HomeMy WebLinkAboutX2020-0485 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
,., Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
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X 2 0 2 0 0 4 a 5
COMB Permit: X2020-0485
PfOJeCY NO
Issued Date : 0212412020Inspection 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: 17 LONG BAY DR NB
Description: SFR REMODEL KITCHEN AND
(3) BATHROOMS (520 SF) *CTY STD*
Legal Desc.: N TR 15332 LOT 23
Owner: YU LIU
Contractor:
BUILDERWELL
Architect:
Address: 17 LONG BAY DR
Address:
1622 EDINGER AV STE E Address:
NEWPORT BEACH, CA 92660
TUSTIN CA 92780
Phone:
Phone:
949-232-0555
Phone:
State Lie:
Applicant: BUILDERWELL
Con State Lie:
1022234
Engineer:
Address: 1622 EDINGER AV STE E
Lie Expire:
01131/2021
Address:
TUSTIN CA 92780
Bus Lic:
BT30071153
Phone: 949-232-0555
Lie Exp Date:
02128/2021
Phone:
State Lie:
Code Edit: 2016
Worker's Compensation Insurance
Designer:
Type of Construction: VB
Carrier:
EMPLOYEE SERVICE GROUP Address:
Occupancy Group: R3/U
Policy No:
WC9620161
Added /New sq.ft. Bldg: 0
Expire:
04101/2020
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: I
Special Conditions:
,
No of Units : 1
Front: /
P � .i�c-:'�
i i 'ems
170
Bldg Height: 0
Bldg Sprinklers:
Left: I
Right: /
Flood Zone:
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $41,600.00
Building Permit Fee: $658.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $572.46
Additional Fee :
$0.00
Plan check Fee: $40.00
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: $2.00
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
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
Disabled Access : $0.00
PAN Plan Check: $0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$46.06
San Dist: $0.00
Building Green Fee : $2.00
Mechanical %:
$26.32
NMUSD Fee: $0.00
$0.00
Plumbing %:
$59.22
$0.00
TOTAL FEE : $1,406.0
Plan Check Fee
: $0.00 Fee Due at Permit Issuance : $1,406.06
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 checkmark(s) 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
:he 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).
❑ 1, 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).
❑ 1 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 legally
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.html.
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 of Chapter 9 (commencing with Sectio 7 0 f 'visi the Business a Profess' n C94e, and my license' In or e
and effect. License Class License No Da Contractor Sig
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED HOUS DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, 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:
111 have 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
pfformance of the work for which this permit is issued. Policy No.
Praave 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' compensatior
nce carrier and policy number are:
.,arrier Policy Number Expiration Date
lame of Agent Phone #
❑1 certify that, in t ce of the work for which this p 't is i Lied, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
hat, if I should b ome subject e w rkers' compensation i a of Secti 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of App Ca Dat, —
)ECLARATION G CONS RUCTION LIT11-DINd A ENCY
hereby affirm under penal of perju 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
3y my signature below, I certi ach of the following:
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 ordi nces and state laws r lating to building construction.
I authorize representatives of this city or c my to e r the above-identif' r art fo n ection purposes.
Signature of Property Owner or Authorized A int Property Owners or Authorized Agent's Name vt Date a 4�
ACTION DATE BV DEC RATION COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RE LATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED !J I SUBMIT1fD ASBESTOS NOTIFICATION TO
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