HomeMy WebLinkAboutX2022-0622 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
u
Inspection Requests Phone (949)644-3255
Combination Type - SFP MECH ELEC PLUM
"X2022-0622` COMB Permit: X2022-0622
Project No : 1859-2021
' T ' rN Issued Date
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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 Sundays or Holidays
Job Address: 1 SEYNE NB
Description: DELTA 2 REVISION ADD'L SCOPE FOR (N) FIREPLACE & TANKLESS WATERHEATER. REVISE BATHROOM. (X2021-2142)
Legal Desc.:
Owner:
YU BING 8 QIN WANG
Contractor:
BUILDERWELL
Architect:
Address:
1 SEYNE
Address:
1622 EDINGER AV STE E
Address:
NEWPORT COAST, CA 92657
TUSTIN CA 92780
Phone:
949-668-3613
Phone:
949-232-0555
Phone: State Lic:
Applicant:
HOSSTUDIOS - ARASH
Con State Lic:
1022234
Engineer:
Address:
30902 CLUBHOUSE DR 20G
Lic Expire:
01/31/2023
Address:
LAGUNA NIGUEL, CA 92677
Bus Lic:
BT30071153
Phone:
949-313-9191
Lic Exp Date:
03104/2023
Phone: State Lic:
Code Edit: 2019
Type of Construction: V-B
Occupancy Group: R31U
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: X
Valuation: $8,500.00
Building Permit Fee: $229.00
Plan Check Fee: $199.23
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
Worker's Compensation Insurance
Carrier: STATE COMP INS FUND
Policy No: 9290529
Expire: 01/08/2023
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: /
Left: I
Right: /
rking Spa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$16.03
$9.16
$20.61
IITOTAL FEE: $539.03 Plan Check Fee
PROCESSED BY:
ZONING APPROVAL: pL
0
Designer:
HOSSTUDIOS
Address:
30902 CLUBHOUSE DR #20G
LAGUNA NIGUEL, CA 92677
Phone:
949-742-9141
Special Conditions
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:
$0.00
NMUSD Fee:
$0.00
Fire Department
$52.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$251.23 Fee Due at Permit Issuance : $287.80
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)
(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 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 U 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).
❑ 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 Iruln licensure under the Contractors' State License Law for the following reason:
9y my signature :JLIJXI 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 Iegall
,eli o A ucture :hat 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://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereov affirm ander penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of ivision 3 of the Business and Professions ode, and�� ns� a is in full force
and a.fect. License Class License No Date /�' LD L2 Contractor Signature )C s�
COCIPENSATION DECLARATION
IIWARNAG: 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
,Ir'CST 0° COMPENSArION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
iI hereby affirm Lnde. 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 thl
dcrr'c-mance of -the Wurk for which this permit is issued. Policy No.
EII 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' compensation
insurance carrier and policy number are:
Policy Number
of Agent
Date
certify that, in the performance of the work forwhich 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
, if I should become subject
su'bject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
iature of Applicant//`4'Lt>.,� Date 3 /O4/( ZDZ %
., A, Ar, 1 M=/ A-l.11 r ^Kl I I �1r1.r r CY 1111 111I'
: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
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 t0 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.
of PrODertv Owner or Authorized
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
I DATE I BY
r�
DECLARATION OF COMPLIANCE WITH CODE OF FEDEI
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
PROPOSED
NOTIFICATION IS NOT APPLICABLE TO
FOR OFFICE USE ONLY
Civil Code).
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