HomeMy WebLinkAboutX2018-3283 - Permits1 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2018-3283
a4 100 Civic Center Drive, Newport Beach, CA 92660 X 2. 0 1 8 3 2 8 3 Project No : 2558-2018
F '? Permit Counter Phone (943)644-3288
Inspection Requests Phone (949)644-3255
`rwarrtilr `> '' Combination Type - MFP MECH ELEC PLUM Issued Date : 2018
Inspection Arearea : 2
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: 300 ONYX AVE NIB
Description: MFR REMODEL 1,187 SF (KITCHEN, BATHROOMS, WASHER/DYER AREA) W/LIGHTING THROUGHOUTI
Legal Desc.: BALBOA ISLAND SEC 4 BLK 13 LOT 1 N
Owner:. PODOJILIFERRARI Contractor: C H N CONSTRUCTION INC Architect:
Address: 512 E BONITA AVE Address: 4033 FARQUHAR AVE Address:
SAN DIMAS CA 91773 LOS ALAMITOS CA 90720
Phone: Phone: 714-317.4667 Phone: State. Lie:
Applicant: CHONGICHN COMSTRUCTION
Con State Lie: 873120
Engineer: THOMAS ALEX
Address: 12602 ANDES STANLEY
Lie Expire:
02/28/2010
Address: 14511 EMERYWOOD RD
GARDEN GROVE CA 92841
Bus Lie:
BT30064461
TUSTIN CA 92780
Phone: 714-317-4667
Lie Exp Date:
.09/30/2019
Phone:
State Lic:C-0841932
Code Edit: 2016
Workers Compensation Insurance
Designer:
° .....
Type of Construction: VB
Carrier:
EXEMPT
Address:
0 0
Occupancy Group: R3/U
Policy No:
Added /New sq.ft. Bldg: 0
Expire:
Phone:
Added /New sq. ft. Garage: 0
°
o • o
mo 0
No of Stories: 2
Building Setbacks
Rear: I
Special Conditions:
° o •
No of Units : 2
Front: I
• • •
o . o
Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: /
.....
, .....
Flood Zone: AE
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
o ° • ° o
Construction Valuation: $94,960.00
° •
o ° ° a °
°000mo
0 0
Building Permit Fee: - $1,078.00
Excise Tax:
$0.00
Planning Department -
Fire Department
......
Plan Check Fee: $937.86
Additional Fee :
$0.00
Plan check Fee : $40.00
Fire Inspection:
• •$000•
• • • • • °
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share : $0.00
fire Plan Rev
•$0.00
Investigation Fee: $0.00
Grading PC Consultant:
$0.00
SJH Trans : $0.00
Demolition Fee
Record Management: $14.00
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: $41.25
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$75.46
San Dist: $0.00
Building Green Fee : $4.00
Mechanical %:
$43.12
NMUSD Fee: $0.00
$0.00
Plumbing %:
$97.02
$0.00
TOTAL FEE : $2,330.
Plan Check Fee:
$538.87 Fee Due at Permit Issuance :
$1,791.84
PROCESSED BY:
PUBLIC WORKS APPROVAL:
' es-�
ZONING APPROVAL:
PLAN CHECK BY:
AYE
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 It its issuance, also requires the applicant for
ie 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 76bO) of Division 3 of the Business and
Irofessions 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 L) all of or U 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
nproverrents 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
Jn roved for the purpose of sale).
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
pply 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 licensure under the Contractors' State License Law for the following reason:
ly 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)
ell 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
'rofessions 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
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Cha ter 9 (commencing with a 'on 7000) of DivisioQ 3 of the Busin s and Professions Code, an my license is in full force
nd effect. License Class War License No 8 Q Chapter �'� D e 9.1 � I G Co r Ignature
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO$$��CURE 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 COMPENS�SfIA DAMAGES AS PROVIDED FOR IN SECTION 5705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
4EVP.4y.affirm ugder penalty of perjury one of the following declarations:
I have and will maMtain 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
Alormance of the.work for which this permit is issued. Policy No.
Reye and v(jlf rVIllain 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' compensatio
isurance carrierend policy number are:
Policy Number
Date
Ice 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
to the workers' compensati provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
1Ii(2t/ fry
)reby 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.
I 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 to enter the above -identified property for inspection purposes.
nature of Prooertv Ownm-on4nthodze _&aant— –z /1/1 Print Prooertv Owner's or Authoried Aoent's ame�Dfs4 /UL
ACTION DATE BT REGULATIONS OF COMPLIT 61 OF TNTLE 40 AND CE WITH DE OF FEDERRULE AL I FOR OFFICE USE
PERMIT EXPIRED i1 11_16BMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED EpA
PERMITFINAL SBSION IS NOT APPLICABLE TO
SCERF/G4TE OF ELITION
OCCUPANCYISSUED 4hJ�I Sal