HomeMy WebLinkAboutX2020-1305 - Permits�wnrk City of Newport Beach - Building Division *X2020-1305* COMB Permit: X2020-1305
r� 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1002-2020
Permit Counter Phone (949)644-3288
S Inspection Requests Phone (949)644-3255
Combination Type - SFP Issued Date : Area
: 2020
t,rr",wM
Inspection Area 6
PERMIT EX /RES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.. .ILL BE INVALID
Cons t cd Hour' s: M23fi y - ri ay7:00 a.m. to :30 p.m. and Saturday from 8:00 a.m, to 6:00 p.m. No work on Sunday r Holidays
Job Address: 44 CORAL BEE fNB �� If applicable:
Legal Desc.: N TR 14859 LO iZ F ( j'V4.OWS -.1
Description: SFR INCREAS
--
Owner: YUN MA fi 17"
"- Contractor. CHbNG LIU DA80t �4: or ❑ 100% refund
Address: 6615 CEDAR CR k D Address: P O. BOX 836 Address:
EASTVALE CA 9 0 ALHAMBF CA 91801 j. t hom:Phone: t Phone 6261373-0967 ARM �PFldne. State Li
Applicant: LIU MING L Con State Lic: 1020373 Engineer. LAU DAVID HARKWONG
Address: 268 W DUZDEN e Lic Expire 1113012020 _ Address: 12467 W WASHINGTON BLV
GLENDALE CA 9 2 / Bus Lic BT30072136 D
LOS ANGELES CA 90066
Phone: 626-347-4525 'ry Lic Exp Date' 06130/2021 "CE
Phone: State Lic-034961 -
Code Edit : 201! Workers Comperisation Insurance Designer:
Type of Construction: VB Carrier: W/C EXEMPT Address: -
Occupancy Group: R31 ♦q Policy No: • ,
Added /New sq.ft. Bldg: Expire: Phone '3
Added /New sq. ft. Garage: 6' y� n
No of Stories: 3 �i', Scia
e ac� li a � °,Speoial Cbnditions: VdFSZ
No of Units: 1 Front: I (no work started)
Bldg Height: 0 s. work started) Left: /
Bldg Sprinklers: Right: /
Flood Zone: r''"� Use Zone: Parking Spaces: 0 Fire Hazard Zone : N
Construction Valuation: C.Odbialo e.
Building Permit Fee, $20 .bb-L
Excise Tax: $0.00 Planning Department- Insp. Initials,-
Plan Check Fee: $174.00 a an c ec ee : $40.00 Fire Insnerr on _i $0.00
Overtime Plan Ck: $ ,+ Fire Plan Rev $0.00
Investigation Fee: $ .00' Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee
Record Management: $2 .00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00
Energy Compliance: $5 i.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00
CA Seismic Safety: 0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00
Disabled Access : 0.00 PNV Plan Check : $0.00 Grading Bond: $0.00
Hazardous Mat $ .00 Electrical %: $0.00 San Dist: $0.00
Building Green Fee : $ .00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00
Plumbing %: $0.00 $0.00
TOTAL FE E : $491.00 Plan Check Fee : $214.00 Fee Due at Permit Issuance : $277.00
PROCESSED BY:
ZONING APPROVAL:
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(s)
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 for
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
Cessions 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
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
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 the
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 or
roved for the purpose of sale). -.=..��:�„3:�•-_----=
I, as owner of the property, am exclusively, ontracting with licensed Cont ctors to constru t the project (Section 7044, Business and Professions Code: The Contractors' Stat Lic6se Law does not
ly to an owner of property who builds or imiroveiereq�t„and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
J I am exempt from licensure under the Cor
ractors Sfa-te Li I I d IIL:[t 01i''.
Iy my signature below I acknowledge that, ex
apt for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered b
`. this' rmR, I cannot legallj
ell a structure that I have built as an owner-b
'rofessions Code, is available upon request
Ider' as nertbeen ct led anti by ' en ntr erstan¢�a¢�y Q� B-ap Qqi w gti�p Zp4
en t is sQrAms' lit or fol g e e: g o.ca.go5lcalra4NithM. " u `�" �0 reL
of f, Business and
`
,`-
'signature
,�appllca{in
of Property Owner or AuthorizedAg
nt Lc :`nu F>. 5 ._
.ICENSED CONTRACTOR'S DECLAR
I
10 " �M r: f ++f�`,�/{{�
Ilcensed-vprovisions Chapter 9 iod7oft}f� i d
a,
Ifrnse is in full force
hereby affirm undo. penalty of perjury that
of comma ng w act
y
nd effect. Licees3 Class
License No Date :! Contractor Signature
'ARWNG FAI`ILLURE TO SE.: RE WORKERS' COMPENS
[ONDCO G ilINLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES. AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAR
$11Q 1, IN ADDITION TO THE
OST OE COMPENSATION DAMAGES AS PROVOEb FO
IN SECTIO as OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES
nereoy affirm under penalty of perjury one of
a following declarations:
J ' hav3 and will mar,rtain a certificate of
nsent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700
if t :t abor Code, for thr
erformance of thnwo•k for which this permit
issued. Policy No. �, _�/
; �.
have and will' maintain workers' compeni lion ce, a cared by Section 3 00 of the Labor Code r_UTgjJ5kormance of the work for which this permit Is issued y V_*kers' compen
rance carrier and policy number are: - �`�7r t�qy� /��y plan
- � �,>i
:er _ y N4RtbeY `." PJ 1 i ,� ti:. .-_-' E�rBIreIJ .D s
Ha` of Agent !! Phone #} I' p
if
that, in the performance of the wort or which this permit is issued, I shall not employ any person in any manners as o ecom'e sSuBjg 3 workers' compensation I s.a i alifomia, and
//if I should become sub'ect to th worker c pe sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ? _
lature of Applicant Date y '
:LARATION REG RDING C()-NSTRUCTIIPN LENDING AGENCY
hereby affirm under penalty of perjury that th re I= canctr ct "ridloo agency for the performance of the work for which this permit i� � ( t�t�aP�7. Civil
Ender's Name Lender's Address —
y my signature below, I certify to each of the o owing:"'
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the 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 county to eyKer U above -identified property for inspection purposes.
Of
PERMIT CANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
Owner or Authorized
.A J-21
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
SIGNATURE:
ISNOTAPPLICABLE TO
mer's or Authorized Agent's Name
FOR OFFICE USE ONLY
J