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Home My WebLink AboutX2018-3414 - PermitsntiY+lwp City of Newport Beach- Building Division I'IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IICOMB Permit: X2018-3414 cs� 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 3 4 1 4 Project No : 1748-2018 p .Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM Issued Date : Inspection Arearea :2018 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 311 ORCHID AVE NB .�... Description: :DEMO (E) SFR 1,1524 SF (2 BEDROOM) Legal Desc.: CORONA DEL MAR LOT. 11 BLK 241(AND SWLY1/2 LOT 13 BLK 241 Owner: RABINOVICH LEV Address: S SEA VIEWLN Occupancy Group: NEWPORT COAST CA 92657 Phone: 0 Applicant: SHORELINE DEVELOPERS Address: P O BOX 551 1 NEWPORT BEACH CA 92661 Phone: 949-697-3993. Code Edit : 2016 Type of Construction: VB Occupancy Group: R3 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Engineer: In -lieu Housing Fee : Flood Zone: X $0.00 Construction Valuation: $5' $0.00 Building Permit Fee: $103.00 Plan Check Fee: $0.00 PIN Plan Check: Overtime Plan Ck: $0.00. Designer:-.�.; Investigation Fee: $0.00 Address: Record Management : .$0.00 $0.00 Energy Compliance: $0.00 Phone: CA Seismic Safety: $0.00 Special Conditions: HAULER: COUSYN GRADING 8. Disabled Access: $0.00 DEMO Hazardous Mat $0.00 Building Green Fee : $1.00 Contractor:. -SHORELINE DEVELOPERS Architect: Fire Inspection: - Address: P O BOX 551. Address: Plan check Fee: NEWPORT BEACH CA 92661 $0.00 art. „ Phone: 949-697-3993 Phone: State Lia t1 $0.00 SJH Trans : Grading Bond: Con State Lia 890871 - Engineer: In -lieu Housing Fee : Lic Expire:. 0 113112 01 9 Address: $0.00 Bus Lia BT30041079 $0.00 Lic Exp bate: 1 013112 01 9 Phone: State Lia PIN Plan Check: $0.00 Worker's Compensation Insurance Designer:-.�.; San Dist: Carrier: STATE COMP Address: V-0k4l�- Policy No: 9038773 $0.00 Expire: 0110112019 Phone: Building Setbacks Rear: I Special Conditions: HAULER: COUSYN GRADING 8. Front: I DEMO Left: / Right: / Use Zone: Parkina Spaces: 0 Fire Hazard Zone : N TOTAL FEE: $1,476.27 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: _ Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical %: Plumbing %: $0.00 Planning Department - Fire Inspection: $0.00 $0.00 Plan check Fee: Demolition Fee $0.00 $0.00 Fair Share ;. General Service $0.00 $0.00 SJH Trans : Grading Bond: $0.00 $0.00 In -lieu Housing Fee : $0.00 $0.00 Public Works Department - $0.00 Park Dedication : $0.00 PIN Plan Check: $0.00 $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $9.27 Plan Check Fee d cco c o. o coo cc e o c e c O 0 f fi G O Em C 4 9F,0 00 00 G B OOB pQa Fire Department Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee Building Dept Adm $26.00 General Service $210.00 Refund Deposit $1,127.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,476:27 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: r^� OWNER -BUILDER DECLARATION I hereby affirm under penally of perjurythat 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 he 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 lot more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or `) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 Tlprovements 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 reproved for the purpose of sale). 1, 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 Ipply 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). 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 legall,. 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. 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 Sectio 70 0) of Dripn 3 of the Business and P�gfgasio d my license is in full force nd effect. License Class License No Date r I I (f Contractor SignatureX VORKERS' COMPENSATION DECLARATION IARNING: 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ] 1 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 th eyjormance of the wwokk for which this permit is issued. Policy No. have and will m intalp 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' rance carrier and IIC number are;--> > Al Date lame of Agent i a Ll14.d�-s Phone# ]I certify that, in the perfo ce o 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 agre iat, if I should become 'ect to the rkers' compere 'en-ptovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1 Iignature of Applicant - Date f / /Z / z `�` IECLARATION REG UCTION LENDING AGENCY hereby affirm under penalty erjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , Civil Code). ender's Name Lender's Address ly 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 c ct. I agree to comply with all applicable city and cou Inan red state laws relating to building construction. I authorize representatives of this city or coun an abo -identified property for inspection purposes. /_� lonature of Pronertv Owner or Authorized AGent \ Print Property Owner's or Authorized Anent's Name 1[l� T6^^ C C� I <<: nntn ACTION DATE BY e_RF.2tARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 63 OF TITLE 40 AND AQMD RULE 40 ••• •• • ••• ••• PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO • • • • • • i • i PERMIT CANCELLED p PERMIT EMENDED Q D PERMITFINAL A TOS N9WJCA1LQQN IS NOT APPLICABLE TO CERTIFICATE OF POSED OLITION • • ' •' OCCUPANCY155UED w SIGN E: