HomeMy WebLinkAboutX2019-4090 - PermitsCity of Newport Beach - Building Division I IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�III
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 4 0 9 0
Permit Counter Phone (949)644-3288
v. Inspection Requests Phone (949)644-3255
Combination Type - MFP MECH ELEC PLUM
PERMITS EXPIRE 180 DAYS AFTER
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. an
Job Address: 8 ENCORE CT NB
Description: MFR ALT 165 SF (KITCHEN)
Legal Desc.: TR 7817 LOT 4 UNIT 242 OF PROJECT LOCATED ON AP 1-01 TOGETHER
Owner:
NGUYEN STACEY
Address:
8 ENCORE CT #242
Record Management:
NEWPORT BEACH CA
Phone:
$0.00
Applicant:
WEATHERBEE EN
Address:
15361 BAFFIN C
Hazardous Mat
HUNTINGTON BE CH
Phone:
714-862-6408
Code Edit : 2016
Type of Construction: VB
Occupancy Group: R21U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 6
Bldg Height: 0
Bldg Sprinklers: N
Building Permit Fee: $296.00
Plan Check Fee: $257.52
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$12.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $665.72
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Wxcise ax:�(
nal Fee
Grading Bonds Fee:
Grading PC Consultant:
Fee :
Rear: /
=ront: /
Let&
Ax
$0.A00
$O
00
$000
$20.72
$11.84
$26.64
Plan Check Fee
T1
COMB Permit: X2019-4090
eroi#,ct No: 2820-2019
:12/19/2019
Area: 3
from 8:-Yd6:01pO1xnNo'(s9dt'fr'on Su dayt orHolidays
0 $o��o/o 01 Q U
ION Arr,�i S!
_- kl1 �y} SS:
,,dnrlfeu Housing Fee :
co•
o�
DD
$0.00
PAN Plan Check.:
�
San Dist:
Do
D D
$0.00
$0.00
DSD
$0.00
General Service
$0.00
Refund Deposit
$0.00
GGL
T1
COMB Permit: X2019-4090
eroi#,ct No: 2820-2019
:12/19/2019
Area: 3
from 8:-Yd6:01pO1xnNo'(s9dt'fr'on Su dayt orHolidays
0 $o��o/o 01 Q U
ION Arr,�i S!
_- kl1 �y} SS:
,,dnrlfeu Housing Fee :
- Fire Department
Public Works Department -
ParkDedication:
$0.00
PAN Plan Check.:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
State I
XIAO QIANG
1520 BROOKHOLLOW DR
SANTA ANA CA 92705
714-662-0510 � e
00 '
- Fire Department
$40.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $665.72
Pl_sBLeC Vt-+ORKMAPPROVAL:
4 •v D D Ff D D
PLAN CHECK BY:
APPROVAL TO.ISSUE:
o D
D G
Gu 00G O 4 OOU 40D
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 pplicant 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 (_) all of or (_) portions of , and the structure is riot 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, t employees' or personal effort, ilds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within o of completion, the Owner -Builder will h e the burden of proving that it was not built or
improved for the purpose of sale). I %ab�E%' -1, C
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to c theproject �((����74d, Busines§ g�{(���l!lmfeions Code: he Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who con tracts projects witha Iicerf�e&DolStractor pyla n�Atd lT7a Contractors' Stat icense Law).
❑ 1 am exempt from licensure under the Contractors' State License LawfaMe following reason: 0 O
By my signature below I acknowledge that, except for my pars sldence in which I mu a resided for t one year prior to com of the impro ments covered by this permit. I cannot legal
sell a structure that I have built as an owner-builder'f i t be n nstructed i ntirety by lic sed con ractors. I unde fond a copy of the applicabl. law, Section 7044 of the Business and
Professions Code, is available upon request w Is applic ti s bmi r at the folio ite:http://www.I al. ov/calaw.html.
Signature of Property Owner or Autho ' g �r - Date
LICENSED CONTRACT CLA N
I hereby affirm under pe y of perjury that I e un r provisi f as :'I .r 9 ( Section 700 of Diw Ion 3 f the Business and P`rof� ode, a my ' Is in ull force
and effect. License CIa c No Date'' Contractor Signafai�
WORKERS' COMPEN TICIIIIII DECLARATIO
i
WARNING: FAILURE TO SECURE ,ORKERS' C TION ERAG IS D SHALL SUBJECT N YER CRI L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS IDD iLARS ($100,000), IN ADDITION TO TH
COST OF COMPENSATION, DAMA ES AS ED IN SE N 3T O HE LABOR CODE, INTER -
I hereby affirm under penalty f per ry one o folio eclarations: ��►�(
I have and will maintain certi a ant to self -ins f we o e ati is ued by the Director of Industr ti s Ovid for by Sect nx1 0 of the Labor Code, for t
pe ormance of the work for wh _h IN is issued.
I have and will mai or rs' com insur s r Section 3700 of the Labor e, r t nce $f��;la for w c h' rmit is s y workers' compensati�
insurance carrier and licy pm r are mv, 5
Carrier 1 Poli be iExpiration Date-?L..i
Name of Agent `~. Phone #
I certify that, in the performance o In wor for which this p mitt 1 ed, s klwlmsploy any person in any manner so as t me sup�'pyS�6j81�1� r er ' ensation laws of California, and agr
that, if I should become su j - to th orkers' com s n 3700 of the Labor Code, I shall forthwit ply w�t�ose. �idl]Islons
Signature of Applicant
DECLARATION REGAR ING CONST CTIN L DI AGEN((4 $
I hereby affirm under penalty of perjury t t the onstrup4{IQZhbng agency for the pe nce of the work ich rmit is issued (Section 3097, Civil Code).
Lender's Name \\-- is Address
By my signature below, I certify to each of Ie following:
I am the property owner or authorized tact on the property o er' ehalf.
I have read this application and the in at}op,l��il�e Ided is correct.
I agree to comply with all applicable city ddi�c`bb}}'f I ordinances a e la Ing to building construction.
I authorize representatives of this city or c unt ante ove=�+ ed property for inspection purposes.
Signature of Property Owner or Authorized ADS t %)'](:"K F Print Property Owner's or Authorized Agent's Nam e
ACTION DATE BY CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED 0 I SUBMITTED ASBEST% NOTINEATIOW TO ••• +•+ •++
PERMIT CANCELLED EPA . ; • + +
[PERMIT EXTENDEDr. QMDERMITFINAL ASBESTOS NOTIFICATION IS APPLICA LE T
CERTIFICATE OF P POSEDDEM LI ON • ��
OCCUPANCYISSUED SIGNATURE: • • • • •.•