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HomeMy WebLinkAboutX2018-1484 - Permitsa¢ ,•�� C„ty of Newport Beach - Building Division 'K::0 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 t+ Inspection Requests Phone (949)644-3255 r zar' Combination Type - SFP ELEC IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IICOMB Permit: X2018-1484 x 2 0 1 8 1 4 8 4 Project No: 0791-2018 Issued Date : 0 5/1 512 01 8 Inspection Area : 8 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: 20231 ORCHID ST NB Description: SFR *CHANGE OF CONTRACTOR* REWIRE (E) DWELLING & UP -GRADE (E) SERVICE TO 200 AMP, INCLDS DRYWALL RPR Legal Desc.: N TR 1500 LOT 14 74. �CTOR Owner: BARNES -MILLION KATHRYN L Contractor: OWNERIBLDR Architect: t Address:. 4771 FIORE BELLA BLVD Address: BARNES -MILLION KATHRYN L Address: LAS VEGAS, NV 89135 Phone: Phone: Phone: State Lic Applicant: BARNES -MILLION KATHRYN L Con State Lic: O/B Engineer: 0 Fire Hazard Zone : N Address: 4771 FIORE BELLA BLVD Lic Expire: Construction Valuation: Address: LAS VEGAS, NV 89135 Bus Lic: Phone: Lic Exp Date: Phone: State Lic: Code Edit: 2015 Worker's Compensation Insurance Designer: ...... Excise Tax: Type of Construction: VB Carrier: Address: Fire Department Occupancy Group: R31U Policy No: Additional Fee: .$280.34 Plan check Fee: ° o Added /New sq.ft. Bldg: 0 Expire: D40() p° °$0.00 ° Phone: $0.00 Grading Bonds Fee: Added /New sq. ft. Garage: 0 Fair Share : $0.00 ° o No of Stories: 1 Building Setbacks Rear: I Special Conditions: REPLACE PERMIT X18-0404 SJH Trans : No of Units: 1 Demolition Fee Front: / Record Management : oo°oe° o Bldg Height: 0 In -lieu Housing Fee : Left: / $0.00 Building Dept Adm $0.00. Bldg Sprinklers: $0.00 Right: / $0.00 Public Works Department - Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N "" o ° ° ° o Construction Valuation: $0.00 © o o e Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee: .$280.34 Plan check Fee: $0.00 Fire Inspection: D40() p° °$0.00 ° Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev 0.46111111' 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 $0.00. Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 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 : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $280.34 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $280.34 PROCESSED BY: ZONING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION - P 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) 3ection 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 is 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 of more than five hundred dollars ($500). 7 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, lusiness 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 npr vements 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 ed for the purpose of sale). 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 pply 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: Iy 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 cov red by this permit, I cannot legally ell a structure that I have built as an owner -builder thas not been constructed in its an by licensed contractors. I understand that a copy of the applicable law, Sect! n 7044 of the Business and 'rofessions Code, is available upon request a Is plic���� eb site:http://w .leginfo.ca.gov/calaw.htmi. signature ofPropertyOwnerorAuthorized Age /7TD to IC ENSED CONTRACTOR'S DECLARATION 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 nd effect. License Class License No "hie Contractor Signature UORKERS' COMPENSATION DECLARATION. \ DARNING: FAILURE TP.UGURE 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ••e• hereby efrirm under penalty of perjury one of the following declarations: T1* have and lillorvaiPltain 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( effgrnigpce of the pork for which this permit is issued. Policy No. ' 3 have and will•maintsin 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' compensatior lAwance carrieP AM 041cy number are: Policy Number Date jify that, in Me 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 I thculd bsL i S ject to the workers' cWpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ^ • , n /6 n�l� lLXY.tl/� cL f6G6AFTAT10)7iMGARdTNG CONSTRUCTION LENDING AGENCY hereby affirm unfl0flenalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section'4697, Civil Code). ender's Name Lender's Address y 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,tN city or couqtyjyenterjhe above-ideAW property for inspection purposes. BY DECLARATfbN OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE EXPIRED I I I U I SUBMITTED ASBESTOS PERMIT EXTENDED I I UAQMD PERMITFINAL ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATEOF q I I- - 11 PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: