HomeMy WebLinkAboutX2018-0155 - Permitsa
City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIUIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-0155
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 0 1 5 5 Project No : 0190-2018
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC PLUM MECH Issued Date: 0410912018
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0410912018 OR PERMIT INILL.BE INVALID
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 Sunday$"or Holidays
Job Address: 24 CRUISERS BLUFF NB
Description: SFR REMODEL 60 SF AND ADDITION 242 SF, NEW DECK 86 SF �...
Legal Desc.: N TR 2813 LOT 117 Zr,,wner: ZHANG WEISHUI Contractor: WEIDNER JEFFREY Architect: QA S
Address: 24 CRUISERS BLUFF Address: 18 VISTA DEL VALLE Address: 11 =--x
NEWPORT BEACH, CA 92657
ALISO VIEJO CA 92656
Parkin S aces:
,
Phone:
Phone:
949-351-2103
Phone:
�p
�r-�V�_�
Applicant: ZHANG WEISHUI
Con State Lie:
854222
Engineer:
,o'er
HUSZCZ MARIAN JOHN �Q •�®
Address: 24 CRUISERS BLUFF
NEWPORT BEACH, CA 92657
Lie Expire:
Bus Lie:
11130/2018
BT30062841
Address:
8 CORNWALLIS V
IRVINE CA 92620
Phone: 714-3344211
Lie Exp Date:
04/3012019
Phone:
949-551-3316 State Lie S-003555
Code Edit : 2016
Worker's Compensation Insurance
Designer:
JUAERT DENNIS
Type of Construction: V -B
Carrier:
STATE COMP
Address:
17504 WINDCREEK CIR
Occupancy Group: R31U
Policy No:
9169408
Investigation Fee:
RIVERSIDE CA 92503
Added /New sq.ft. Bldg: 242
Expire:
11/04/2018
Phone:
$0.00
Added /New sq. 8. Garage: 0
Record Management:
$20.00
Grading Permit Fee:
No of Stories: 2
Building Setbacks
Rear: 0'
Special Conditions:
Building Dept Adm
No of Units : 1
Energy Compliance:
Front: 10'
Grading PC Fee:
$0.00
Bldg Height: 0
Left: 0'
$197.00
CA Seismic Safety:
Bldg Sprinklers:
WQ Insp. Fee:
Right: 0'
Park Dedication :
$0.00
Flood Zone:
Use Zone:
Parkin S aces:
0
Fire Hazard Zone : N
Construction Valuation: $300.000.00
Building Permit Fee:
$21616.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $2,204.60
Additional Fee :
$0.00
Plan check Fee :
$150.00
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:
$20.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$24.00
Energy Compliance:
$210.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$197.00
CA Seismic Safety:
$39.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$564.00
Disabled Access:
$0.00
-
P/W Plan Check:
$38.00
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$183.12
San Dist:
$0.00
Building Green Fee :
$12.00
Mechanical %:
$104.64
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$235.44
$0.00
TOTAL FEE : $6,597.80
Plan Check Fee:
$6,597.80
Fee Due at Permit Issuance :
$0.00
PROCESSED BY:
ZONING APPROVAL:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
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 ite
lection 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 $6
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 7000) of Division 3 of the Business and
'rofessions 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
nprovements 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
nproved for the purpose of sale).
1 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).
7 I 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 Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class License No Dale Contractor Signature
COMPENSATION DECLARATION
DARNING: 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:
7 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 thr
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
Date
is of Agent mune w
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
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant Date__
IECLARATION REGARDING CONSTRUCTION LENDING AGENCY
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).
ender's Name Lender's Address
y 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.
Jmnfiire of PrnnerIv Owner or Authorized Anent Print Propertv Owner's or Authorized Agent's Name
DATE I BY REGULATIONS POA TOMPLIANCE WITH CODE OF 1 OF TITLE 40 AND AQMD RULE RAL FOR OFFICE USE ONLY
I SUBMITTED ASBESTOSNOTIFICATION70
PERMIT EXTENDED / /' /, LIAQMD
MFICATE L 7 N / ( <j� ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CER
�'�/' PROPOSED DEMOLITION
OCCUPANCYISSUED dlfl/7 SIGNATURE: