HomeMy WebLinkAboutX2018-1611 - Permits911'1 City of Newport Beach - Building Division "X20181611 * COMB Permit: X2018-1611
100 Civic Center Drive, Newport Beach, CA 92660
off.
aw, Project No: 1236-2018
F ; � Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
''rrn>& " Combination Type - BLDG PLUM Issued Date : 0512512018
_. Inspection Area: 4
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: 1806 PORT SHEFFIELD PL NS
Description: DEMO SFR (3 BEDROOMS) 2300 SF
Legal Desc.: N TR 6620 LOT 2
Owner:
CLARKE GREG
Address:
PO BOX 8181
Planning Department -
NEWPORT BEACH, CA 92658
Phone:
Additional Fee:
Applicant:
CLARKE GREG
Address:
PO BOX 8181
$0.00
NEWPORT BEACH, CA 92658
Phone
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:
Contractor
Address:
Phone:
Con State Lie:
Lie Expire:
Bus Lie:
Lie Exp Date:
OWNER/BLDR
CLARKE GREG
O/B
2016 Worker's Compensation Insurance
Carrier:
U Policy No:
0 Expire:
0
Building Setbacks Rear: I
Front: I
Left: I
Right: I
Use Zone: Parkina Spaces
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
State Lie:
State Lie:
Special Conditions: OWNERIBLDR ATTACHED
Fire Hazard Zone : N
Building Permit Fee:
$103.00
Excise Tax:
$0.00
Planning Department -
Fire Plan Rev
Plan Check Fee: $189.00
Additional Fee:
$0.00
Plan check Fee
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share
Investigation Fee:
$0.00
Grading PC Consultant:
$0.00
SJH Trans
Record Management:
$4.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Disabled Access:
$0.00
PAN Plan Check :
$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
Plumbing %:
$9.27
TOTAL FEE : $1,744.27
PROCESSED BY:
ZONING APPROVAL:
$0.00
$0.00
$24.00
$197.00
$1,127.00
$0.00
$0.00
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $1,744.27
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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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
$24.00
$197.00
$1,127.00
$0.00
$0.00
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $1,744.27
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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0
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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 applicahla 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 applicant to a civil penalty bf
not more than five hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
im roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an own&r df•pFpperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
0 1 amexempt from licensure under the Contractors' State License Law for the following reason:
Q)• PhySJ;naturAl74ov0 j acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements Covera by this permit, I cannot legalh
sell a structure Neat 1 -have built as an owner -builder i it has not en onstructe l in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 044 of the Business and
Rrotessiens Cade, is available upon request win
s appli o bmilted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signiftdre of Property Ppner or Authorized AgD ,�—
I,IC•=fi$ED CO[;l MCTOR'S DECLARA1•hereby affirm ILnVVr Renally of perjury that I ased 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
acrd affect. License Class License No Date Contractor Signature
WOa@NERS' COMPENSATION DECLARATION
NMiNIN"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
L;TSI OF COMPENS4 1pyI.*MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
rgfepYeffirm under penalty of perjury one of the following declarations:
• -'r
Q.I. pave 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
oerformance of the Joh for which this permit is issued. Policy No.
01 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' compensatiol
nsurance carrier and policy number are:
carrier Policy Number Expiration Date
\lame of Agent Phone #
:3I certify that, in the perforrilarrice of t1lo work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the worker compensation laws of California, and agre
:hat, if I should become sub' ct to th compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �^
Signature of Applicant to
DECLARATION REGA G CON RUCTION LENDING AGENCY
hereby affirm under natty of per ry 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 owners behalf.
I have read this application and the information I h provided is correct.
1 agree to comply with all applicable city and cou ordi c d state laws relating to building construction.
I authorize representatives of this city, or county ant a ov identified property for inspection purposes. _
3i nature of PropertyOwner or Authorized Agent . Print Property Owner's or Authorized Agent's Na Date ^LS
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED
PERMIT CANCELLED
NOTIFICATION TO
CERTIFICATEOF 6.��ITFINAL $ �o _PROOPOSUD SMOLITIO TIO S OT PPLICABLE TO
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