
$0.00
Mechanical %:
Special Conditions:
NMUSD Fee:
$0.00
Plumbing %:
$95.94
o°oo
$0.00
0
co°o c
Fire Hazard Zone, N
$0.00
° o
Excise Tax:
$0.00
Planning Department -
""
Additional Fee :
$0.00
Plan check Fee
0 �
Grading Bonds Fee:
$0.00
Fair Share:
0
Grading PC Consultant:
$0.00
SJH Trans :
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
o 000,;
PAN Plan Check:
$0.00
Electrical %:
$74.62
San Dist:
$0.00
Mechanical %:
$42.64
NMUSD Fee:
$0.00
Plumbing %:
$95.94
$0.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance : $2,270.12
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
0000
""
0 0
coea
0 �
Fire Department
0
$37.50
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.01f
$0.00
Demolition Fee
$0.00
Building Dept Adm
o 000,;
General Service
0$0.00
Refund Deposit
01) 08
... ° <
0
Grading Bond:
°
.$9.UU°
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $2,270.12
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 bythe 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 (_) all of or (_) 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).
IJ 1, 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 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
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 the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wigi.Section 7000) of Division 3 o slnesa and rofessio0s Co i yljcense is in full force
and effect. License Class License No ate —' Contra ign u
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO TH
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
Ell,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 t
ice of the work for which this permit is issued. Policy No.
.,.,
and Mil•reaintain 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'
career and policy number are:
. • • • • • Policy Number Expiration Date
of
.ertify that,irhthe 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 sho We subject to the wor ens�tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
--
m g
affirm under penalty of perjury that there is a
Name _
for the performance of the work for which this permit is issued (Sectioh.am, Civil Code).
Lender's Address -_
y'Iny tignaturabeltiV. I certify to each of the following:
„4am the progerLv owner or authorized to act on the property owner's behalf.
• „I. ve read•this japplication and the information I have provided is correct.
I agree to comply with all appii le and county ordin and state laws relating to building construction.
I authorize representativ thi ity or county t ant the a -Identified operty for inspection purposes. -
Signature of Propert Owne o thorized A en rint PropertOwner's or Authorized A ent' arae Ly 4Date
ACTION DATE BY DECLARATION O DE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED Ul SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED LIEPA
PERMIT EXTENDED '7 QMD -
CERTIFICATE OF ` gQ� PROPERITFINAL OSED DS MQ I� AN IS NO AP LICABLE -T
OCCUPANCVISSUED aWrIVREY I