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HomeMy WebLinkAboutX2014-2591 - Permits (3)hr�v City of Newport Beach - Building Division IIIIIIIIIII�IIIIIIIIIIIIIIIII II COMB Permit: X2014-2591 a" 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 4 2 5 9 1 Project No: 2062-2011 Permit Counter Phone (949)644-3288 u y Inspection Requests Phone (949)644-3255 DUPLICATE Combir-"tion Type - SFP ELEC Issued Date : 201a rr;vi4,.= Inspection Arearea : 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED Job Address: 304 ORCHID AVE NB Description: SFR -REVISE SCOPE OF WORK DELTA 1 (X2011.2592)IREMOVE 2'4" @ SIDE OF RES TO CREATE 3' SETBACK, ADD 42 SF @ KITCHEN, PATIO COVER @ FRONT Legal Desc.: CORONA DEL MAR BLK 242 LOT 6 Owner: BAILEY BOYD & CHARLENE Address: 304 ORCHID AVE CORONA DEL MAR, CA 92625 Phone: 949-677-0936 Applicant: BAILEY BOYD & CHARLENE Address: 304 ORCHID AVE CORONA DEL MAR, CA 92625 Phone: 949-677-0936 Code Edit : 2013 Type of Construction: V-B Occupancy Group: R31U Added /New sq.ft. Bldg: 42 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Contractor: BAILEY BOYD B Architect: Address: PO BOX 26424 Address: SANTA ANA CA 92799 Phone: 949-723-0440 Phone: State Lie: Con State Lic: 503880 Engineer: HOWARD JOHN EDWARD Lie Expire: 0713112016 Address: 29436 DRY DOCK COVE Bus Lie: BT30036961 LAGUNA NIGUEL CA 92677 Lie Exp Date: 09/3012015 Phone: 949-701.9326 State Lic:S-002953 Worker's Compensation Insurance Carrier: WIC EXEMPT Policy No: (NO EMPLOYEES) Expire: Building Setbacks Rear: I Front: I Left: I Designer: Address: Phone: Special Conditions: REV14-0916 Bldg Sprinklers: Flood Zone: X Use Zone: mgm: r Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $11 950.00 Building Permit Fee: $249.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee: $128.00 Fire Inspection: $0.00 Overtime Plan Ck: $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: $12.00 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: $1.55 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 PAN Plan Check: $151.00 Hazardous Mat $0.00 Electrical W $17.43 San Dist: $0.00 $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $559.98 Plan Check Fee: $559.98 Fee Due at Permit Issuance : $0.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER I hereby affirm under penalty of perjury that I am exempt from the ContractorsState 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 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-Rgplicant to a civil penalty of not more than five hundred dollars ($500). - - ' ' I - i❑ 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' 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.htmi. 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 Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANDCIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: I 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 the performance of the work for which this permit is issued. Policy No. have 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' rance carrier and policy number are: Policy Number of Agent Date 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 California, and agree t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date_ CLARATION REGARDING CONSTRUCTION LENDING AGENCY - weby 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). Ider's Name Lender's Address 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 provided is correct. 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