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Home My WebLink AboutX2020-0512 - PermitseNI'ok City of Newport Beach - Building Division I IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IICOMB Permit: X2020-0512 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 0 0 5 1 2 Project No : 2178-2018 Permit Counter Phone (949)644-3288 �i Inspection Requests Phone (949)644-3255 Issued Date: 0212612020 Combination Type - SFP 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: 24 SPANISH BAY DR NB Description: SFR RPR ROOF LEAK INCL FLASHING & RAIN GUTTER. USE (E) TILE (120-0785) Legal Desc.: N TR 15332 LOT 55 Owner: CHIANG JIMMY Contractor: PREMIER BUILDERS Architect: Address: 24 SPANISH BAY DR Address: 8832 LA GRAND AVE Address: NEWPORT BEACH CA 92660 GARDEN GROVE, CA 92841 Phone: Phone: 714-653-0019 Phone: State Lic: Applicant: PREMIER BUILDERS Con State Lie: 995068 Engineer: Address: 8832 LA GRAND AVE Lie Expire: 0713112020 Address: GARDEN GROVE, CA 92841 Bus Lie: BT30062843 State Lie: Phone: 714-653-8019 Lie Exp Date: 04/3012020 Phone: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: STATE COMP INS FUND Address: Occupancy Group: R3/U Policy No: 9214301 Added /New sq.ft. Bldg: 0 Expire: 07/1312020 Phone: Added /New sq. ft. Garage: 0 Building Setbacks Rear: I T Special Conditions: 120-0785 �eg !�$� g No of Stories: _.2 No of Units : 1 Front: I i 1 � � P-" Bldg Height: 0 Left: I Bldg Sprinklers: Flood Zone: Right: I Use Zone: Parking Spaces: 0 Fire Hazard Zone: N Construction Valuation: $4.500.00 Building Permit Fee: $324.00 Excise Tax: $0.00 Planning Department - Fire Department $0.00 Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Investigation Fee: $0.00 Grading PC Consultant: $0.00 $0.00 SJH Trans : $0.00 In -lieu Housing Fee: $0.00 Demolition Fee Building Dept Adm $0.00 Record Management: $0.00 Energy Compliance: $0.00 Grading Permit Fee: Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 $0.00 Disabled Access : $0.00 P/W Plan Check : $0.00 Grading Bond: Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 TOTAL FEE : $325.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $325.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: � APPROVAL TO ISSUE: �� o00 0 0 0 oco c c o c ec cco 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 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 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 improved for the purpose of sale). f 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 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 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•, 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.htm[. 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 with Section 700 f Di Ili tpe,Business and P io, , and In in full force and effect. License Class License No Date , tractor Signatu WORKERS' COMPENSATION DECLARATION WARNING: 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 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: ❑ I h e 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 pe ance of the work for which this permit is issued. Policy No. I ve 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' compensatior insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the performance of the work for which this permit i is ed, I shall not employ any person in any manner so as to become subject to the workers' compens tion laws of California, and agree that, if I should become subject tot a wnrke 'compensation provisi ns Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Dat O"on DECLARATION REGARDING CONSTRUCTION-LENDING AGENCY I hereby 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). 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 ordi ces and state law r lating to building construction. I authorize representatives of this city or county to niter e a ove-identified p o rty for inspection purposes., pl; Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam(; /�i 1i l;Y�/ate ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE • ••• ••• 1403 PERMITEXPIRED, • • • •• • I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELCF•D• • • • • • • EPA PERMIT EXTENDED QMD PERMITFINAL U ASBESTOS NOTPEICATION IS NOT APPLICA LE TO CERTIFICATE OF•�• ••• • • ••• •• PROPOS EMO TION OCCUPANCYISSUED • • • : • SIGNATURE: ----- -- ORZ3. `I f0 (p p rr m DSj O (D a X K w N? 0 ((D 4 2 Q� w (D (D (D o " N' N O (D o o n a n ='.o a '0 3 m n ®� �z 0 0 �. �°e o CD m o a o n O 3 nQ +c (D = m � m o m a m, a+ —0 o� Q baa (D (D w� �• � � w(®,a, w m 3 �. wm �� 1 n hj EFmw m°m o- 00 m q n� t oN n ro w r_ v m n m as 0 NmCD� a=0. m=O n U,o� U3 CD �° 05 �iooa mCL M CD @ �Nto A s m� wpr ow00 -0 �mn ((app30 w y w �o www 3mw-• 03 a0� mmo 0 m m n. 03 co A 4 r"a CL w 0 3 C a °' y ai y o �• CD W N O 21 ID (C,: 0 3CD (D 0 m a. �'a9� m c cn°1 ° (� �_ m CDi o _a (^ o c b: m 0 a. ?nl`n ryry w N O o N a N O= O_ P' m y m o a CD o Q® o CL m 0 o ®® �ma� � fDl<m oc o c S c"• o. 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