HomeMy WebLinkAboutX2021-2549 - PermitsCity of Newport Beach - Building Division "X2021-2549'
' k 100 Civic Center Drive, Newport Beach, CA 92660\E C-
�, Permit Counter Phone (949)644-3288
v,' k Inspection Requests Phone (949)644-3255
Combination Type - MFP MECH ELEC PLUM
COMB Permit: X2021-2549
Project No : 2820-2019
Issued Date : 0912212021
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/22/2024 OR PERMIT WILL BE INV,
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: 8 ENCORE CT NB
Description: MFR ALT 165 SF (KITCHEN) *RENEW EXPIRED PERMIT*
Legal Desc.: TR 7817 LOT 4 UNIT 242 OF PROJECT LOCATED ON AP 424-041-01 TOGETHER
Owner: NGUYEN STACEY
Address: 8 ENCORE CT #242
NEWPORT BEACH CA 92663
Phone
Applicant: WEATHERBEE BEN
Address: 15361 BAFFIN CIR
HUNTINGTON BEACH CA 92649
Phone: 714-862-6408
Code Edit : 2016
Type of Construction: VB
Occupancy Group: R2/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units: 6
Bldg Height: 0
Bldg Sprinklers: N
Flood Zone: X
Construction Valuation
Building Permit Fee:
Plan Check Fee: $0.00
Overtime Plan Ck:
Investigation Fee:
Record Management:
Energy Compliance:
CA Seismic Safety:
Disabled Access
Hazardous Mat
Building Green Fee
PROCESSED BY:
Contractor: WEATHERBEE CONSTRUCTION
Address: 15361 BAFFIN CIR
HUNTINGTON BEACH CA 92649
Phone: 714-862.6408
Con State Lic: 995161
Lic Expire:
0713112022
Bus Lic:
BT30070305
Lic Exp Date:
12/3112021
Worker's Compensation Insurance
Carrier:
NO EMPLOYEES
Policy No:
Expire:
Building Setbacks Rear: /
Front: /
Left: /
Right: /
Architect
Address:
Phone: State Lic
Engineer:
XIAO OIANG
Address:
1520 BROOKHOLLOW DR 945
SANTA ANA CA 92705
Phone:
714-662-0510 State Lic:S-005289
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard Zone :
$0.00
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$157.00
Plan check Fee
$0.00
Grading Bonds Fee:
$0.00
Fair Share
$0.00
Grading PC Consultant :
$0.00
SJH Trans
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee
$0.00
Grading PC Fee:
$0.00
Public Works Department-
$0.00
WO Insp. Fee:
$0.00
Park Dedication :
$0.00
$0.00
PfW Plan Check :
$0.00
$0.00
Electrical %:
$0.00
San Dist:
$0.00
$0.00
Mechanical %:
$0.00
NMUSO Fee:
$0.00
Plumbing %:
$0.00
TOTAL FEE: $157.00
ZONING APPROVAL:
Fire Department
$0.00
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
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $157.00
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 (a)
(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 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).
I 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 legalll
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:http://www.leginfo.ca.gov/calaw.htm].
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions O C�hapter� (commencing with Section 0 f Division 3 of the Business and Pro ion e, and icens Is
and effect. License Class 45 License No Y r/��/ h � Date z-ZCJL/Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILUKE TC 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
COST DF COMPENSA r10N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
I ;lave 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
perfc-mance of the work for which this permit is issued. Policy No.
I have andwill ina{otain 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
i, i,-Lr.nce carrier and policy number are:
Policy Number Expiration Date
Agen� ___
C Ieiify that,=n the.?erformance o work for w ich thi permit is � sued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
If I shout I Ue(.On'e s jact t workers' c pens on provi ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ign if I G of Applicant Date
IECLARATION REGAADIRGtUNSTRUCTION LENDING 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 provi correce Ala
I agree to comply with all applicable city and county rdinan and state laws elating building construction. /
I authorize representatives of this city or county to nter bove-id Ified y coon purposes.
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
EPA
PERMIT EXTENDED
AQM D
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
/�6�-.Il.i
SBEST NO IFICAT N NOTAP LICAE
PROPOSED E 'IF
/J.
SIGNATURE: ///�/�