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Home My WebLink AboutX2022-1829 - PermitsCity of Newport Beach - Building Division + 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 �i.. Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM COMB Permit: X2022-1829 IIIXIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II Project No : 2996-2021 Issued Date : 07/05/2022 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALID 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: 1227 BERKSHIRE LN NB Description: DEMO SFR 1909 SF. 4 BEDROOMS. SEWER CAP INCLUDED Legal Desc.: N TR 3031 LOT 19 Owner: RUCKER LLOYD Contractor: OWNER/BLDR Address: 260 NEWPORT CENTER DR Address: NEWPORT BEACH, CA 92660 Phone: Phone: Applicant: RUCKER LLOYD Con State Lic: O/B Address: 260 NEWPORT CENTER DR Lic Expire: NEWPORT BEACH, CA 92660 Bus Lic: Phone: 949-463-4509 Lic Exp Date: Code Edit: 2019 Worker's Compensation Insurance Type of Construction: V-B Carrier: Occupancy Group: R3 Policy No: Added /New sq.ft. Bldg: 0 Expire: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: / No of Units : 1 Front: / Bldg Height: 0 Left: I Bldg Sprinklers: Right: / Flood Zone: _ Use Zone: Parking Spaces: Construction Valuation: $10,000.00 Building Permit Fee: $122.00 Plan Check Fee: $0.00 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: $2,269.98 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: State Lic: State Lic: Special Conditions: JD DEMO TCL HAUL DEBR;�'_" T R Fire Hazard Zone : N Excise Tax: $0.00 Planning Department - Additional Fee, $0.00 Plan check Fee Grading Bonds Fee: $0.00 Fair Share: Grading PC Consultant: $0.00 SJH Trans : Grading Permit Fee: $0.00 In -lieu Housing Fee: Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $152.00 Park Dedication : $0.00 PAN Plan Check : $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $10.98 Plan Check Fee Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $27.00 General Service $265.00 Refund Deposit $1,692.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $2,269.98 0 o coo 0 00 PLAN CHECK BY: ABPHOWTJ`ISSLb oo° ••�' O O V O O O J uU u.V V a �u sO v�J 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 U 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-Builderwill 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 6p3lNo 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). exempt from Iicensure under the Contractors' State License Law for the following reason: By m signature below I acknowledge that, except for my personal residence in which ust have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall), sell structure that I have built as an owner -builder if it has not been cons>ucted in g entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and essions Code, is available upon request wh t I 1tted or the following Web site:http://www.leginfo.ca.gov/calaw.html. ,7 Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLA I hereby affirm under penalty of perjury that I am licensed under provisions of hapter 9 (commencing with Section 7000) of Division 3 of the Business and P e si s Code, an y Iicen is in full force and effect. License Class License No Date Contractor Sig nat re WORKERS' COMPENSATION DECLARATION WARNING: 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( 00,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 ormance of the work for which this permit is issued. Policy No. have 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' compensa trance carrier and policy number are: - Policy Number Agent Date ce Ify that, in the performance o 0rk or which t 'S permit is issued, I shall not employ any person m any manner so as to become subject to the workers' compensation laws of California, and ogre I, if should become s e e w ker co tion provisions of Section 3700 of the any Code, shall forthwith comply with those provisions. atureofAppl"an Date CLARATION RE G C STRUC ION L NDING AGENCY :reby of 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 co �ty-to1 enter the above -identified property for inspection purposes. ^ / / nature of Prooertv Owner or Authorized Agent �[ Print Property Owner's or Authorized Agent's Name "_ L—Co V,( 1 ✓��-Bates ACTION DATE BY v REGULATIONS OF CO 1 LIANFTIT E CE ITH AND DE OF RULERAL FOR OFFICE USE ONLY PERMIT EXPIRED UBMITTED ASBiESTOSNOTI FICATION•TO PERMIT CANCELLED _ _ • EPA. PERMITFINAL 8y ,� \ LJ ASSSTOS NOT:OTAPPLI. CERTIFICATEOF V 0' pkpp� MQyh,^)fT,' •/•�/�P+• OCCUPANCY ISSUED SIGNA eJR • • • e o 0 eec ce eo 0 ono 00