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HomeMy WebLinkAboutX2010-0318 - PermitsCity of Newport Beach Building Department COMB Permit No:rX2010-0318 PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Combination Type - BLDG/ / / / Job Address: 9 HARBOR RIDGE DR NB $0.00 Description: BLOCK WALL 6'x 17 LF & (2) 6' PILASTERS $0.00 Project : 1581.2008 1581-2008 CITY STANDARDS Inspector Area: Legal Desc.: TR 9587 LOT 7 UNIT 42 OF PROJECT LOCATED ON AP 461-074.11 $0.00 TOGETHER $1.05 Energy Compliance: $0.00 Owner: MOTSCHENBACHER LOTHAR/OLIVIA Contractor: OWNER/BLDR Architect: $0.00 Address: 9 HARBOR RIDGE DR Address: MOTSCHENBACHER OLIVIA - Address: Gi NEWPORT BEACH CA 92660 $0.00 Building Green Fee : $1.00 Phone: 949-290-5879 Phone: Phone: fn State Lie: Applicant: MOTSCHENBACHER OLIVIA Con State Lie: 0/B Engineer: 11 Address: 9 HARBOR RIDGE DR Lie Expire: Address: sU NEWPORT BEACH CA 92660 Bus Lie: Phone: 949.290-5879 Lie Exp Date: Phone: State Lie: - Code Edit: 2007 Worker's Compensation Insurance Designer: Type of Construction: Carrier: Occupancy Group: U Policy No: Address: Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Building Setbacks Rear: / Special Conditions: RPLC EXPIRED X2008.1704 Bldg Height: 0 Front: I Left: / Bldg Sprinklers: Right: I Flood Zone: Use Zone: Issued Date: 02/18/2010 Parkino Spaces: 0 Fire Hazard Zone : N Construction Valuation: $1,800.00 Building Permit Fee: $93.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $1.05 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Fee Increase: Fee: $0.00 Additional Fee : $0.00 Hazardous Mat; $0.00 Building Green Fee : $1.00 TOTAL FEE : $95.05 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Solar System PC Excise Tax: Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: FEES $0.00 Planning Department - $0.00 Plan check Fee : $0.00 Fair Share: $0.00 SJH Trans : $0.00 $0.00 $0.00 Public Works Department - $0.00 Park Dedication : $0.00 P/W Plan Check: $0.00 $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 v coo 0co 0 000 °m Plan C:iecic Fee Fire Department Fire Inspection: Fire Plan Rev Demolition Fee Building Dept Adm General Service Refund Deposit Fee Due at Permit Issuance $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $95.05 V �%1=0y�r � U . PUBLIC WORKS APPROVAL: PLAN CHECK BY: V O B C V O O APPROVAL TO ISSUE: - o PERMITS E%W-Ih2E P80 DANS rA4Ebd9SbANCE OR LAST VALID INSPECTION. L).� I herebyy afOrm Under penally of perjury that I am exempt from the Contractors' State License Law for the naso Indicated berow by the checkmark(s)) I have placed next to the applicable Items) (Section 7031 5, Business and Profess Code: Any city orcount that requires a pparmitto construct, alter, impprove, demolish, or repair any structure, prior tc I••,s�„o sl•n requires the aoDlioant fora permit to Ole a signedsfatement that he or she- is. llcensed pursuant to nploy'sea with wages as their able compensation, will do (_) all of or (1 portions of the )r offered for sale (Section 7044, Business and Professions Code: The Contractors' owner of props M who tnrou h employees' or personal effort, builds or Improves the I are not Intendedd or offered for sale, I , however the. building or Improvement Is sold or -Builder will have the burden of proving that It was not built or Improved for the :lusively contracting with licensed Contractors to construct theproject(Section 7044, r the of ID ects withla License ed Contractor pulrsuant to the Contrac rrsy who bLicense ❑ ,l am exempt from licensure under the Contractors' State License Law for the following reason: By m signature below I acknowledge that, except for my personal residence In which I must have resided for at least one year guilder to completion of the improvements covered by tnls perms I cannot legally sell a structure that I have built as an owner. builder If It has not been constructed in its entirety'by lice Ccoontracto legally understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, Is alta s�upon r uest when this application Is submitted or a the following Web site:hltp:lMnvw.legInfo .ca.govlcelaw.h I. �y�G ycQ,c� Dat / �0 Signature of Property Owner or Authorized Age LICENSED CONTRACTOR'S DECLARATION of Division 3 of.theBusiness8andtyProfesslons Code and my licenseeIs In full�force and afffect9 (�mmencing with Section 7000) License Class - License No. Date - Contractor Signature WORKERS' COMPENSATION DECLARATION ` WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND $HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby.afOrm under penalty of perjury. one of the following declarations: Y : Industrial at RelaHo sllas maintain ovided fo by Sectionf.37consent 0 of the Labor self-Insure the perforcompensation, ance of the work for which this permits BY PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DECLARATION OF COMPLIANCE -WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403. ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: Policy No. : ❑ 1 have 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' compensation Insurance carrier and policy number are: Carrier - Policy NumberExpiration Date Name of Agent Phone # 13 1 certify that, In the perfonnarice of the work for which this permit 1s Issued, I shall not employ any person in any manner so as to become subject to the workers' compensa0on laws of Callfomla, and agres that if I should- become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant - Date DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I hereby afOrm under penalty o mit fpuerjury that Is a construction lending agency for the performance of the work for which this perIs Issued (Section.3097, CMI Code). - Lenoer'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 hav prow d ed Is Correct: •. • : • • •• ' I agree to comply with all applicable city and coUn rdin s and to laws. relating to building construction. I authorize representatives of this city or county I enter t above- ntilled.property for Inspection purposes. Signature of Property Owner or Authorized Agen Da Print Property Owners or Authorized Agent's Name. l ✓(tc y', p . d�P rW�� e'I • • • • • — FOR OFFICE USE ONLY 0 s z-� c rs o m o co E d U oN m O d 01 °E�°i E y3 c i m 0ca c'� O N C CL 0 U U To T:. 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