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HomeMy WebLinkAboutX2020-0411 - Permitsg,txt^oy 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 COMB Permit: X2020-0411 IIIIIIIIIIIIII�II�IIIIIIIIIIIIIIIIIIIIIIII II Project No: 0321-2020 Issued Date : 02/1312020 Inspection Area : 2 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: 1113 KINGS RD NB Description: DEMO 3013 SF, 4 BEDROOM SFR & ATTIGARAGE, INCLUDES SEWER CAP Legal Desc.: N TR 1219 8LK E LOT 31 Owner: REED GREG & CAROLYN Address: PO BOX 1245 Record Management : NEWPORT BEACH, CA 92659 Phone: 949.698.2091 Applicant: LEGACY C D M INC Address: 2618 SAN MIGUEL DR #204 Hazardous Mat NEWPORT BEACH CA 92660 Phone: 949-677-3650 Code Edit: 2016 Type of Construction: VB Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $103.00 Plan Check Fee: $208.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $4.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $2,343.27 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: LEGACY C D M INC Architect: Address: 2618 SAN MIGUEL DR #204 Address: SJH Trans NEWPORT BEACH CA 92660 In -lieu Housing Fee: Phone: 949-677-3650 Phone: Con State Lic: 962720 Engineer: Lic Expire: 0413012021 Address: Bus Lic: BT30043218 Lic Exp Date: 0513112020 Phone: Worker's Compensation Insurance Designer: Carrier: STATECOMP. INS Address: Policy No: 9147240 Expire: 11124/2020 Phone: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: I Left: / Right: / 'arkina Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.27 Plan Check Fee 0 State Lic: State Lic: Special Conditions: GREENLEAF TO HAUL LANDSLIDE AREA Planning Department - Fire Department Plan check Fee: Fire Inspection: Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication: $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 m o 0 0 00 0000 $0.00 $26.00 $210.00 $1,692.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $2,343.27 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: m m0000c m c 000cc 0 000cc oocc or 0 oocc Fire Department $90.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: m o 0 0 00 0000 $0.00 $26.00 $210.00 $1,692.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $2,343.27 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: m m0000c m c 000cc 0 000cc oocc or 0 oocc 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 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 of not more than five hundred dollars ($500). ❑ I, 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). ❑ 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 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below l 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 sell 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 Professions 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 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SeQtiof'7000 of ivision 3 of the Bus' e s and Professions Co e, and my license is in full force and effect. License Class License No Date � Contract Signature 00 WORKERS',GQMPENSATION DECLARATION /1 NARNING: FAICgRE,TQSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDTHUSAND DOLLARS ($100,000), IN ADDITION TO THE COSTiOF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. i hereby affirm uriM penalty of perjury one of the following declarations: .. ,29,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 Cade, for th le of Ice if the work for which this permit is issued. Policy No. antl*wiil 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 qpd policy number are: L6.6 Policy Number .Expiration Date is fT performance 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' compensation laws of California, and agre bp(yme subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /' / ate2-� 1 't / 2v 1 c,l� 11I�C\Il�V //' :reby affirm under penalty perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). 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 this -Wor county to enter the above -identified property for inspection purposes. '/J� nature of Prooertv Owner or Autl{ Ize Aqent _ !4� - Print Property Owner's or Authorized Agent's Maine , M,:" : ii ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED I /I \ I LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED PERMITEXTENDED OCCUPICATE OF �I �' SIG 101�Ef) DEMOLITI011` ON IS NOT APPLICABLE O OCCUPANCY ISSUED 6 "Y UU �� .� C-� X § , \ § § } / ] % 7 k) B \ §) ®k § \ 7 )/ �§ � k) � S @ Q ( 22 {\ k§ § « \ wm ©` ( )k \ 22§ §) k ) k\ E\ \) § , \ § §