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HomeMy WebLinkAboutX2021-2734 - Permits;�, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-2734 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 1 2 7 3 4 Project No : 0959-2021 w Permit Counter Phone (949)644-3288 s r°r 4 Inspection Requests Phone (949)644-3255 "�`z,isv,r'°c> Combination Type - SFP Issued Date : 10/07/2021 9 Inspection Area : 3 Job Address Description: Legal Desc.: Owner: Address: Phone: Applicant: Address: Phone PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1010712024 OR PERMIT WILL SE INVALID 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 2411 ORCHID HILL PL NB SFR REMOVEIREPLACE (E) 8 SQ OF B.U.R, CLASS'B'MIN. N TR 6407 LOT 9 HEIMALL BLAKE 2411 ORCHID HILL PL NEWPORT BEACH, CA 92660 949-244-5475 TAYLOR ROB 42518TH STREET HUNTINGTON BEACH CA 92648 714-580-6137 Code Edit : 2019 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: Construction Valuation: Building Permit Fee: $351.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee: $1.00 TOTAL FEE: $352.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: ORANGE COUNTY ROOFING Architect: Address: 425 18TH ST Address: g3 W HUNTINGTON BEACH CA 92648 Phone: 949.548.0680 Phone: State Lic: Can State Lic: 784622 Engineer: 1 Lic Expire: 09130/2022 Address: Bus Lic: BT30076858 Lic Exp Date: 10/31/2022 Phone: State Lic: .� Workers Compensation Insurance Designer: Carrier: Policy No: STATE FUND 9074951 Address: Expire: 10/05/2022 Phone: Building Setbacks Rear: / Special Conditions: Front: I Left: / Right: / Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check, $0.00 Grading Bond: $0.00 Electrical %: $0.00 San Dist : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 Plan Check Fee $0.00 Fee Due at Permit Issuance: $352.00 .a„ y.�O yao 0 Oq0 04• PJBLICWONKSAPPROVAL: a L F 4 p pp PLAN CHECK BY`:' ` c 10PRCOVAL 70 ISSUE: OWNER -BUILDER 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 ie 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 f311siness 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). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 nprovements 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 nproved 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 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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) ell 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 'rofessions 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 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) of Divisi n 3 of the Business and Pr fe 'o p(, a r�lice se is in full force nd effect. License Class License No Date Contractor Signat ` CORKERS' COMPENSATION DECLARATION DARNING: 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 00,000), IN ADDITION TO THE DST 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: I 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 eyformance of the work for which this permit is issued. Policy No. have and will Igr�t�ain 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' rance carrier an oXv number a4A l A .-. is of Agent certify that, in the pi if I should become Date the work f r 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 wars' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. t nature of Applican CLARATION REGA(RI>I?iIG­CdNSTR1JCT N LENDING AGENCY Ireby affirm under penalty of perjury that t ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 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 prdinances and state laws relating to building construction. 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