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HomeMy WebLinkAboutX2011-2642 - PermitsCity of Newport Beach Job Address: 9 HARBOR RIDGE DR NB Description:YARD DRAINAGE "CTY STD" Inspector Area. q TOGETHER Building Division PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Owner: MOTSCHENBACHER OLIVIA Address: 9 HARBOR RIDGE DR NEWPORT BEACH CA 92660 Phone: 949-290.5879 Applicant: MOTSCHENBACHER OLIVIA Address: 9 HARBOR RIDGE DR NEWPORT BEACH CA 92660 Phone: 949-290-5879 Code Edit: 2010 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Issued Date: 10/27/2011 Construction Valuation Building Permit Fee: $0.00 0 0 $0.00 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 Fee Increase: Fee: $0.00 Additional Fee : $0.00 Hazardous Mat : $0.00 Building Green Fee: $0.00 TOTAL FEE : $270.25 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Combination Type - GRAD/ / / / Legal Desc.: TR 9587 LOT 7 UNIT 42 OF PROJECT LOCATED ON AP 461-074-11 Contractor Address: Phone: Con State Lic: Lic Expire: Bus Lic: Lic Exp Date: OWNERIBLDR MOTSCHENBACHER OLIVIA CIS Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Rear: / Front: I Left: / Right: / Use Zone: Parking Spaces: Solar System PC : $0.00 Excise Tax: $0.00 Grading Permit Fee: $240.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 Electrical %: $0.00 Mechanical %: $0.00 Plumbing %: $0.00 $0.00 Plan Check Fee $0.00 San Dist: Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: COMB Permit No: X2011-2642 PROJECT NUMBER: 2093-2011 Inspection Requests/Telephone (949)644-3255 State Lic State Lic %lN^y p'ZCr0� o m oeooee ° Doom o m mm°m c Special Conditions: OWNER/BLDR AUTH ATTACHED ° cc 000 0 o e cc 0 Fire Hazard Zone : N o Planning Department - Fire Department Plan check Fee $30.25 Fair Share $0.00 SJH Trans: Fire Plan Rev In -lieu Housing Fee $0.00 Public Works Department - Park Dedication : $0.00 P1VV Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $270.25 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 1. APPROVAL TO ISSUE: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. e o omm000 0 0 000co 000cc oococo c o c 000cc° 0 oocc Fire Department c e IIO $30.25 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $270.25 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 1. APPROVAL TO ISSUE: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. e o omm000 0 0 000co 000cc oococo c o c 000cc° 0 oocc I hereby affirm under penalty of perjury that Iam 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 P ofessions 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 perms Hy of impOra IS than five hundred dollars ($500). 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, ass 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 rovements 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 tmKoved for the purpose of sale). 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 ply 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my pe al residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iega11, sell a structure that I have built as an ownerbuilderif it h of n constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Busine s and Professions Code, is available upon requesG�%J�en this plicate' is Sub ed or at the fo lowing Web site:http:/lwww.leginfo.ca.gov/calaw.html.r} i� Signature of Property Owner or Authorized A�Rnt �,C-li LICENSED CONTRACTOR'S DECLARATION^ I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature :OPAPMSATION DECLARATION E TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE IS9'ITON, OI,MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. uncle? penalty of perjury one of the following declarations: I •halve 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 ormance of t44w9"or which this permit is issued. Policy No. .. hM and wiU 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' compensal mane carrier and policy number are: Policy Number Date I certiffyy that, in Me pecrormance of the work forwhich 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 agre t*1,1fl4ould begome gubject 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 affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil 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 owner's behalf., 6 L I have read this application and the information have provided is correct. I //Ulc%7�jvr/ems , C.Cw I agree to comply withal) applicable city and c "cesstate laws relating to building construction. I authorize representatives of this city or co y to e identifie property for inspection purposes. Signature of Property Owner or Authorize, Age t Print Property Owner's or Authorized Agent's m ate l(46 ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOROFFICEIHEONIFY FEDERAL REGULATIONSPART 61 OFTITLE40AND PERMIT EXPIRED AOMO RULE 1403. ❑ I SUBMITTEDASBESTOS NOHFICATIONTO., PERMITCANCELLED ❑ EPA PERMITEXTENDED ❑ AQMD PERMIT FINAL ©OPOSED DEMOLITION. NOTIFICAnON1S NOT APPLICABLE TO C€RT(FICATEOF OCCUPANCYISSUED SIGNATURE., W U Y q O c L O O C N 0):T E2 N — a a m m m N O) m T a fm6 == G ro L O Y m ctl c N m 1] = c .� 2,2:5 d ro O c _ ° 00N °7ao 'mo0`o3`o a>iy �o 0 "'moo �caaio lu Eo LLY tm o oro(DEo m 0-2 ro cc �cm 3rox — �E C ro° Z C N o) U L— N N C Y c 10 'E U N? 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