HomeMy WebLinkAboutx2022-0618 - Permits�111e City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
5 rs. Permit Counter Phone (949)644-3288
s7: Inspection Requests Phone (949)644-3255
Combination Type - MFP MECH ELEC PLUM
IIIIIIIIII�IIIIIII�IIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-0618
X 2 0 2 2 0 6 1 8 Project No : 0563-2022
NO CONSTRUCTION NOISE nspection Area, 1022
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0311612025 OR PERMIT WILL BE INVALID
Construction Hours: Monday- Friday 7:00 a.m, to 6:30 p.m. and Saturd from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 601 LIDO PARK DR NB St: 1 FI: 7 Unit: 7-F THE WEEKEND
D
Description: MFR REMODEL 1,760 SF (ALL BATHROOMS & KITCHEN) S�Lt V L,9 _
Legal Desc.: TR 7695 LOT 1 UNIT 7E G-1-28 OF PROJ LOCTD ON AP 47-021-29
Owner:
BORTNIKALEX
Address:
10560 WILSHIRE BLVD #1804
LOS ANGELES CA 900024
Phone:
Applicant:
LEE SHAN
Address:
8941 ALTANTA AVE #330
HUNTINGTON BEACH CA 92646
Phone:
612-790-6803
Code Edit :
2019
Type of Construction:
I -A
Occupancy Group:
R21U
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
8
No of Units :
40
Bldg Height:
0
Bldg Sprinklers:
N
Flood Zone:
X-0.2PCT
11 Construction Valuation:
$140,800.00
Building Permit Fee: $1,483.00
Plan Check Fee: $1,290.21
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$8.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$6.00
TOTAL FEE: $3,782.10
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
SHAN LEE CREATIVE BUILD INC
Address:
8941 ATLANTA AVE
HUNTINGTON BEACH CA 92646
Phone:
612-760-6803
Con State Lic:
1031805
Lic Expire:
10/3112023
Bus Lic:
BT30072794
Lic Exp Date:
08/31/2022
Workers Compensation Insurance
Carrier: EXEMPT
Policy No: NO EMPLOYEES
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WO Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 1
Front: /
Left: I
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$388.25
$305.05
$249.59
Architect:
w+w
Z
Address:
Phone:
State Lic:
Engineer:
ZASLAVSKY YURY J
I t l
Address:
1600 DOVE AVE #460
_.
NEWPORT BEACH CA 92630
Phone:
949-553-0853 State Lic:C-043622
Designer:
Address:
Phone:
Special Conditions:
HIGH DENSITY ZONE
LIQUEFACTION RISK
Hazard Zone : N
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$52.00
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
Plan Check Fee : $1,780.88 Fee Due at Permit Issuance: $2,001.22
' PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
n
� uu
pE,r Vu ®bti a e BOtl ✓J
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 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 appllIant 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 U all of or U 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).
❑ 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 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)
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://w .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 )/of, D isi 3 of the Business and Pro es ' s C d d my ce is in full force
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
ARNING: 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 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 th
performance of the work for which this permit is issued. Policy No.
❑I 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' compensatio
insurance carrier and policy number are:
Carrier Policy Number Expiration Date
Na a of Agent Phone #
I certify that, in the performance ofPe work for w ' 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 agre
at, if I should become ub' workers' c pen o provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. c�/dj
Signature of Applic in l` Day_ v �---
Ile
DECLARATION RE ARDIN NSTRUCTIO LE 1 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 owners behalf.
I have read this application and the information I have pr Ed s corre
I agree to comply with all applicable city and county Inan and ate la, relating to building construction.
I authorize representatives of this city of county enter the, bov -identifi d p party for inspection purposes. �IImo�.�� �+_--Z
Signature of Property Owner or Authorized Agent ' t Property Owner's or Authorized Agent's Narm � �'f7�t`r G L_.1:�� D
ACTION
DATE
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