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X2018-1859 - Permits
rgRnopr .'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 k"{rsnu+�sb Combination Type - BLDG PLUM IIillillillillillillilliillillillillillillilliililli II COMB Permit: X2018-1859 x 2 0 1 6 1 8 5 9 Project No : 1454-2018 Issued Date : 06119/2018 Inspection Area : 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 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 422 ORCHID AVE NEI ,� Description: DEMO SFR 862 SF (2 BEDROOM), INCLDS SEWER CAP I r Legal Desc.: CORONA DEL MAR BLK 442 LOT 16 i. lCTO77 ROwner: REKLAW LLC Contractor: WALKER CONSTRUCTION Architect: TEALE MARK � Address: 418 112 ORCHID AVE Address: 4181/2 ORCHID AVE Address: 2900 BRISTOL ST BLDG A203 CORONA DEL MAR, CA 92625 CORONA DEL MAR CA 92625 COSTA MESA CA 92626 Phone: Phone: 949-280-2633 Phone: 949-975.0123 State Lic:CO22162 Applicant: VALE KAREN Address: 2029 LOGGA Record Management: NEWPORT BEACH CA 92660 Phone: 949-280-7507 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: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Building Permit Fee: $103.00 Plan Check Fee: $189.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $4.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $2,309.27 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lie: 681217 Lie Expire: 02/2812019 Bus Lie: BT30058987 Lie Exp Date: 05/3112019 Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expire: Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: / Left: / Right:- / �arkina Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.27 Plan Check Fee Engineer: Address: Phone: State Lic: Designer: ooao Address: °000 Phone: o ° m 00 0 Special Conditions: HAULER: JD DEMO ° NO CITY TREES ON SITE ° CONTRACTOR AUTH ATTACHED Fire Hazard 7nne : N Planning Department - Plan check Fee: Fair Share SJH Trans Fire Inspection: In -lieu Housing Fee: $0.00 Public Works Department - Park Dedication : $0.00 PM Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 Fee Due at Permit Issuance : $2,309.27 PUBLIC WORKS APPROVAL: PLAN CHECK BY: (r APPROVAL TO ISSUE: ° Fire Department $0.00 Fire Inspection: 0$0.00 $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm $24.00 General Service $197.00 Refund Deposit $1,692.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $2,309.27 PUBLIC WORKS APPROVAL: PLAN CHECK BY: (r APPROVAL TO ISSUE: 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 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 Professions 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 not 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, 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 property, provided that the improvements 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 im roved for thwpurpose 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 apply 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). If I am exempt from licensure under the' Contractors' State License Law for the following reason: By 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 legally sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site: hftp://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SECn 000) of Division 3 of the Busin s and Profession Code, apd my lice ns is in full force and effect. License Class License No Contr Ignature NORKERS' COMPENSATION DECLARATION NARNING: 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 COMPENSA TI ONE DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm end erp realty of perjury one of the following declarations: Q-1•14we and wiYmaintain 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 tht ',.qIrfa;mMance oeth2 yv9fk for which this permit is issued. Policy No. and will�rnaintain 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' carrieeand policy number are: Vne• of Agent •• T 4 c®reify that, hthdt 3t•ij Lshouldb.E�C/o¢ gnatdre of Ap Zl Policy Number Expiration Date Phone # 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 wor ers' compensation laws of California, and the workers,' c%npengation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ©L•ARATION REGARDING CONSTRUCTION LENDING AGENCY acsby affirm•Ih�grpenalty of perjury that there is a construction lending agency for the performance of the work for which this permit is 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 d county ordinances and state laws relating to building construction. I authorize representatives of this city county to enter the abovQziden,�ifi fiend for inspection purposes. nature of Prooertv Owner orAut d Agent �A N ) �J10 Print Propertv Owner's or Authorized AgeW ACTION DAT&' BY REGULATIONS OF CO 1 LI INCE WIT40 H DE OF FEDERUDERAL I FOR OFFICE USE ONLY PERMITEXPIRED L -I I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA PERMIT EXTENDED OMD PERMITFINAL PIEFFIFICATION IS NOT APPLICABLE TO CERTIFICATEOF OCCUPANCYISSUED 6 PROPO ED EMDLITJON ` ^ 51GNATU �{,JA'AO/.� ate 1$7 ZO It (Section 3097, Civil Code). 0 E Y a. IT a Pi co Ln rl co c N in O N % M :tt MM W QUA M y*k 4j yVi gip. I. 00 U O G1G1 Z 0 E Y a. IT a Pi c