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Home My WebLink AboutX2018-1409 - Permitst% City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 z Permit Counter Phone (949)644-3288 v Inspection-?eslssts Phone (949)644-3255 P"�xirea,l*' Combination Type - SFP ELEC MECH PLUM II�IQ�IIIIIII�IIIIII�II�III��QI�II�I��II COMB Permit: X2018-1409 x 2 0 1 8 1 4 0 s Project No: 1111-2018 Issued Date : 05/11/2018 Inspection Area : 6 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: 9 VISTA ALBERI NB Description: SFR - REMODEL MASTER BDRM 738 SF Legal Desc.: N TR 14070 LOT 47 Owner: ZHAO YUOU Address: 121185 ZIELIAN CT TUSTIN CA 92782 Phone: 323-459-7777 Applicant: LAM TIM Address: 12185 ZIELIAN CT TUSTIN CA 92782 Phone: Code Edit: 2016 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers:" Flood Zone: Building Permit Fee: $1,066.00 Plan Check Fee: $927.42 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $22.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $4.00 II TOTAL PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: OWNER/BLDR Architect: INSP-4,rCTO Address:Address: PhonePhoneState Lic:• Con State Lie: O/B Engineer: DE BERARDINIS ALBERT ° ° ° • • Lie Expire: Address: 6808 LIPMANN ST ° ° ° • ° v Bus Lie: SAN DIEGO CA 92122 Lie Exp Date: Phone: State Lic:C-042010 ° ° ° • ° ° e• s • o er's Compensation Insurance Designer: MADISON MONTY • ..... ss: 1703 E VALLEY PKWY #H1 Policy No: ESCONDIDO CA 92027 Expire: Phone: 760-275-3220 o°°oc• • ng Setbacks Rear: / Special Conditions: REDUCE BDRM COUNT Front: / e°°o°s aeo• Left: / Right: / one: Parkin Spaces: 0 Fire Hazard Zone : IN $0.00 Planning Department- Fire Department e : $0.00 Plan check Fee: $37.50 Fire Inspection: $0.00 Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans : $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 ice $0.00 : $0.00 Park Dedication : $0.00 Refund Deposit $0.00 P/W Plan Check : $0.00 Grading Bond: $0.00 $0.00 $42.64 NMUSD Fee: $0.00 $0.00 - $95.94 $0.00 Plan Check Fee: $964.92 Fee Due at Permit Issuance : $1,305.20 - PUBLIC WORKS PROVAL: I Work Buildi Use Z Excise Tax: Additional Fe Grading PC C Grading PC 2 PLAN CHECK APPROVALTO C 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 a'-�o 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 700'Q)_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). ❑ 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). 0I am exempt from-licensure under the Contractors' State License Law for the following reason: By my signature 4eJGv4I 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 legall7 sell a structure fhgf l-4c&e built ag an owner -builder if it has not been constructeA 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 6IJibn request when t applic tion I submitted' at the following Web site:http://www.leginfo.ca.gov/calaw.html. qti C Oo� �ignAN& of Property boner or Authorized Agen ' - _ Date V � 6 LICENSED CON7VACTOR'S DECLARATION �^ 1etP,V%ffirm 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 of ect. LiceiTs� Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION r�l�r�('!((J(i: FAILURE �:q RE 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 rOMPENSATION, IJAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. Mereby affirm under penalty of perjury one of the following declarations: • t hate and yJjl gieotain 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. and villFg Rain 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' carrier -and policy number are: f Agent I ify that, in the performance of the work should become subject 19,1 Xorkers' Of Policy Number Date 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 agre ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ p Date/8 DECLARATION REGTDING`_GNSTRUCTION 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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county or ' =Uqls and state ws relating to building construction. I authorize representatives of this city or courtULto enter the ove-identif d property for inspection purposes. Signature of Property Owner or Authorized Agen Print Property Owners or Authorized Agent's Na Date FL ACTION DATE BY DECLARATION OF COMMIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED PERMITC4NCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF 1-1 _�3 OCCUPANCYISSUED NOTIFICATION TO NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOLITION SIGNATURE: