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Home My WebLink AboutX2018-1684 - Permitswr City of Newport Beach - Building Division *X2018-1684* COMB Permit: X2018-1684 n *� 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 1304-2018 ��% Permit Counter Phone (949)644-3288 s"i' Inspection Requests Phone (949)644-3255 N au* Combination Type - BLDG PLUM Issued Date : 06/01/2018 9ElF $ Inspection Area : 5 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: 325 ORCHID AVE NB Description: DEMO DETACHED LAUDRY BUILDING 180 SF Legal Desc.: CORONA DEL MAR LOT 25 BLK 241(AND NELY1/2 LOT 23(AND SWLY1/2 LOT 2 7 Owner: RUCKER LLOYD Contractor: OWNER/BLDR Architect:;,_�,:� Address: 4001 MACARTHUR BLVD #100 Address: RUCKER LLOYD Address: NEWPORT BEACH CA 92660s,,..,-.:.. Phone: 949-463-4509 Phone: Phone: State Lic: Applicant: RUCKER LLOYD Con State Lic: O/B Engineer: Address: 4001 MACARTHUR BLVD #100 Lic Expire: Address: - g NEWPORT BEACH CA 92660 Bus Liam°m. Phone: 949-463-4509 Lic Exp Date: Phone: State Lic: 4 a �. Code Edit : 2016 Worker's Compensation Insurance Designer. omo , o Type of Construction: Carrier: Address: Occupancy Group: U Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: ° Added/New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I Special Conditions: No of Units : 1 Front: / m ° ommomo oococ m Bldg Height: 0 Left: I Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone: N ° Construction Valuation: $1.000.00 cm°�" Building Permit Fee: $97.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $84.39 Additional Fee : $0.00 Plan check Fee: $37.50 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: $0.00 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 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $8.73 $0.00 TOTAL FEE : $228.62 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $228.62 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: I i'(./ PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: M 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 is 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 Irofessions 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 got more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 9Ived for the purpose of sale). , as wrier 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 pply 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). 7 I am exempt from licensure under the Contractors' tate License Law for the following reason: ly my signature below I acknowledge that, except for y personal residence in which I must have resided for at least one year prior to completion of the improvements covered this permit, 1 cannot legalll ell a structure that I have built as an owner -builder It has not been constructed in its a tirety by licensed contractors. I understand that a copy of the applicable law, Section 7 44 of the Business and Irofessions Code, is available upon request when Vis applic mift6d or att following Web site:http://www,leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Dat .ICENSED CONTRACTOR'S DECLARATI N hereby affirm under penalty of perjury that I arnflicensed 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 nd effect. License Class License No Date Contractor Signature YORKERS' EDMPENSATION DECLARATION OSTWIjJ : FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST S COMPEVSWION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirnrundewpenalty of perjury one of the following declarations: 14ave andAll 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 wm ante 91`1869Ivo rk for which this permit is issued. Policy No. •• Rave and w• ill maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, Ince car.4699rjpolicy number are: ler ' Policy Number for the performance of the work for which this permit is issued. My workers' Date 3rto of Agent Phone # �I certify thai!, 1r?thg rformance 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' pensation laws of California, and agre :If I should be tom s bject to the work s' com nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of AD can D e_ DECLARATION RE ARDING NSTRU TION ENDING AGENCY hereby affirm unde penalty of perjury that ther AS 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 y 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 ITve provided is correct. I agree to comply with all applicable city and cou y ordinances and state laws relating to building construction. / I authorize representatives of this city or county t enter the above -identified property for inspection purposes.re rnl// rl / ianahlof Pmnertv Owner nr Authorized Aaent Print PrODertv Owner's or Authorized ADent's Na a L{ v Zi �CS �. Date DATE BY DECIARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY R;GULATIONS PART 61 OF TITLE 40 AND AQMD RULE SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED ijg�OMD PERMIT FINAL NIFICATION IS NOT APPLIC LE TO OCERTIFICATEOF OPOSED UTIOIItS OCCUPANCYISSUED QUR