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HomeMy WebLinkAboutX2018-3814 - PermitsAso-ftw r City of Newport Beach - Building Division ]?100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 x,di`=35 0 " Combination Type - BLDG PLUM COMB Permit: X2018-3814 IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIII II Project No: 1926-2018 Issued Date: 12/18/2018 Inspection Area : 1 PERMITS EXPIRE 980 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 400 VIA LIDO NORD NB $6.000.00 Description: DEMO 1319 SF (3 BDRM) SFR W/ATT GARAGE, INCLDS SEWER CAP Legal Desc.: N TR 907 LOT 474 Owner:. LEVIN/LAUERLEVIN Contractor: S C HOMES INC Address: 9825 SUNRISE LN Address: 3050 PULLMAN ST SANTA ANA CA 92705 COSTA MESA CA 92626 Phone: 949-975-0123 Phone: 949-723-4243 Applicant: S C HOMES INC Con State Lie: 828216 Address: 3050 PULLMAN ST Lie Expire: 1213112019 COSTA MESA CA 92626 Bus Lie: ST30002421 Phone: 949-723-4243 Lie Exp Date: 0 212812 01 9 Code Edit: 2016 Worker's Compensation Insurance Type of Construction: VB Carrier: STATE FUND Occupancy Group: R3/U. Policy No: 1763760 Added /New sq.ft. Bldg: 0 Expire: 0110 712 01 9 Added /New sq. ft. Garage: 0 Demolition Fee No of Stories: 1 Building Setbacks Rear: I No of Units : 1 In -lieu Housing Fee : Front: It Bldg Height: 0 Building Dept Adm Left: I Bldg Sprinklers: $0.00 Right: I Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: State Lie: State Lic: Special Conditions: CR & R TO HAUL Fire Hazard Zone : N Construction Valuation: $6.000.00 Building Permit Fee: $0.00 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 $26.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $210.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $1,127.00 Disabled Access : $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : .$1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $1,364.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,364.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: l- RA, 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 is 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 (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 n roved 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 only to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law). ] I am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below I 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 legal ell a structure that I have 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 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with action 0 f pi isipn of the siness and ofesei ns ode, n y nse i' force nd effect. License Class License No Da I�pT/� /� Cc ractor Signatu IIORKERS' COMPENSATION DECLARATION ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TVUSAND DOLLARS ($100,000), IN ADDITION TO THE OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 Industrial Relations as provided for by Section 3700 of the Labor Code, for Durance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: - Policy Number of Agent Date I certify that, in the performance of the work for tfTEpermit 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, if I should become su ' ct the workers' co pensa n or visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio (nature of Ap plidInt CLARATION'REGAR O STRUC E DING AGENCY -reby affirm under pe oNf perjury that -the re.is a construction lending agency for the performance of the work for which this permit is issued (Section 309 ,Civil Code). ider's Name -- Lender's Address 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. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of thj�CRy�t'cagnty to enter the agWe-ideAed 45;ty fqr inspection purposes. L _ _ Il _ 1) f /. "1., signature of Property Owner o A horized Agent rint Property Owner's or Aul ACTION DKTE BY �CLARATION O C PLIANCE WITH CODE OF FEDERAL FOR OFFICE .#E�6y1LATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I LPI SUBMITTED ASBESTOS NOTIFIC PERMIT CANCELLED PERMIT EXTENDED OMD PERMITFINALIZ—j�l CERTIFICATEOF OCCUPANCYISSUED 3. ASBESTOS NOTIFICATION IS NOT PR POSED DE LI N SIGDhSR1'.