HomeMy WebLinkAboutX2020-2733 - PermitsCity of Newport Beach - Building Division
W* 100 Civic Center Drive, Newport Beach, CA 92660
N Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - BLDG ELEC GRAD
4
COMB Permit: X2020-2733
Project No : 2171-2020
Issued Date : 0111112021
Inspection Area: 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED B rOI/12/2024 OR PERMIT WILL BE INVALID
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00--arhi.'to 6:00 p.m. No work on Sundays or Holidays
Job Address: 9 TROUVILLE NB
Description: SFR DRAINAGE AND NEW FOUNTAIN WITH ELECRICAL*STOP WORK* 120-2490 RD PLAN),
Legal Desc.: Gable, U�d1�'`+g�,
Owner: REN SHUANG Codress�Y OWNER/BLDR\t, a�a�o/c oC Q � gR�r.Ce§ ' E S r ECT "- f t
Address: 9 TROUVILLE ` dl
NEWPORT BEACH, CA
Phone: 949-527-8010 n Phone: �s �U Phone: State Lic:
Applicant: REN SHUANG i/ L/Con State \10 Engineer:
Address: 9 TROUVC LE �, (� Lic, xp ", �,O Address:
NEWPORT BWH,��" Bus LI ;z .' ' ' '
Phone: 949 527 f(09f" `�" r Lic E$p te: ,. Phone: State Lic:
Code Edit : k-2019-.w - Worker's compensation Insure Designer: ,
Type of Construct n: "� Carrier Address:
Occupancy Group U Policy No: '
Added /New sq.ft. 6{dg 0 - Expire `� Phone:
Added /New sq. ft. G rage: "'-. s pry` r 11,
No of Stories: 0 Building SetbaG e Rear'. I 1 C t oWt; OO NERIBLO 2 ATTACHED
No of Units: 0 Front: I °
Bldg Height 0 ` Left: I .-
Bldg Sprinklers €;. Right: I , ,cteu
: Par
Flood Zone. - „�- Use Zonekin S ace : `n S` ne Hazard Zone : N
Construction Valuation:'` $15.000.00 -'
Building Permit Fee $331.00 Ex a $0.00 Planning artmen - t a artment
Plan Check Fee: $287 97 AAQ i lee $0. 0 C i1�Fr?P" nspection: $0.00
Overtime Plan Ck ,$0.0 �i'g B„opr�,ee.. $0. 0 are: ty-`" $0. Fire Plan Rev $0.00
Investigation Fee: $331.0 GrrAA5t onsultant : $0. 0 SJH Trans : �� .00 Demolition Fee
Record Management: $.0.00 �,At0 ng Permit Fee' $2 In -lie McTiTain F $0.00 Building Dept Adm $0.00
Energy Compliance: $0.00 Grading PC Fe 195. 0 is apartment - "` General Service $0.00
CA Seismic Safety: $0.00 $0. edication : $0.00 Refund Deposit $0.00
Disabled Access: $0.00 -�'� PAN Plan Check : $0.00 Grading Bond: $0.00
Hazardous Mat $0.00 '.:,a'(� • Electrical %: -'�' ii7 San Dist: $0.00
Building Green Fee : r$1.0 Mac %: $0.00 NMUSD Fee: $0.00 $0.00
um ' .0. $0.00 $0.00
I► TOTAL
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$1,447.39 Fee Due at Permit Issuance : $0.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
c
I hereby afflml 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 Rem(*)
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 ice Issuance, also requires the applicant for
he permit to Ole a signed statement mat 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
Imitations Code) or that he or she Is exempt from Ikensure 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
I ot more than No hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure Is not Intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that :, a
'mprovements 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
Erfor thepq(I(pse of sale).
❑ 1, as ownepgff Slie f,Mperly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
Wly hsan 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).
tJ I am exempt f(P'sn, rcensure under the Contractors' State License Law for the following reason:
Bi' m"ignature 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 lagsil
Self'@. Structure that I have bulk as an owner -builder H it has not been constructed In its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of a Business and
Pplegelons Coots, k ayallable upon request whe�fjla application Is a bmyted or at the following Web site:httpJA�w.leginfo.ca.gov/calaw.hbml.
Signature of Propsty Gwner or Authorized Agent A11.�(?l�"'•
Data
CIC�f7SED CQVTPh�TOR'S DECLARATI�t
rW66dtaffhm unsdr ocnaky of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full fora
— 1-.—
License
COMPLAISATION DECLARATION
Date
Contractor
ucn -A URe TRC r��rrE WURIUMOr COMPENSATION OOVIRAOE M UNLAWFUL.AND SHALL SUBJECT AN EMPLOYER TO CIUMMAL PENALTIES AND CIVIL RNSS UP TO ONE HUNDRED THOUSAND DOLWIS (a10a,000L IN ADDITION TO THE
Air or COatPB1aATAA( DLLAm As PROvicen roR M secTKm arm OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES
IwrsCry 9rkM UAWpenalty of pejury one of the following declarations:
3 1 htv, and will mPlrtnin a certikcate 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
effomen.A of the work fur which this permit is Issued. Policy No.
3' Ywr rnd 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' compensetioi
Tsvrana -affler Pnd paltry number are:
Policy Number —Expiration Date
rf Agent Phone #
I certify 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 Callfomla, and agre
I. H I should become object to warkere' m nsation provisons of Section 3700 of the Labor Code, I shall forthwith comply with these pro�vi/slors. 1
inature of Applicantt Date7�
;CLARATION RE GGAA� CIS N LENDING AGENCY
Maby affirm under penalty of perjury that there Is a construction lending agency for the perlornence Of the work for which this permit is Issued (Section 3097, Civil Code).
tder's Name Lender's Address
my Signature below, I certy 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 lire 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 countyAIo enter the abWaAnOOed property for inspection purposes. a 14
ACTION I DATE 41 By
PERMITEXPIRED
OCCUPANCYISSUED
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