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Home My WebLink AboutX2018-3263 - Permits14 MAM City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 HPermit Counter Phone (949)644-3288 zkInspection Requests Phone (949)644-3255 'a%;,Z Combination Type - BLDG PLUM IIGIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB roject aPerm3i Z0X82018-3263 Issued Date : 1 012 612 01 8 Inspection Area : 1 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 ime Job Address: 9 BAY ISLAND NIS �,��ua-` Description: DEMO (E) SFR 3,000 SF (4 BEDROOM) Z, <1 11 Legal Desc.: S TWP 6 RGE 10 SEC 34 Owner: MARTIN Contractor: LEGACY CUSTOM HOMES INC Architect: Address: 19 BAY ISLAND Address: 1000 QUAIL ST, STE 220 Address: Disabled Access: NEWPORT BEACH, CA 92661 Hazardous Mat NEWPORT BEACH CA 92660 Building Green Fee : Phone: $0.00 Phone: 949-887-4750 Phone: State Lic: Applicant: BRUCE/LEGACY CUTOM Con State Lic: 986194 Engineer: Address: 1000 QUTAL ST #220 Lic Expire: 08/31/2019 Address: NEWPORT BEACH CA 92660 Bus Lic: BT30045036 Phone: 949-887-6233 Lic Exp Date: 1013112018 Phone: State Lic: 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: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Building Permit Fee: $103.00 Plan Check Fee: $208.00 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 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $1,774.27 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9118909 Expire: 1210212018 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: I Left: I Right: I '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 Designer: Address: Phone: Special Conditions: LIQUEFACTION AREA HAULER: JD GRADING 0 Planning Department - Fire Department Plan check Fee Fire Inspection: Fair Share: Fire Plan Rev SJH Trans: Demolition Fee In -lieu Housing Fee Building Dept Adm Public Works Department - Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $26.00 $210.00 $1,127.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,774.27 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: Fire Department $90.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: 4 O V � G o6U Uou iV [� q OfIO �{, $0.00 $0.00 $26.00 $210.00 $1,127.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,774.27 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: Fire Department $90.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $26.00 $210.00 $1,127.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,774.27 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 improved 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 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). ❑ 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 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 legaill 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:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION1� I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ,0 ) of 'visio 3 of the Business and P fession , 6de, an rbense i 'r ull force and effect. License Class License No Date n 49 Contractor Signa 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 DOLLAR (5700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: :11 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, )erforplance of the work for which this permit is issued. Policy No. and will ry��R(ain workers' compensation insurance, as re red by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' carrier all licy number are % N ��j i-Y� (� .G� 1 Pn 1 h,�c/ / J Expiration Date of Agent 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 agre I, if I should become subje tto the wo s' comp/engatlon provis' Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /' nature of Applicant CLARATION REGA IN UCTION LEN G AGENCY Heby affirm under penalty of perjury that there 1 construction lending agency for the performance of the work for which this permit is issued (Section 3097, 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 ordinance;,and state laws relating to �lflding construction. I authorize representatives of this city or county to ejRe bove-N�i66 properb, Xrinspection purposes. Si nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's N e ` 14e6gft ACTION DATE BY ECLARATION OF COM ANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 • ••• PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO • • + • ' ; • • •• + PERMIT CANCELLED UEPA ° •' PERMIT EXTENDED LJAQMD _FE RMITFINAL ! 1rt��... ASBESTOS NOTI ICATION ISTAPPLICABLE TO CERTIFICATE OF p POSED D 0 ION n OCCUPANCYISSUED SIGNATURE: a �•� e