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Home My WebLink AboutX2020-2531 - PermitsCOMBDermit: 020-2531 City of Newport Beach - Building Division IIIIN►��►►►��►�d►��u�►�d�►��►��►►�►►�gllll 1s 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 u Inspection Requests Phone (949)644-3255 ^� ®CD Issued Date: 1012912020 Area : 6 Combination Type - BLDG PLUM Inspection OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 10/30/2023 OR PERMIT WILL BE INVALID PERMIT EXPIRES 180 DAYS AFTER ISSUANCE to 6:30 and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays - Construction Hours: Monday - Friday 7:00 a.m, P.M. Job Address° 3730 BLUE KEY NB Description.' DEMO SFR (3 BEDROOMS) 3200 SF Legal Desc:' ' N TR 6152 LOT 38 - Owner: STROM ROBERT Contractor: DEVCO HOMES Architect: 13 CORPORATE PLAZA #102 Address: RITNER RONALD 503 32ND STREET Address: 3730 BLUE KEY Address: CORONA DEL MAR, CA 92625 NEWPORT BEACH CA 92660 NEWPORT BEACH CA 92660 949-999.3255 State Lic:CO24105 • • Phone: 949-212-3262 Phone: ° ° Phone: Applicant: STROM ROBERT - Con State Lic: 773220 Engineer: Address: GHOULI RAID ASAD • 26040 ACERO #100 • " ' Address: 3730 BLUE KEY Lic Expire: 0113112022 BT30001683 MISSION VIEJO CA 92691 CORONA DEL MAR, CA 92625 Bus Lic: 02/2812021 Phone: 949-855-2300 State Lic:C-070882 • ° ° Phone: 949-289-5780 Lic Exp Date: • ° ° ° 2019 Worker's Compensation Insurance Designer: ` ° ° ° °' Code Edit: Carrier: WC EXEMPT Address: Type of Construction: R31U - Policy No: (NO EMPLOYEES) Occupancy Group: Expire: Phone: ° ° ®®® • Added /New sq.ft. Bldg: 0 o°oo o Added /New sq. ft. Garage: 0 Special Conditions: CEG RECEIPTS ATTACH Rear: 1 • ®° ° ° iSetbacks No of Stories: 0 Building ea NEIHR LETTERS ATTACHED B No of Units : 1 Front: I Left: I Bldg Height: 0 Right: I Bldg Sprinklers: Use Zone: Parkin spaces 0 Fire Hazard Zone : N e: ction Valuation: $20.000.00 Permit Fee: $120.00 Excise Tax: $0.00 Planning Department - Plan check Fee : Fire Department $0.00 Fire Inspection:$0.00 Plaeck Fee: $0.00 Additional Fee : $0.00 $0.00 Fair Share: $0.00Fire Plan Rev $0.00 e Plan Ck: $0.00 Grading Bonds Fee: Fee: $0.00 Grading PC Consultant: F $0.00 SJH Trans : $0.00 Demolition Fee $0.00 Building .00 ation Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Public Works Department- General Septti edm $$2600 $316.00 Compliance: $0.00 Grading PC Fee: $0.00 Park $0.00 Refund Deposit $ $0.00 smic Safety : $0.00 WO Insp. Fee: PAN Plancation: Check: $0.00 Grading Bond: Disabled Access : $0.00 $0.00 Electrical %: $0.00 San Dist: $0.00 $0.00 Hazardous Mat Building Green Fee: $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $10.80 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $2,165.80 TOTAL FEE : $2,165.80 PUBLIC WORKS APPROVAL: PROCESSED BY: PLAN CHECK ZONING APPROVAL: IS APPROVAL TO ISSUE: GRADING APPROVAL: UvvntR-6L11LDER 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 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 Business and Professions Code) u that he ll she is exempt from Iicensure 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). 111, 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, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through �mployees' 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 improved for the purpose of sale). ❑ 1, 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 c!¢1es not ❑apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor Qursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: By I sign empt tj am 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 Iegall, sell a strIVcture that I haee 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 d by this the Business and Rralessiens Code, ie.avaiiable upon request when this application is submitted or at the fallowing Web site:http://www.leginfLca.gov/calaw.html. 119 ture of Property Owner or Authorized Agent IAI ENSED CONTRACTOR'S DECLARATION Date 14hercfiy affirm under Rapalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SectioV011 Div' ion 3 f the Businessandeffect LicenseClasst a r license is in full force •• •• License No Da , Contractor Signature WORkERS' CQMPE(JSATION DECLARATION VIM11Ip6FAILURLMS��C 6RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE WZ GEOMPENSA{OTJI AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. 700,000), IN ADDITION TO THE Bl'FbY affirm undr?r penalty of perjury one of the following declarations: I hav9 and Nell maintain a certificate of consent self -insure for workers' compensation, issued by the Director of II dustrial Relations as provided for by Section 3700 of the Labor Code, for the per:FeMRar�ce of they oak for which this permit is issued.. Policy No. TIME, and wAl•rpgiytain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pert) nuance of the work for which this permit is issued. My workers' compensatio insurance carrier and policy number are: Carrier Policy Number e of Agent Expiration Date rtefy that, in the pe rmance of the work for which this permit is issued, I shall not em Io an Phone # "t, i should in b' e-thewrod P Y Y Person in any manner sofas to become subject to the worke compensation laws of California, and agre ' nation it of Section 3700 of the any Code, I shall forthwith ci mply with those provisions. Signature of Applicant DECLARATION REGA. IN ON LENDINGA Dat %rrJ/jam I hereby affirm under pe alty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097; Civ Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and ccfflty ordinances and state laws relating to building construction. I authorize representatives of this city or coun enter the above -identified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name \` 1 ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL Date REGULAJTpN41rART61 OFTITLE 40ANDAQMD RULE FOR OFFICE USE ONLY *11L_JEEA vu I I to A]Bt] 105 NOTIFICATION TO PERM/TCANCELLED PERMITExTENDED PERMITFINAL ^ MD CERTIFICATE OF oV 1 ( 7-T05APPLIC E TO OCCUPANCY/SSUED D DE- L TI