HomeMy WebLinkAboutX2014-2591 - Permits (3)hr�v City of Newport Beach - Building Division IIIIIIIIIII�IIIIIIIIIIIIIIIII
II COMB Permit: X2014-2591
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100 Civic Center Drive, Newport Beach, CA 92660 X
2
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1
4
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9 1 Project No: 2062-2011
Permit Counter Phone (949)644-3288
u y Inspection Requests Phone (949)644-3255 DUPLICATE
Combir-"tion Type - SFP ELEC
Issued Date : 201a
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Inspection Arearea : 5
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED
Job Address: 304 ORCHID AVE NB
Description: SFR -REVISE SCOPE OF WORK DELTA 1 (X2011.2592)IREMOVE 2'4" @ SIDE OF RES TO CREATE 3' SETBACK, ADD 42 SF @ KITCHEN, PATIO COVER @ FRONT
Legal Desc.: CORONA DEL MAR BLK 242 LOT 6
Owner:
BAILEY BOYD & CHARLENE
Address:
304 ORCHID AVE
CORONA DEL MAR, CA 92625
Phone:
949-677-0936
Applicant:
BAILEY BOYD & CHARLENE
Address:
304 ORCHID AVE
CORONA DEL MAR, CA 92625
Phone:
949-677-0936
Code Edit : 2013
Type of Construction: V-B
Occupancy Group: R31U
Added /New sq.ft. Bldg: 42
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 1
Bldg Height: 0
Contractor:
BAILEY BOYD B
Architect:
Address:
PO BOX 26424
Address:
SANTA ANA CA 92799
Phone:
949-723-0440
Phone:
State Lie:
Con State Lic:
503880
Engineer:
HOWARD JOHN EDWARD
Lie Expire:
0713112016
Address:
29436 DRY DOCK COVE
Bus Lie:
BT30036961
LAGUNA NIGUEL CA 92677
Lie Exp Date:
09/3012015
Phone:
949-701.9326 State Lic:S-002953
Worker's Compensation Insurance
Carrier: WIC EXEMPT
Policy No: (NO EMPLOYEES)
Expire:
Building Setbacks Rear: I
Front: I
Left: I
Designer:
Address:
Phone:
Special Conditions: REV14-0916
Bldg Sprinklers:
Flood Zone:
X
Use Zone:
mgm: r
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $11 950.00
Building Permit Fee:
$249.00
Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Fee:
$0.00
Additional Fee :
$0.00
Plan check Fee:
$128.00
Fire Inspection:
$0.00
Overtime Plan Ck:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Investigation Fee:
$0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Demolition Fee
Record Management:
$12.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety:
$1.55
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
Disabled Access:
$0.00
PAN Plan Check: $151.00
Hazardous Mat
$0.00
Electrical W
$17.43
San Dist: $0.00
$0.00
Building Green Fee :
$1.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $559.98
Plan Check Fee:
$559.98 Fee Due at Permit Issuance :
$0.00
PROCESSED BY: PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER -BUILDER
I hereby affirm under penalty of perjury that I am exempt from the ContractorsState 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-Rgplicant to a civil penalty of
not more than five hundred dollars ($500). - - ' ' I -
i❑ 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 -Builder will have the burden of proving that it was not built or
improved 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
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 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:http://www.leginfo.ca.gov/calaw.htmi.
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 Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANDCIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 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 the
performance 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'
rance carrier and policy number are:
Policy Number
of Agent
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 agree
t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date_
CLARATION REGARDING CONSTRUCTION LENDING AGENCY -
weby 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 county to enter the above -identified property for inspection purposes.
nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name
Date
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