HomeMy WebLinkAboutM2022-0016 - PermitsCity of Newport Beach - Building Division *M2022-0016* HARBOR Permit: M2022-0016
e 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1056-2019
Permit Counter Phone (949)644-3288 I
EC` OR Inspection Requests Phone (949)644-3255
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Job Address: 515 36TH ST Floor: Suite: Bldg: 0 (�
Description of Work: RE-INFORCE(E�45€AWAk&ffWT4LiZFNeG.�&YNMIi�fiGr �=R ^" T' a F�"l: ON{'o�rF nF�r•��G ** uetir.F nF nwticR** 1 _
Inspector Area: 1 L�
Legal Description: CANAL SECTION LOT 8 BLK 5�8(kNB N 6 If applicable: � * Z
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Owner: 777 SEAVIEW ISLAND LLC "`rdress.0
r - w 5 =' ®'g o OrPEIFM'� Arq[Elfu1'd "m "'I -
Address: 17870 CASTLETON ST SE254r�� AAddress: 28161 CASITASCTCITY OF INDUSTRY, CA 17484 LAGUNA NIGUEL CA 926 7
Phone: 3;,, P�h r``. 9M1:ge
IL.:"�"' �� f�hoYt�::Of'il: �q 717 7-62
State Lic: C 066947
Applicant: CHOW BILL b'at�t/ D
Designer:Address: 17870 CASTLETON ST SE25 :Ez �!'E'?Address:CITY OF INDUSTRY, CA 174 �'s I I
Phone: 626-833-2188 Lic Exp Date: Phone:
Special Cond: �'>.�'e, ^ s^^q r ° I ng; oy H r�Vy»,{ke Camperatim Declaration- m
p��� El
t me
Issued Date 05/26/2022 rs Policy No:
1 -.E \
{VFJG'°?-K SL�ii E W i�' f"tt �,`a` i rE fJseli'I€::d
FEES
Valuation: $10,000.0 '%vi Fire Inspection Fee: $0.00 $oi00
Inspection Fee: $0.0 lre an ec Fee: - $0.00
Plan Check Fee $0.0 Records Mangement: $0.00 PI..4 on(}g Flap Check : $0:00
OT Plan Check Fee: $0.0 � CheckOv0 � a = V&T`T & Pler�-Ghez� d $0 00
Investigation Fee: $0.0 ---° - '= �-- °'^•�
Building Green Fee : $1.00
TOTAL FEE : $38.00 Plan Check Fee : $38.00 Fee Due at permit Issuance : $0.00
PROCESSED BY: / PUBLIC WORKS:
PLAN CHECK BY: APPROVAL TO ISSUE:
OTHER DEPARTMENTS:
FINAL INSPECTION:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
INER-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(:
ction 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
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 a
fessions Code) or that he or she is exempt from Iicensure 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
.chore than five hundred dollars ($500).
LY I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 704,
,iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that If
rovements are not intended or offered for sale. if, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built
roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does IT
ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from Iicensure under the Contractors' State License Law for the following reason:
my signature L3S3A I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to complel
a structure thif i have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a
d?@slims Code is available upon request when this application is submitted or at the following Web site:http://www.1eginfo.ca.
nature of Proaei.y O°,aner or Authorized Agent
ICE14SED CONTRACTOR'S DECLARATION
hereby affirm u,n'de�pEnalty of perjury that I am licensed under
id affect. Licensa,Cla;.s Lice 'O
ONGSHOREIVEN'S & HARB f KUR�'
ARMING: FAILURE TO'$ECURE LONGSHOREMEN'S 8 HARBO K S`2
I.G,LJb), IN ADDITION TO THE COST OF C MP$ry$$pTION, DAM
la a,ions: m*9
I have -and WiV maint in Longshoremen's and v
sid, - My wo(kers' corm an
of
,asp hapter 9 (commencing with Sectiq�l 7,V0WP l`e" of the Business and 8ro
Date Contract r yStiettai0�g U� �
A NN DECL TQ� AA 0(� U�
,TI GE IS UNLAWFUL, AND SHALL sUB.� PCOVER TO CRIMINAL PENALTIES AND CIVIL
FOR IN SECTION 3706 OF ODE, INTEREST, AND ATTORNEY'S FEES. I hereb n
compensation insurance `a "req' d Sk0o1A1D@ of the Labor Code, for the perfor
er ^_ and policy number I
21 1 certify that, in the perfirmanfiNMIldIrork for which this permit is issued 1--shall not employ an}
rgree that, if I should become su 'ect to the workers' cc i6in`provisions of Section 3700 of the Labs
signature of Applicant: -
DECLARATION REGAR ING ON TRUC - N - ENCY
I hereby affirm under pen ty of at there is a construction lending agency for the perf
Lender's Name Lendgrtt
manner so as to become subject to the
forthwith comply with those provisions.
By my signature below, I ce I to each of the following: I �;�JOrV Sty` Lv"
I am the property owner or auth ized n tho�'E r' be \®
I have read this application and a inf r I 02, corre ,..��\\
I agree to comply with all applica a cit unty o dine it6dkys relating to building construction.
I authorize representattyyves of this sty or ounty to a 4NQ ve-Identified property for inspection purposes.
covered by this permit, I cannot Is
law, Section 7044 of the Business
Date
Code, and my license is in full
i UP TO ONE HUNDRED THOUSAND DOLLARS
penalty of perjury one of the following
(Section 3097
I
f the work for which this permit is
ation Date
compensation laws of California, ant
Date:
3 yil Code).
-s/z6/2o22
ACTION
A..
BY
DECLARA PUANCE WITH CODE OF
FOR OFFICE USE ONLY
L REG lE7NS PART61 OF TITLE40AND
3.
PERMITEXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERM TCA,NCELLED
PERMIT EXTEPdDED
❑ ASBESTOS NO77FICA'RON IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
CERTIFICATEOF
SIGNATURE:
OCCUPAPICY)SSUED
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