HomeMy WebLinkAboutX2018-3068 - Permits.ywrr,4, City of Newport Beach Building Division
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COMB Permit:
X2018-3068
Per Civic Center Drive., Newport , CA 92660
Permit Counter
X 2 0 1 8 3 0 6 8
Project No : 1017-2018
Phone (949)644-3288
3288
.ti Inspection Requests Phone (949)644-3255
Combination Type - SFP PLUM
Issued Date : 10/11/2018
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 PEX REPIPE (X2018-1282)
Legal Desc.: N TR 5018 LOT 81
Owner: NGUYEN NHAT
Contractor: TONE THAT CONSTRUCTIONS Architect:
Address: 2945 CASSIA ST
NEWPORT BEACH CA 92660
Address: 1720 W CRESTWOOD LN Address:
ANAHEIM
'
Phone:
CA
Phone: 562-508-5198
92804
Phone:
State Lic:-r,..�,,
Applicant: TONE THAT CONSTRUCTION
Con State Lie : 932770
Engineer:
;
Address: 1720 W CRESTWOOD LN
Lie Expire: 05/3112019
Address:
ANAHEIM CA 92804
Bus Lic: BT30063354
A", ,.N •rt
Phone: 562-508-5198
Lie Exp Date: 0513112019
Phone:
State Lic:
Code Edit : 2016
Worker's Compensation Insurance
Designer
4L`"`
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 Setbacks Rear: /
Special Conditions:
No of Units: 1
Front: /
Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: /
Flood Zone:
Use Zone: Parkin- Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $1.200.00
Building Permit Fee: $104.00
Excise Tax: $0.00
Planning Department -
Fire Department
Plan Check Fee: $0.00
Additional Fee : $0.00
Plan check Fee : $0.00
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 : $0.00
Grading Permit Fee: $0.00
In -lieu Housing Fee: $0.00
Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee: $0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety : $0.00
WO Insp. Fee: $0.00
Park Dedication : $0.00
Refund Deposit
$0.00
Disabled Access : $0.00
PIW Plan Check : $0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %: $0.00
San Dist : $0.00
Building Green Fee : $1.00
Mechanical W $0.00
NMUSD Fee: $0.00
$0.00
Plumbing %: $9.36
$0.00
TOTAL FEE : $114.36
Plan Check Fee :
$0.00 Fee Due at Permit Issuance :
$114.36
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING 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 checcture, prior
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).
o (_) all of or (J portions of the work, and the structure is not intended or offered for sale (Section 7044,
❑ I, as owner of the property, or my employees with wages as their sole compensation, will d
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
im 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
apply to an owner 2` property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
0 1 am exempt from licensure under the Contractors' State License Law for the following reason:
.3y my Flgnatur 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
sell a structure that , nave 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
Orc'ess'ons Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Date
oignature of Property Cwner or Authorized Agent
I-ICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing w7NALTIES
of Di Isio 3 of the Business and Pr ess' ode d icense is in full force
:.r.� cffsct. Licblse (,loss License No Contractor SignatuVJ3R :ERS' COIMPENSATION DECLARATION IN ADDITION TO THE
V.AR.6.4.i: FAILURE TO SEC11RE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SH LL SUBJECT
ANDNEMPL YEEY'S AND CIVIL FINES UP TO ONE HU ORED THOUSAND DOLLARS (5700,0001,
6OS I OF rOMPENS4774 CAMAGES AS PROVIDED FOR IN SECTION 3706 of THE LABOR CODE,
S.
I,hareb" affirm under penalty of perjury one of the following declarations:
I I.6ve and coin 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.
nQaH^
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' ^^m^=
rance carrier and policy number are:
Expiration Date
Policy Number
is of Agent
certify that, in the pa
if I should become
nature of Applicant
is issued, I shall not employ any person in any manner so as to become subject to the workers' Cqrnpensatlon laws of California, and agree
(ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 81
Date rDF //// S
3 CONtTRUETION LENDING AGENCY
�reby affirm under p�rlally 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).
der's Name (( Lender's Address
I
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 haveprovided is correct.
I agree to comply with all applicable city and county -ordinances styte la
I authorize representatives of this city or county tenter th �e-id"� _Ifier
to
of the wolK4or which
Signature of Property Owner or Authonzed Agel
ACTION DATE BY
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
S
relating to building construction.
3perty for inspection purposes.
riuu rivymy
OF COMPLIANCE WITH CODE OF FEDERAL
PART 61 OF TITLE 40 AND AQMD RULE
ASBESTOS NOTIFICATION TO
NOTIFICATION IS NOT APPLICABLE TO
FOR OFFICE USE ONLY
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