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HomeMy WebLinkAboutX2022-0448 - Permits�s�t'{, City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ! �8* i g COMB Permit: X2022-0448 m Project No =, Permit Counter Phone (949)644-3288 ci: Inspection Requests Phone (949)644-3255 °'r+ara�c�''� ,- Combination Type - SFP ELEC PLUM Issued Date : 0211512022 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0211512025 OR PERMIT WILL BE 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 Job Address: 29 RIDGELINE DR NB Description: SFR PEX REPIPE 8: PANEL CHANGE OUT 400 AMPS Legal Desc.: N TR 9861 LOT 5 . o . o moo Owner: 29 RIDGELINE LLC Address: 1621 CASTLE COVE CIRCLE NEWPORT BEACH, CA 92625 Phone: Applicant: B D REALTY Address: 1910 YACHT MARIA NEWPORT BEACH CA 92660 Phone: 714-922-0667 Code Edit: 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Building Permit Fee: $559.00 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 : $2.00 TOTAL FEE: $650.44 PROCESSED BY: ZONING APPROVAL: Contractor: B D REALTY Address: 1910 YACHT MARIA NEWPORT BEACH CA 92660 Phone: 714-922-0667 Con State Lic: 939334 Lic Expire: 10/31/2023 Bus Lic: BT30076579 Lic Exp Date: 09/30/2022 Worker's Compensation Insurance Carrier: STATE COMP INS FUND Policy No: 9134078 Expire: 06/02/2022 Building Setbacks Use Zone: Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical W Plumbing %: Rear: I Front: I Left: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $39.13 $0.00 $50.31 Architect: Address: Phone: State Lic: Engineer: Address: Phone: State Lic: Designer: Address: Phone: Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $0.00 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: 00 • • • •• 00 0 • o 0 • o0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $650.44 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 0 0 e00000 • • ooze• 0 ecu•• ooau•• 0 0 0 0 0 ooa000 aa�oo 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 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). I, 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, 'usiness 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 ollhe�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.a�rla exempt from liicensure under the Contractors' State License Law for the following reason: ly my SIgnaturebelmwZ 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 gtructure tNaf I hrdve 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 'ind%,ys'ons Code, -is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date TGEWED CUtSTf2ACTOR'S DECLARATION hereby affirm ylederpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti n �OO f nigg3-of the Business and Pr slo de, d 'cens�i57YR11 force66Efect. Li*n§gPtss License No Da W Contractor Sig natu ANWERS' COMPENSATION DECLARATION �ABITAC: FAILUREJO SHIRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE DST OPCOMPENSATION, OAMAGES AS PRONGED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hlerebyafhrm under penalty of perjury one of the following declarations: '%'Nave and'y{iufn�ntain 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. 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' carrier and policy number are: Policy Number of Agent Date I certify that, in the 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 It, if I should become�suJjec; t9�4l�Y` pensation �yvorkers c provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. IS/ (nature of Applicant 'i\1 Da d' .CLARATION REGAR iG SUCTION LENDING AGENCY areby affirm under perMlly of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Ci i1 Code). rider'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 o e and ate we relating to building construction. I authorize representatives of this city or cou ty a er ih ove-i n' le spection purposes. nature of Property Owner or Authorized Age 1 Print Property Owner's or Authorized Ag TION DATE BY IARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED i SUBMITTED ASBESTOS PERMIT CANCELLED EPA PERMITFINAL ^�2 _ ��� RO SBESTD ENAO IFICATION IS NOT PLICABLE TO CERTIFICATE OF LITIE OCCUPANCY ISSUED SIGNATURE: /