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Home My WebLink AboutX2018-0340 - Permitsw1o� City of Newport Beach - Building Division b' r 100 Civic Center Drive, Newport Beach, CA 92660 x Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-0340 x 2 6 1 8 0 3 4 6 Project No: 0283-2018 Issued Date : 0210212018 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: 2001 BAYADERE TERNS Description: DEMO (E) SFRW/ATT GARAGE 4,124 SF (4 BEDROOMS) Legal Desc.: N TR 2813 LOT 177 Owner: HAYWARD GREGIMADELINE Contractor: Address: 2001 BAYADERE TER Address: Disabled Access : CORONA DEL MAR, CA 92625 Phone Applicant: SHARONMICHOLSON Address: 1 CORPORATE PLAZA DR#110 NEWPORT BEACH CA 92668 Phone: 949-756-8393 Code Edit : 2016 Type of Construction: VB Occupancy Group: R311.1 Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Building Permit Fee: $103.00 Plan Check Fee: $189.00 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: $1,740.27 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Phone Con State Lie: Lie Expire: Bus Lie: Lie Exp Date: NICHOLSON CONSTRUCTION CO 1 CORPORATE PLZ #110 NEWPORT BEACH CA 92660 949.872.6637 660295 12131/2018 BT98032850 04/30/2018 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9074255 Expire: 10101/2018 Building Setbacks 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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.27 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: State Lie: State Lie: Special Conditions: HAULER: JD DEMO (2) CITY TREES ON SITE Fire Hazard Zone : N 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 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance PUBLIC W(fi.�R♦ri,S APPROVAL: U 6 by i PLAN CHECK BY: o <,APPROVAL TO ISSUE: c `4 $0.00 $0.00 $24.00 $197.00 $1,127.00 $0.00 $0.00 $0.00 $1,740.27 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Fee Due at Permit Issuance PUBLIC W(fi.�R♦ri,S APPROVAL: U 6 by i PLAN CHECK BY: o <,APPROVAL TO ISSUE: c `4 $0.00 $0.00 $24.00 $197.00 $1,127.00 $0.00 $0.00 $0.00 $1,740.27 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) 1 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 ie 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 Dloisian 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). 7 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 nproved for the purpose of sale). 7 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 pply 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: 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 legalll 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.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 Section�0 ) of Division 3 of the Business and P of Bions Code, and my If''{IpGCep�nse Is in full force nd effect. License Class License No Date 1- Contractor Signatur . ti�am o JORKERS' COMPENSATION DECLARATION ARNING: 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 DST 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: 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 orrpenee of thetwork for which this permit is issued. Policy No. have and willIf Int in workers' rance carrier and cll y number Of insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Date 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 becomre s/ybject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant/�J 7Ye�� Ci CLARATION REG RDING CONSTRUCTION LENDING AGENCY ereby 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). 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 this city or countt nter the above -identified property for inspection purposes. nature of Prooertv Owner or Authorized ADent �FA2111A A_R_� Print Prooertv Owner's or Authorized AGent's ACTION DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXP/RED SUBMITTED ASBESTOS IFT%/>,n NTO • PERMITCANCELLED E ••• s + • ` ` PERMITEXTENDED+ MD ••• • • • + PERMIT FINAL AS STOS NOTIFI ATION IS NOTAPPLICABLE TO CERTIFICATEOF OSED DE LI 10 • • a ••+ OCCUPANCYISSUED �, 1'l ! SIGNATURE: • s • N t- oo, N O °O N 00" �y v� „y O "4 �A OO rw lw