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HomeMy WebLinkAboutX2018-1682 - Permitswr City of Newport Beach - Building Division ,e 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 E'azrv.fwe '' Combination Type - BLDG PLUM *X20181682* COMB Permit: X2018-1682 Project No : 1304-2018 Issued Date: 06/01/2018 Inspection Area : 5 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: 325 ORCHID AVE NB Description: DEMO SFR 1008 SF (2 BEDROOMS) Legal Desc.: CORONA DEL MAR LOT 25 BILK 241 (AND NELY1/2 LOT 23(AND SWLY1/2 LOT 2 7 Owner: RUCKER LLOYD Contractor: OWNER/BLDR Architect: Address: 4001 MACARTHUR BLVD #100 Address: RUCKER LLOYD. Address: �- NEWPORT BEACH CA 92660 w ee s e °° m c meeeeo m ° m ® c 00 0 Phone: .949463-4509 Phone: moo0os .00 00 m Phone: .0000 State Lie: Applicant: RUCKER LLOYD Con State Lie: 0/B Engineer: 00 0 0 0 0o m �oamc Address: 4001 MACARTHUR BLVD #100 Lie Expire: $0.00 Address: $197.00 NEWPORT BEACH CA 92660 Bus Lie: $0.00 $0.00 Phone: 9494634509 Lie Exp Date: Phone: State Lie: Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: Carrier: Address: Occupancy Group: U Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I Special Conditions: No of Units : 1 Front: I Bldg Height: 0 Left: l 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: $189.00 Additional Fee: $0.00 Plan check Fee: $0.00 Fire Inspection: Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev 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 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit Disabled Access : $0.00 P/W Plan Check: $0.00 Grading Bond: 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: $1,177.27 PROCESSED BY: ZONING APPROVAL: Plan Check Fee: $0.00 Fee Due at Permit Issuance : $1,177.27 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: a �- w ee s e °° m c meeeeo m ° m ® c 00 0 e eoem m e • ° ° mm o moo0os .00 00 m ° .0000 0 oomoeo c.o.ce o 0 oe0o 00 0 0 0 0o m �oamc $0.00 $0.00 $24.00 $197.00 $564.00 $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $1,177.27 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the apR cant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Bus$ess 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, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) 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 nroved for the purpose of sale). I[p* -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). I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except form personal residence in wh'ch I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalli sell a structure that I have built as an owner -builder if i as not b en c nstructed its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 the Business and Professions Code, is available upon request when th' I is ubmitted r at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. g Signature of Property Owner or Authorized Agent Z Date D LICENSED CONTRACTOR'S DECLARA14UN I hereby affirm under penalty of perjury that I afn licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionsode, and my license is in full force and effect. Liconse.L•Iess License No Date Contractor Signature TION DECLARATION VING!FAILURBTOSECrt1RE 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 r Of COMPENSATIdN!DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 'o4t/affirm under penalty of perjury one of the following declarations: "• FP�ye and aoilT'.m.a`iptain 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 xrnance of III Mrk for which this permit is issued. Policy No. Ady& and *111YRaintain 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 RACE carrier and policy number are: I&. Policy Number Expiration Date df Agent • •! rtify that, in NO P( I shoulc%ftp>e ure of Applicant _ Ice 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 to the ' com7ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date STRUC ION L NDING AGENCY hereby affirm underdenalty of perjury that there i a construction lending agency for the performance of the work for which this permit is issued (Section 30 ,Cl Code). Ender's Name ((,, Lender's Address ly 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 rovided is correct. I agree to comply with all applicable city and county dinances and state laws re ting to building construction. 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