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Home My WebLink AboutX2021-2043 - Permits'A' City 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 - BLDG PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-2043 Project No : 0568-2021 Issued Date : 08/04/2021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0810412024 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 6� Job Address: 302 KINGS RD INS Description: DEMO (E) SFR W/GARAGE 6,469 SF (3 BEDROOMS) ^°^ Legal Desc.: N TR 1219 BLK H LOT 12 0 Owner: KERR CHERYL Address: 12777 GARDEN GROVE #308 GARDEN GROVE CA 92043 Phone: Applicant: BUENA VIDA ASSET MANAGEMENT Address: 3141RIS AVE CORONA DEL MAR, CA 92625 Phone: 949-922-1669 Code Edit : Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Contractor: BUENA VIDA ASSET MANAGEMENT Address: 3141RIS AVE CORONA DEL MAR, CA 92625 Phone: 949-922-1669 Con State Lic: 968985 Lic Expire: 03/31/2023 Bus Lic: BT30076165 Lic Exp Date: 08/31/2022 2019 Worker's Compensation Insurance VB Carrier NO EMPLOYEES R3/U Policy No: 0 Expire: 0 Building Setbacks Rear: / Front: / Left: I Right: / Valuation: $22,000.00 Building Permit Fee: $122.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $2,117.98 PROCESSED BY: ZONING APPROVAL: Architect: Address: Phone: State Lic: Engineer: Address: Phone: State Lic: Designer: Address: Phone: Special Conditions: HAULER: TIGHT OUATERS NO CITY TREES ON SITE Excise Tax: $0.00 Planning Department - Additional Fee : $0.00 Plan check Fee Grading Bonds Fee: $0.00 Fair Share Grading PC Consultant : $0.00 SJH Trans Grading Permit Fee: $0.00 In -lieu Housing Fee Grading PC Fee: $0.00 Public Works Department - WO Insp. Fee: $0.00 Park Dedication : $0.00 PAN Plan Check : $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical W $0.00 NMUSD Fee: $0.00 Plumbing %: $10.98 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $27.00 $265.00 $1,692.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,117.98 PUPLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: ;l:BPROVAL 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 ie 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 'rofessions Code) or that he or she is exempt from Iicensure 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 of more than five hundred dollars ($500). 7 1, 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 7Q• 4, 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 th t 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 nproved for the purpose of sale). I, 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 pply to an owner of property who builds or improves thereon, and whocontracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from Iicensure under the Contractors' State License Law for the following reason: ly 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 Iegalh ell 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 'rofessions 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 .ICENSED CONTRACTOR'S DECLARATION //� hereby affirm under penalty of edury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) Is op. f the Business and Pr e i Co A ¢€nse is in full force no effect. License Class JS License No Da Contractor Signat VORKERS' COMPENSATION DECLARATION FARMING: 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 DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 th erfcrmance 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: ie of Agent Policy Number Expiration Date Phone # gl certify that, in the pe ormance 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' compensati laws of California, and agre hat, if I should becomee ubjec wor a '6 provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. „I �/Z / Signature of Applicant D US( )ECLARATION RE UCTION LENDING AGENCY hereby affirm uner de y pjury 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 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. 1 agree to comply with all applicable city and cou ty ordinances and state laws relating to building construction. I authorize representatives of this city or cou o enter - t' no art for inspection purposes. signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam ACTION DATE BY D TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULAT NS PART 610E TITLE 40 AND AQMD RULE 1403 _ PERMITEXPIRED SUBMI ED ASBESTOS NOTIFI=ATION �O PERMIT CANCELLED EpA PERMIT EXTENDED JgTAQMDI CERTIFICATE OF OCCUPANCYISSUED