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Home My WebLink AboutX2018-1394 - Permits9 City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP COMB Permit: X2018-1394 Project No: 0190-2018 Issued Date : 05/0912018 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0510912018 OR PERMIT WILL 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 Sundaj s 00 MIS Job Address: 24 CRUISERS BLUFF NI3 /� A Description: SFR 48 SF ATTACHED TRELLIS Legal Deso.; Owner: ZHANG WEISHUI Contractor: WEIDNER JEFFREY Architect: Y' Address: 24 CRUISERS BLUFF Address: 37 BEECH DR Address: NEWPORT BEACH, CA 92657 ALSO VIEJO CA 92656 - Phone: Phone: 949.351-2103 Phone: State Lie: Applicant: WEIDNER JEFFREY Con State Lie: 854222 Engineer: HUSZCZ MARIAN JOH Address: 37 BEECH DR Lie Expire: 1113012018 Address: 8 CORNWALLIS /�f�/� ��88� ALISO VIEJO CA 92656 Bus Lic: BT30062841 Building Permit Fee: $337.00 IRVINE CA 92620 $0.00 Phone: 949-351-2103 Lie Exp Date: 0413012019 Phone: 949-551-3316 State Lic:3.0035 V T® R Code Edit: 2016 Worker's Compensation Insurance Designer: $0.00 Type of Construction: Carrier: STATE COMP Address: $0.00 Fair Share : Occupancy Group: U Policy No: 9169408 $0.00 Investigation Fee: $0.00 Grading PC Consultant: Added /New sq.ft. Bldg: 0 Expire: 11/0412018 Phone: Demolition Fee Added /New sq. ft. Garage: 0 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 No of Stories: 0 Building Setbacks Rear: I Special Conditions: DELTA 1 Public Works Department - No of Units : 1 General Service Front: I CA Seismic Safety: $0.00 WO Insp. Fee: $0.00 Bldg Height: 0 $0.00 Left: I Refund Deposit $0.00 Disabled Access : $0.00 Bldg Sprinklers: Right: I $0.00 Grading Bond: Flood Zone: Use Zone: Parking :i aces: 0 Fire Hazard Zone : N Construction Valuation: $4.000.00 Building Permit Fee: $337.00 Excise Tax: $0.00 Planning Department - Fire Department 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 $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: $0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $338.00 Plan Check Fee: $338.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 it (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 appftcam 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 (_) 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). ❑ 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 Businessand Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. 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 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION IARNING: 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 ($700,000), 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: 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 the 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 of Agent Date 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. nature of Applicant Date_ _ CLARATION REGARDING CONSTRUCTION LENDING AGENCY :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 Owner or Authorized ADent Print Prooertv Owner's or Authorized AGent's Name - ACTION DATERY I REGULATIONS PART61 OF IIT E 40 AND AQMD RULE AL FOR OFFICE USE ONLY I PERMITEXP/RED LJISUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMITFINAL J / < UASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF/ IY�` PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: __ _