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Home My WebLink AboutX2009-0200 - Permitsi City of Newport Beach Building Department - PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 h3`''" Combination Type - MFP/ GRAD/ ELEC/ MECH/ PLUM Job Address: 9 HARBOR RIDGE DR NB Project Inspector Area:,_ Legal Desc.: TOGETHER Owner: MOTSCHENBACHER LOTHAR L & OLIVIA Address: 9 HARBOR RIDGE DR NEWPORT BEACH CA 92660 Phone: 949.290.5879 Applicant: Address: Phone: Description: CHANGE OF CONTM 0625.2007 0625-2007 TR 9587 LOT 7 UNIT 42 OF PROJECT LOCATED ON Contractor: OW NER/BLDR Address: Phone: MOTSCHE KAMPS CURTIS WII Lic: O/B COMB Permit No: X2009-0200 Inspection Requests/Telephone (949)644-3255 g //5 ��„��;u��CE KA PS OLI \ a)+PX\'Atldress: 1 �71HAVE # 0 r VINE CA 92606 no000i 8: 949-863-702 St e O V Engineer: OUEZ JOSE M Uc:CO25872 2691 RICHTER AVE #120 is Expire: Ar�r�(ds: 18 EL CORZO IRVINE CA 92606 Bus Lic:�� RANCHO SANTA MARGA 92688 949-863-7020 Lic ate: Phone: 714-642-5417 State L :C-051 Code Edit: 20 Type of Construction: V Occupancy Group: R3, Added /New sq.ft. Bldg: $0.00 Added /New sq. ft. Garage: $1.00 No of Stories: 2 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: $32.13 Issued Date: 02/03/2009 $0.00 Construction Valuation: Building Permit Fee: $0.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigatin Fee: $0.00 Record Management: $1.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Fee Increase: Fee: $0.00 Additional Fee : $32.13 Hazardous Mat: $0.00 Building Green Fee: $0.00 TOTAL,rFE o V3.13, PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: FEES N&I Vku San Dist: kk00� Planning Department - dermit ,tn Fa-, O 01 Plan. check Fee: $0.00 ` $ot0('t�� Fair Shar : $0.0 1V S rans : 00 � $0.00 Grading PC Fee: $0.00 Public s Dperfinent - WQ Insp. Fee: $0 rk Dedication : $0.00 17l4t Aan Check: $0.00 ��y��' Fire a rtment ire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 %: --$I. $0.00 /r.bp $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $33.13 �F PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: SPI RMI TS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. cc ou o o coc ccs � V (X 01/01/2009 OWNER•BUILDER DECLARATION ACTION DATE: BY:, I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s)) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any or county that requires a to construct, aper, improve, demolish, or repair any structure, prior to Its PERMIT EXPIRED , y , city permit issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the ,? , r the Contractors, State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and provisions of Professions Code) or that he orshe is exempt from licensure and the basis for the alleged exemption. Any violation of Section PERMIT CANCELLED 7031.5 by any applicant for a permit Subjects the applicant to a civil penalty of not more han 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 ( ) 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 employees' or personal effort, builds or Improves the pI mea ad thatintendssale. rovihowever, g thatritlwas nlot bguilt o pimprovedtforsthe PERMIT EXTENDED yearthe Owner-Builder have the burd n of n one p proving pose of PERMIT FINAL I, as owner of the property am exclusively contracting with licensed Contractors to construct the project (Section 7044, iness and Professions Code: The Contractors' State License Law does not apply to an owner of propeq who builds or Imp as thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors State License Law). CERTIFICATE OF ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: - OCCUPANCY ISSUED DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL ig ed for at ll as aone this ��peersonal eside legally sell ain which l structure that resided of of the improvements for t, Signature o natr completion builder if It has not been constructed in its entirely by fcen eh tractors. I understand that a copy of the applicable law, guilder this is or at the REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403. ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: Section 7044 of the Business and Professions Code s avail2 upon request when application submitted following Web site:http://www.leginfo.ca.gov/cola ,/'�h Date d' 3 13 EPA Signature of Property Owner or Authorized Agent ❑ AOMD LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty ofperjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profesalons Cade, and my license is in full force and effect. - ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. License Class License No. Date Contractor Signature SIGNATURE: WORKERS'COMPENSATIONDECLARATION WARNING: FAILURE 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 COST OF. - FOR OFFICE USE ONLY COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 Director of is - Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit issued. - 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 Number Expiration Date - Name of Agent Phone # ❑ 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 agree 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. - SlgnatureofApplicant 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.. • •.• 1 have read this application and the information I have provided is correct. :�• • .• : •,' I agree to comply with all applicable city and county n es a "tate laws relating to building construction. + •• ' ,' I authorize representatives of this city or county to ter t abo e-Identified propert for Inspection purposes Signature of Property Owner or Authorized Agent -<-�-- ti�-�-('�'L`-°^ Date �•3'6% • , • •�• Print Property Owner's or Authorized Agent's Name O I U(a D'-� 6 e : • •; 01/01/2009