HomeMy WebLinkAboutX2018-2652 - Permits1 City of Newport Beach - Building Division
a' 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC PLUM
COMB Permit: X2018-2652
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Project No: 1151-2018
Issued Date : 09114/2018
Inspection Area : 8
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: 900 SPRING TIDE DR NB -
Description: SFR `ADDITIONAL SCOPE" BALCONY EXPANSION 73 SF, REPLACE DOOR AND REPLACE BATHROOM FIXTURES 23 SF (DELTA 213) A 1
Legal Desc.: N TR 15243 LOT 29
Owner: LIM SHAWN Contractor: A -RISING BUILDERS INC Architect: GUINA RICHARDO
Address: 900 SPRING TIDE DR Address: 1711 WHITTIER AVE Address: 2915 REDHILL AVE #G-102 ......
NEWPORT BEACH CA 92660
COSTA MESA CA 92627
COSTA MESA CA 92626
••••
Phone: 949-285-3536
Phone:
949.386-2356
Phone:
949-294-8385 State Lic:C030161
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: • e o D z
Applicant: LOOK HANNA
Con State Lie: 785812
Engineer:
TRAN JOHN DINH
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Address: 3300 IRVINE AV STE 135
Lie Expire:
05/01/2019
Address:
14371 EUCLID ST #2F
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NEWPORT BEACH CA 92660
Bus Lie:
BT30058321
GARDEN GROVE CA 92843
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Phone: 714.486.3318
Lie Exp Date:
03/31/2019
Phone:
714.265-1200 State Lic:C-062653
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Code Edit: 2016
Worker's Compensation Insurance
Designer:
Type of Construction: V -B
Carrier:
START NET
Address:
° ° • ° °
Occupancy Group: R3IU
Policy No:
BNUWC143964
Added /New sq.ft. Bldg: 0
Expire:
0 510112 01 9
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: I
Special Conditions: REV18-1591
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No of Units : 1
Front: I
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Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: /
Flood Zone:
Use Zone:
Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $20.000.00
Building Permit Fee: $367.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $319.29
Additional Fee :
$0.00
Plan check Fee :
$37.50 Fire Inspection:
$0.00
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: $0.00
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: $2.60
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access : $0.00
PM Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$25.69
San Dist:
$0.00
Building Green Fee : $1.00
Mechanical W
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$33.03
$0.00
TOTAL F : $786.11
Plan Check Fee :
$356.79
Fee Due at Permit Issuance : $429.32
PROCESSED BY:
ZONING APPROVAL:
PUBLIC WORKS
PLAN CHECK
GRADING APPROVAL: _ r - _ \ APPROVAL
OWNER -BUILDER
I hereby affirm under penally 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 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).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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
im roved for the purposeof 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
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 licensure under the Contractors' State License Law for the following reason:
By my signature 44(avi 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 legally
sell a structure [hVLI.tVVe 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
Rrofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.htmi.
$iQlia186 of Prgperty Owner or Authorized Agent Date
LI&ENSED COMMCTOR'S DECLARATION
I;heTqby'affirm undbr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 'BID he Business and Pr�(es rya• -od��g �+ cense is in full force
and effect. License Gass License No Date Contractor SignatureV!=1
1
IQIO$tjERS' COMPETNSATION DECLARATION
n'!�AR[[JJIjJ : FAILURe`n�eCURE 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
o SPGOMPENSATIpb1.QAMAGES AS PROVIDED FOR IN SECTION 37D3 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
'hel'61 affirm under penalty of perjury one of the following declarations:
VT..ha ••
�e and rII„rpaiptain 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 IN
rtormance of the wort for which this permit is issued. Policy No.
yil' and wjrrp9hpin 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' compensatior
ns nce carrier UnC policy number are:
ner Policy Number Expiration Date
Name of Agent Phone #
❑1 certify that, in the performance of the or whit is permit is issued, I shall not employ. any person in any manner so as to become subject to the workers' compensationVwsofalifornia, and agree
that, if I should become subject to th rkers' co n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant
DECLARATION REG4RDTN6c6NSWCP0fi LENDING AGENCY
hereby affirm underenally of p ry there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Lender's Address
By 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 ordinanc state laws relating to building construction.
I authorize representatives of this city or county to to a av 'denlified property for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na Date&,
ACTION DATEBY DEC NOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
t ATIONS PART 61 OF TITLE 40 AND AOMD RULE
PERMIT EXPIREDI LJISUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED EPA
PERMITFINAL[y ❑ ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF "�-/ L/ � PROPOSED DEMOLITION,.
OCCUPANCYISSUED r l SIGNATURE: