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Home My WebLink AboutX2021-1112 - Permitsyd tfo4 City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92560 i. Permit Counter Phone (949)644-3288 ,. Inspection Requests Phone (949)644-3255 Combination Type - SFP MECH ELEC PLUM IIIIXIIII2 0III21 IIII1IIIIII1IIIIIII II COMB Permit: X2021-1112 Project No : 1031-2021 Issued Date : 09/01/2021 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 0910112024 C 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 workon Job Address: 5 RUE BIARRITZ NB Description: SFR ADD 760 SF REMODEL 401 SF Legal Desc.: N TR 7809 LOT 24 Owner: LI JIAHUI/LIU XIN Address: 30781 VIA CONQUISTA SAN JUAN CAPISTANO CA 92675 Phone: Applicant: GREG/SKYVIEW DESIGNS Address: 20561 SUBURBIA LN HUNTINGTON BEACH CA 92646 Phone: 714-9634600 Code Edit : 2019 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 760 Added/New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Construction Valuation: $200 Building Permit Fee: $2,966.00 Plan Check Fee: $2,230.27 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $34.00 Energy Compliance: $140.00 CA Seismic Safety: $26.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $8.00 TOTAL FEE: $10,543.87 IJ10141*31.14NJ A ZONING APPROVAL: Contractor: PACIFIC WEST CONCRETE INC Address: 3672 PROVINCETOWN AVE IRVINE CA 92606 Phone: 7141396-0088 Con State Lic: 639232 Lic Expire: 0513112023 Bus Lic: BT30071085 Lic Exp Date: 1213112021 Worker's Compensation Insurance Carrier: EXEMP Policy No: NO EMPLOYEES Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee : Electrical %: Mechanical %: Plumbing %: Rear: 15 Front: 10 Left: 5 Right: 5 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $207.62 $118.64 $266.94 Architect: Address: Phone: State Lic: Engineer: FORBES DALE L Address: 1800 E 16TH ST #B SANTA ANA CA 92701 Phone: 714-835-2800 State Lic:C-030407 Designer: HOWELL LIZ Address: 20561 SUBURBIA LN HUNTINGTON BEACH CA 92646 Phone: 714-963-4600 Special Conditions: Waste Mgmt to haul debris Hazard Zone : N Planning Department - Plan check Fee Fair Share SJH Trans: In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check : $0.00 San Dist: $2,084.00 NMUSD Fee: $1,398.40 Fire Department $208.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: e••e e ee•o e o e ui?z;.. eueoo a e • ° •pee e ° e omo o• o ammm ° o emoe om o ° ° mm000 mmmmmo m ° mm000 ° mmo�oo ® m o o °om mom000 m ` momoo� mmoocm 0 $0.00 $0.00 $27.00 $265.00 $564.00 $0.00 $0.00 $0.00 Plan Check Fee : $2,543.27 Fee Due at Permit Issuance : $8,000.60 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 item(s) ction 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 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 fessions 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 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 the work, and the structure is not intended or offered for sale (Section 7044, liness 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 irovements 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 (roved 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 fly 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). I am exempt from licensure under the Contractors' State License Law for the following reason: 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 legally 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 fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of PropM? %vner or Authorized Agent Date ENSED CO"ACTOR'S DECLARATION webyvaffirm Iyrfd%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, aid-giy license is in full force I effect. Licem"Golass License No Date Al off_ Contractor Signature -�/ 5RARS' COMPENSATION DECLARATION-- - - - INING: FAILUR;•r8 SI•CURE 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 IT OPCOMPENSATJQI& DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. reby affirm under pgnalty of perjury one of the following declarations: .••••• L 0ve 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 fppgance of the work for which this permit is issued. Policy No. have and 011 Q19QItain 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' compensation +ragce carrief6nd policy number are: .ie! • • P)Minv Numher Expiration Date of Agent • rnone n ]I Ce ify 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 agree Iat, ' 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 IECLARATION REGARPI 1 C'V O�NSTR NDING 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. ionature of Prooertv Owner or Authorized Aoentu L.,—..- tee� Print Property Owner's or Authorized Agent's Name Date ACTION PERMIT EXPIRED PERMIT CANCELLED CERTIFICATEOF OCCUPANCY ISSUED DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE T 1403 I SUBMITTED ASBESTOS NOTIFICATION TO I� ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION