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Home My WebLink AboutX2018-1683 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 F `* Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM *X20181683* COMB Permit: X2018-1683 Project No: 1304-2018 Issued Date : 06101/2018 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 DETACHED GARAGE W/ LIVABLE ABOVE (1 BEDROOM) 800 SF Legal Desc.: CORONA DEL MAR LOT 25 BLK 241(AND NELY1/2 LOT 23(AND SWLY1/2 LOT 2 7 * w, Owner: RUCKER LLOYD Contractor: OWNER/BLDR Architect: Address: 4001 MACARTHUR BLVD #100 Address: RUCKER LLOYD Address: NEWPORT BEACH CA 92660 Phone: 949.463.4509 Phone: Phone: State Lie: Applicant: RUCKER LLOYD Con State Lie: O/B Engineer: Address: 4001 MACARTHUR BLVD #100 Lie Expire: Address: NEWPORT BEACH CA 92660 Bus Lie: Phone: 949-463-4509 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: I Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $1.000.00 Building Permit Fee: $97.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $84.39 Additional Fee : $0.00 Plan check Fee : $37.50 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 PAN 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 %: $8.73 TOTAL FEE: $228.62 PROCESSED BY: ZONING APPROVAL: e• S e o • m m•oe•�� m oome � e e e c eeeamo P,�C;� a ee• em ee m o 0 0 0000mm m e c mmmmae 00 • o m m o o em•o 00 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $228.62 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: 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 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 he 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 'rofessions 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 lot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 oved for the purpose of sale). 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 Ipply 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 flo m. kcensure under the Contractors' State License Law for the following reason: 3y my signaturebe%w 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 coven y this permit, I cannot legall, ;ER 2 %:ucture tftet1'hpve built as an owner -builder if it s not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Sectio 7044 of the Business and 'rofessions Code, is -available upon request when this ppli atio bmitt or a!r following Web site:http://w .leginfo.ca.gov/calaw.htm]. +gnalure of Property Owner or Authorized Agent ate .ICMSED CONTRACTOR'S DECLARAT]Otd hereby affirm %gPr pl?nalty of perjury that I am Iiii1ensed 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 Ind t?ffect. License Class License No Date Contractor Signature 101ftRS' t;WPe.NSATION DECLARATION IARILIRG: FAILURE Tp 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 VV1jQr*COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby' affirm u®dw lAnalty of perjury one of the following declarations: 3.1-MVe and gill"aintain 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 ertormance obths work for which this permit is issued. Policy No. 31 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' compensatioi lsurance carrier and policy number are: -arrier Policy Number Expiration Date Name of Agent Phone # :1I certify that, in thepe nuance 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 ogre :hat, if I should become bject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Da _ DECLARATION REG RIDINGNSTRU TIO LENDING AGENCY hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3,4/7, 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 owner's behalf. I have read this application and the information I h e provided is correct. 1 agree to comply with all applicable city and cu y ordinances and state laws relating to building construction. L L y�� .J L,�C�� I authorize representatives of this city or county o enter the a ve-iden' ed property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam Date G / ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY EGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED LWsuamiTTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED MD PERMITFINAL ASBESTOSNOT (CATION IS NOTAPPILCABLE TO CERTIFIC4TE OF p Ewu OCCUPANCYISSUED SIGNATURE: 719