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Home My WebLink AboutX2018-1282 - Permits04"'0`10 City of Newport Beach - Building- Division *X2018-1282' COMB Permit: X2018-1282 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1017-2018 Permit Counter Phone (949)6A4-3288 Inspection Requests Phone (949)644-3255Combination Type - SFP ELEC MECH PLUM Issued Date : Area : 201e Inspection Area : 8 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: 2945 CASSIA ST NB Description: SFR -REMODEL KITCHEN/BATHS. CEILING LINE CHANGE, C/O WINDOWS & DOORS 532 SF Legal Desc.: N TR 5018 LOT 81 Owner: NGUYEN NHAT Contractor: TONE THAT CONSTRUCTIONS Architect: Address: 2945 CASSIA ST Address: 8044 TORINO Address: NEWPORT BEACH CA 92660 STANTON CA Phone: Phone: 562.508-5198 Phone: State Lic: Applicant: SALAT JOHN Con State Lic: 932770 Engineer: CHEN JONG-YEA Address: 9646 GARVEY AVE STE 206 Address: 22386 WOODGROVER Lic Expire: 06131/2019 . ' J LAKE FOREST CA 92630 Bus Lic: BT30063354 SOUTH EL MONTE, CA 91733 State Lic:C-055404 'y ' Phone: 949-235-4847 Lic Exp Date: 05131/2019 Phone: 714-931-6516 _ Code Edit : 2016 Worker's Compensation Insurance Designer:r�- Type of Construction: V-B Carrier: EXEMPT Address: Occupancy Group: R3/U Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Set¢acks Rear: I Special Conditions: ' No of Units : 1 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $150,000.00 Building Permit Fee: $1,345.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,170.15 Additional Fee : $0.00 Plan check Fee : $37.50 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans: $0.00 Demolition Fee Record Management: $36.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $24.00 Energy Compliance: $105.00 Grading PC Fee: $0.00 Public Works Department - General Service $197.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access : $0.00 PAN Plan Check: $152.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $94.15 San Dist: $0.00 $0.00 Building Green Fee : $6.00 Mechanical %: $53.80 NMUSD Fee: $0.00 Plumbing %: $121.05 $0.00 TOTAL FEE : $3,905.65 Plan Check Fee : $1,283.65 Fee Due at Permit Issuance : $2,622.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: ==n&:= GRADING APPROVAL: APPROVAL TO ISSUE: i�➢'-7��J 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 th- pplicant 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 i_) all of or (_) 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). ❑ 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 legall) 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:hftp://w .leginfo.ca.gov/calaw.html. Signature of Plooertv Owner or Authorized Agent Date LICEMSED CONTRACTOR'S DECLARATION I hereo•' affirm ❑nier penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 o rvls n 3 of the Business and Professi Cod cr licens in full force and effect. License Class License No Date ig Contractor Signature 'NURvERS' COMPENSATION DECLARATION N1 RN0'G: FAILUR- T) SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE :OCT OF COMPENSwTIUN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm w.der D�nalty of perjury one of the following declarations: a 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. havT and v.il:.T.a.r.:ain 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 rgnre carrier and policy number are: Policy Number of Agent Date I.Oertify 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 agre t, i I should become su ct to thew ' c/or�peas/Ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. p nature of Applicant / /7,Civil CLARATION REGA ING C STRUCTION LENDING AGENCY :reby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 Code). 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 to comply with all applicable city and co ty ordinances and state laws relating to building construction. I authorize representatives of this city or county o ente bove- ' ed property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na TION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY f�f tb� �o rl REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED 13EPA PERMIT EXTENDED QMD PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED �� io2 �/ A SBESTOS OTIFICATIO NOyAPPD BLE TO P OPOSEDI OLIT < // SIGNATURE Ig