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Home My WebLink AboutX2021-0563 - Permitsa City of Newport Beach - Building Division *X20210563* COMB Permit: X2021-0563 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0516-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type -BLDG PLUMIssued Date: 0310912021 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0310912024 OR PERMIT WILL BE INVALID 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: 74. LINDA ISLE NB Description: DEMO 6170 SF, 6 BEDROOM SFR W/ATT GARAGE, INCLUDES SEWER CAP Legal Desc.: N TR 4003 LOT 74 .... o•s• Owner: MUMMA JULIE Contractor: R D M S INC Architect: RITNER RONALD . ° . m m n o .... 01 Address: 74 LINDA ISLE Address: 250 E BAKER ST # 300 Address: 503 32ND STREET NEWPORT BEACH CA 92660 COSTA MESA CA 92626 NEWPORT BEACH CA 92660 Phone: Phone: 714-448-9835 Phone: 949-999-3255 State Lic:CO24105 •••• m o Applicant: R D M S INC Con State Lie: 815872 Engineer: ...... m•oo ° °. 0 o n Address: 250 E BAKER ST # 300 COSTA MESA CA 92626 Lie Expire: Bus Lie:BT30008726 1213112022 Address: ,{� g e • t !90 CON .... m . m m m e m m o Phone: 714-448.9835 Lie Exp Date: 01131/2022 Phone: a �t j Code Edit : 2019 Workers Compensation Insurance Designer: ° ° �w curl® Al o o r �,•,y ° �p'Fio Type of Construction: VB Carrier: EVERSTREMIER INS CO Address: o m o ®• �, Occupancy Group: R31U Policy No: 7600015443191 0 • m m • m m o Added /New sq.ft. Bldg: 0 Expire: 09/0112021 Phone: m Added /New sq. ft. Garage: 0IF No of Stories: 2 Building Setbacks Rear: I Special Conditions: DEMO SHALL CO MEN ys No of Units : 1 - Front: / DAYS AFTER NOTIFICATION Bldg Height: 0 Left: / JD DEMO TO HAUL Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parkin S aces: 0 Fire Hazard Zone : N Construction Valuation: 920.000.00 - Building Permit Fee: $120.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $227.50 Additional Fee: $0.00 Plan check Fee : $92.50 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 $26.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $219.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $1,692.00 Disabled Access: $0.00 PAN 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 %: $10.80 $0.00 TOTAL FEE: $2,388.80 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee: $0.00 Fee Due at Permit Issuance : $2,388.80 PUBLIC WORKS APPROVAL: PLAN CHECK BY: / APPROVAL TO ISSUE: l �, OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) (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 t e 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 o[ 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 gflREprpperty, 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 in 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). at AM:-xempt frgm %ensure under the Contractors' State License Law for the following reason: By my signature-belool 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 sena structure thatd 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 ProfelVions Code6 js6Vailable upon request when this application is submitted or at the following Web site:http://Ww .leginfo.ca.gov/calaw.htmi. Sjggatltrg of PropertX Owner or Authorized Agent Date L6ICENSED CONTRACTOR'S DECLARATION Iilereby affirm undeapenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 1 Sion 3 of the Bus! ss and Profes ode, and m nse is in full force ansI.WeEt. LiceliS�Class License No Date I Cont Signature WORKERS' COMPENSATION DECLARATION c HARNINGaFAILURE.TO WURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,0001, IN ADDITION TO THE (j0i5� QF COMPENSATR)N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. IfigirEby'affirm under penally of perjury one of the following declarations: ❑ I have and will mal Rain 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 Larmance of the work for which this permit is issued. Policy No. aand 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' compensatiol anvce carrier and policy number are: Policy Number is of Agent certify that, in the performance of the work for which this permit is , if I should tVEcome subject to IIJe workers' compensation provisic Date I not employ any person in any manner so as to become subject to the 3700 of the Labor Code, I shall forthwith comply with those provisions. CLARATION REGARDING CONSTRUCTION LENDING. AGENCY ;reby 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, 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. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of or county to ante ft above -identified property for inspection purposes. nature of Prooertv Owner or Aut ' ed Aaent Print Property Owners or Authorized A e is me L/1(!•f-1� ACTION DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I I__ I I --I I SUBMITTED ASBESTOS NOTIFICATION TO PERMITFINAL CERTIFICATEOF '//n, � BESTOS DEIVOLITIONION IS NOT APPLICABLE TO OCCUPANCYISSUED j U R URA compensation laws of California, and Code).