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Home My WebLink AboutX2018-2748 - Permits.1 City of Newport Beach - Building Division *X20182748* COMB Permit: X2018-2748 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0991-2018 w Permit Counter Phone (949)644-3288 -. Inspection Requests Phone (949)644-3255 is ,u�5' Combination Type - BLDG PLUM Issued Date: 09/13/2018 0\.... Inspection 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: 20052 CYPRESS ST NB�^'w-'_" Description: DEMO SFR 1347 SF (3 BEDROOMS) *DEBRIS TO BE WET AT TIME OF HANDLING, STRT SIDEWLKS REMAIN CLEAN & NO OBSTRUCTION* (AS BUILT) Legal Desc.: TR 706 LOT 180 NELY1/2R,g`i'-y"� Owner: WEBBER MATT Contractor: RL CONSTRUCTION Architect:"'"�--rr�� • ° Address: 20052 CYPRESS ST Address: 719 E BUFFALO AV Address: e •��e>F" o°°°°c NEWPORT BEACH, CA 92660 SANTA ANA CA 92706 pew, Li "3 ° Phone: 949-793.1653 Phone: 949.395-4841 Phone: State Lie: Applicant: CLAPP RICHARD Con State Lie: 558404 Engineer: Address: 719 E BUFFALO AVE Lie Expire: 0 713112 01 9 Address: SANTA ANA CA 92706 Bus Lie: BT30062694 Phone: 949-395-4841 Lie Exp Date: 03/31/2019 Phone: State Lie: ° ° ..... Code Edit: 2016 Worker's Compensation Insurance Designer: o°°000 Type of Construction: V -B Carrier: STATE FUND Address: ° Occupancy Group: R3 Policy No: 1896615 o Added /New sq.ft. Bldg: 0 Expire: 06/01/2019 Phone: ° ° ° ° ° ° ° • ° ° Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: / Special Conditions: SEWER LINE SHALL BE CAP No of Units : 1 Front: / ALL BASEMENT FILLS SHALL Bldg Height: 0 Left: / BE CLEAN & UNIFORM Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $3.000.00 Building Permit Fee: $103.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $0.00 Additional Fee: ($761.00) Plan check Fee: $0.00 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: $103.00 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 $24.00 Energy Compliance: $0.00 Grading PC Feer $0.00 Public Works Department- General Service $197.00 CA Seismic Safety: $0.00 - WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 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 W $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $9.27 $0.00 TOTAL FEE : $240.27 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $240.27 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: p \ PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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) Iction 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 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 Lousiness and Ifessions 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 penalt;of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or `) portions of the work, and the structure is not intended or offered for sale (Section 7044, siness 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 )rovements 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 )roved 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 )ly to an ovyrW Of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I qfn exemiAlt- in licensure under the Contractors' State License Law for the following reason: "- ignatuja EPFIoi, 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 legal a structure that Fhave 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 ifftions Cods, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of Prppertypwner or Authorized Agent i Date SENSED (RVN WCTOR'S DECLARATION )Fatty affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 of Djyi�ora 3 of the Business and Pro les derma4ieisin full farce i affect. Livewe Glass License No Date 55 4855 Contractor Signatur .. .. )MERV COMPENSATION DECLARATION UIINF: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO OR MI Al PENALTIES AND CNIL FINES UP TO ONE HUNDR DOLLARS ($100,0001, IN ADDITION TO THI IT OPCOMPEptlljlg�)AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Irebi affirm under flbnalty of perjury one of the following declarations: ,66ave and.wWl*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 tl fprmance of tfle irk for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Date me of Agent Phone 7F I certify that, in the pert rmance of the work r which th' permit is issued, I shall not employ any person in any manner so as to become subject to the workers' c pensation laws of California, and agre t, if I should become s 'act the work omp n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I? y )nature of Applicant Date Z CLARATION REGA DING CONSTRUCTIO E AGENCY sreby affirm under nalty of perjury that there is a c truction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ides 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 owners behalf. I have read this application and the information I haV provided is correct. I agree to comply with all applicable city and count ordinances a to la I authorize representatives of this city or county he ab d tIf' c mature of Prooertv Owner or Authorized Aqent _ _. DECLARATION g to building construction. for inspection purposes. Print Prooertv Owner's or Authorized WITH CODE OF FEDERAL PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMIT EXTENDED - QM PERMIT FINAL CERTIFICATE OF �L ASBESTi PROPOSED OCCUPANCY ISSUED IGNATURI FOR OFFICE USE ONLY