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Home My WebLink AboutX2021-3435 - Permits�� Cityofislewport Beach - Building Division 3 +- 100 Civic Center Drive, Newport Beach, CA 92660 'w �- Permit Counter Phone (949)644-3288 s:. Inspection Requests Phone (949)644-3255 +irn4`s sCombination Type - BLDG PLUM IIIIIIIIIIIIIIIIIIIIIIIII IIIIII IIIIIIIII IIII� II X 2 0 2 1 3 4 3 5 COMB Permit: X2021-3435 Project No : 0240-2021 Issued Date: 12/2212021 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 12/22/2024 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: 1807 PORT CHARLES PL NB Description: DEMO (E) SFR W/ATT GARAGE (3 BEDROOMS) 1,696 SF: Legal Desc.: N TR 6622 LOT 27 (-. Owner: RUCKER LLOYD Contractor: OWNER/BLDR Architect: �'• Address: 1807 PORT CHARLES PL Address: NEWPORT BEACH CA 92660 RUCKER LLOYD Address: .abg Phone: 949-463-4509 Phone: Phone: State Lie: Applicant: RUCKER LLOYD Con State Lie: O/B Engineer: J Address: 1807 PORT CHARLES PL Lie Expire: Address:_- NEWPORT BEACH CA 92660 Bus Lie, Phone: 949-463-4509 Lie Exp Date: Phone: State Lie: c= Code Edit : 2019 Worker's Compensation Insurance Designer: �k Type of Construction: VB Carrier: Address: Occupancy Group: R3/U Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / Special Conditions: HAULER: JD DEMO No of Units: 1 Front: / (1) CITY TREE ON SITE Bldg Height: 0 Left: / Bldg Sprinklers: Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $10,000.00 Building Permit Fee: $122.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 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 $27.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $265.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $152.00 Park Dedication : $0.00 Refund Deposit $1,692.00 Disabled Access : $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical W $0.00 San Dist: $0.00 Building Green Fee : $1.00 -- Mechanical %: $0.00 NMUSD Fee: $0.00 - - $0.00 Plumbing %: $10.98 $0.00 TOTAL FEE: $2,269.98 PROCESSED BY: ZONING APPROVAL: Plan Check Fee $0.00 Fee Due at Permit Issuance : $2,269.98 0 0 �PUBUC WORKS APPROVAL: e c co 'PLAWCHECK BY: GRADING APPROVAL: o o d APPROVAL TO ISSUE: O O 6 GCJ VGV `�E+J G J u�J ..vJ 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 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 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 U all of or U portions Qf the work, and the structure is not intended or offered for sale (Section 7044, ,us'Tneskand 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 co)Tlpletion, 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 ppl o 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: y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least oqe 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 'n 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�(h' ap s s mitted r at the following Web site:http://w .le ginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent R Da /Z' Z� 2/ .ICENSED CONTRACTOR'S DECLARAT N hereby affirm under penalty of perjury that a licensed un er 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 Date Contractor Signature VORKERS' COMPENSATION DECLARATION I FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL :OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 Dire ormance of the work for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for trance carrier and policy number are: vier Policy Number one of Agent certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any in , if I should become su ct tot workrers' compensation provisions of Section 3700 of the Labor Code, I shall f: ignature of Applicant iECLARATION REG#IRDWG WNSTRUCTIOPLENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for 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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and co;mty'brdjnances and state laws relating to building construction I authorize representatives of this city or cotydfy tp Fenter lle above -identified property for inspection purposes AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE of Industrial Relations as provided for by Section 3700 of the Labor Code, for performance of the work for which this permit is issued. My workers' Date so as to become subject to the workers' compensation laws of California, and agre, I comply with those provisions. < q l 2 • I this permit is issued (Section 3097, Civil Code). ionature of Property Owner or Authorized AD t Print Property Owner's or Authorized FOR OFFICE USE ONLY °2z. REGULATIONS PA T61 OF TITLE 40 AND AQMD RULE 1403 •�• PERMIT EXPIRED UISUBMiTTEDASB STOS NOTIFICATI501-5.' • • i•• PERMITCANCELLED PERMIT EXTENDED MD PERMITFINAL 7 l 6 �,2 C ASBESTOS NOTIR N IS TO CERTIFICATE OF -/ RAILE PROPOSEDE )LITOCCUPANCYISSUED SIGNATURE: o oc oco o .� co