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HomeMy WebLinkAboutX2017-4027 - PermitsCity of. Newport Beach - Building Division *X20174027* COMB Permit: X2017-4027 a"5 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 2833-2017 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Parrvnu' Combination Type - BLDG PLUM Issued Date: 1 211 912 01 7 Inspection Area : 8 Phone: Applicant: ZEHNER RICHARD Address: 7 VINCENNES NEWPORT COAST, CA 92657 Phone Code Edit: 2016 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Phone: Con State Lie: 0/B Lie Expire: Bus Lie: Lie Exp Date: Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Rear: I Front: I Left: I Right: I Phone: State Lie Engineer: WALKER RYAN PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 6761 GYPSUM CREEK DR Fire Hazard Zone : NConstruction CORONA CA 92880 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 Designer: Job Address: 2407 BUCKEYE ST NB Description: DEMO SFR W/ATTACHED GARAGE, 2482 SF (4) BDRM F Excise Tax: $0.00 Planning Department - Legal Desc.: N TR 4893 LOT 101 Fire Department 5 r' Cf Plan Check Fee: $189.00 Additional Fee : Owner: ZEHNER RICHARDIBARBARA Contractor: OWNERIBLDR Architect: $0.00 -'- ° 60.09 • Address: 7 VINCENNES Address: ZEHNER RICHARD Address: $0.00 Fair Share : NEWPORT COAST, CA 92657 Fire Plan Rev $0.00 ObfO Phone: Applicant: ZEHNER RICHARD Address: 7 VINCENNES NEWPORT COAST, CA 92657 Phone Code Edit: 2016 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Phone: Con State Lie: 0/B Lie Expire: Bus Lie: Lie Exp Date: Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Rear: I Front: I Left: I Right: I Phone: State Lie Engineer: WALKER RYAN Address: 6761 GYPSUM CREEK DR Fire Hazard Zone : NConstruction CORONA CA 92880 Phone: 951-741-1618 State Lic:C-064726 Designer: Address: Phone Special Conditions: GREANLEAF TO HAUL 10 1P 1�f�k�• o D COCCG4 m 00 O 0 0 o co Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : NConstruction Valuation: $15.000.00 •••°•• ° ° Building Permit Fee: $103.00 Excise Tax: $0.00 Planning Department - Fire Department Cf Plan Check Fee: $189.00 Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: ° 60.09 • • ° ° ° ° Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 ObfO 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 'S4.w ° ° Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $197.00 ... E CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $1,M1.00. ° ° • ° 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 %: $9.27 $0.00 TOTAL FEE : $2,305.27 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,305.27 PROCESSED BY: CL__� PUBLIC WORKS APPROVAL: ZONING APPROVAL: I --lx_ PLAN CHECK BY: GRADING APPROVAL: fZQA • APPROVAL 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 applics[�Is 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 ie 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 Rusiness 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+ ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 !Qproovved for the purpose of sale). CSI 1, 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 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 legall, sell a structure that I have built as an owner -builder if it has no en con rutted in Its entirety by licensed contractors. I understand that a copy of the applicable law, Sec'on 7044 of the Business and Professions Code, is available upon request wl7afi this ap R it5TTr ifthe following Web site:http://www.leginfo.ca.gov/calaw.html. ' Signature of Property Owner or Authorizek3gnt D ".2— LICENSED LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed 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 and effect. License Class License No {te Contractor Wipature WORKERS' COMPENSATION DECLARATION NARNING: 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 COST 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: :11 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 )erformance of the work for which this permit is issued. Policy No. ••• m••• have and will aintain 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' compensatioi nawreeae carrierand"licy number are: �arrier� �••• Policy Number Expiration Date e d Agent Phone # I certify that,•iIJ =f{e.*rformance o 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 ;hat, j I should.peec(oyn: subjec t o e' !�IF7ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. D ` {/ /� ,7 �Ignature of A. 161alt 3^%`"� 4—�C�r1 6 wr,nu hi-i��►e enuineniun_ nn�ia i vr.mn�r_ nr_eury lereGK 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, Civil Code) elfder'y Name • • • Lender's Address i m.y signature elowt I certify to each of the following: • • I am the properly ner or authorized to act on the property owner's behalf. I have reaathls 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. 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