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HomeMy WebLinkAboutS2014-0008 - Permits (3)City of Newport Beach - Building Division 111111III IIIII!lIII IIIII1111111111p111p111p11111111 n� d 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 1 4 0 0 0 8 w 's, Permit Counter Phone (949)644-3288 V n 'rboR'� Job Address: 600 SAN BERNARDINO AVE Floor: Suite: Inspector Area: 2 Legal Description: FIRST ADD TO NEWPORT HEIGHTS BLK 33 LOT 1 Owner: RUTTER RAY J Contractor: Address: 500 SAN BERNARDINO AVE Address: NEWPORT BEACH, CA 92663 Phone: 949-933-9727 Phone:...oO Applicant: RUTTER RAY J Address: 500 SAN BERNARDINO AVE NEWPORT BEACH, CA 92663 Phone: 949-933-9727 Building Rear:,��.��', Setbacks: Front: r; Lett: Right: °} Construction Type Construction Valuation: Building Permit Fee : $26?ftAO Permit Issuing Fee: $ %po Investigation Fee: $0'.b0 Building Green Fee: $1.� Plan Dept Plan Check: $32.0 Building Dep Plan Check: $190.08'y. Building PC Investigation : $0.00 '. Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $36.00 TOTAL FEE: $551.08 PROCESSED BY: it ZONING Bldg: 1 Description of Work:SFR - POOLPermit : S2014-0008 Project No : 0110-2014 Inspection Requests Phone Plan Check -No: .2014 Code Edit: 2013Ae \�2k1�ee Arohitec� 100 ova r&. OS�Phone: S to Lic: Lic: O/ r: BIEDENBACH CHRISTOPH vo , 001%ANAHEIM �Q dress: 1201 N TUSTIN CA 92807 3te:` Phone: 714-630-6100 State > Rec Man ement: pp $4.018'.+ ing Permit Fee : 0 Gradin Plan Check: $0.00 Gradin Cgaeylt�rtt .°� 610.00 i a, I Paa-e fie � . c��1. ` lk�Q I$0.00 Special Conditions: O/���B°°°FyyFXRl�fA 1CHED Issued Date: q T`�� 99 C( FEES e "� Water Qual@y Building Dept I coon Water ' Dept I$24.00 B g Dept WQ h $0,00 Othe $0.00 $0.00 $0.00 ,M y►� Fee Due at Permit Issuance : $551.08 PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION )WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law forthe reason(s) indicated below•by ire 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 ant structure, prior to its issuance, also requires the applicant for he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State Lc aw (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and professions Code) or that he or she is exempt from Iicensure and the basis for the alleged exemption. Any viaWieffil5f Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of tot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will all of or U �, s of the work, and the structure is not intended or offered for Sale (Section 7044, 3usin and Professions Code: The Contractors' State License Law does not app wrier of propy^v'a', or a 81 t(es' or personal effort, builds or improves the property, provided that the mpr vements are not intended or offered for sale. If, however, the building or' Vement is S Y �fy Ta year of the Owner -Builder will have the burden of proving that it was not built or m oved for the purpose of sale). TV \` �I�( I, as owner of the property, am exclusively contracting wi sed Contractors to onstruct th rgg11,, ISe6tion-7044, Business Professions Code: The Contractors' State License Law does not �to an owner of property who builds or improve n d who contract a projects tF `licensed Contractor p Fit to the Contractors' State License Law). I am exempt from Iicensure under the C r ' t License or the follo nat?Te@son: 3y my signature below I acknowled xce o m is sidence in �n`u^@�t have reggl�c{)Ep least one year prior to completion of the improvements covered by this permit, I cannot legally Sell a structure that I have bui PO erer u' if it of been const"r"d tirety by, cel�d contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is a e upon appllce iah Is sUl3En4tetl or e fo➢owing eb site:http://www.leginfo.ca.gov/colaw.html. �is Signature of Pr Owner or Auth ri ant y' DLICENSED ONTRAC LA dI hereby affirm rider e of perjury the „ cerfsed under provisions of Chapter 9 cpmmenang'with Section 7000) of Division 3 of the Business and Professions Code and my license in full force and effect. License Class f'. License No t""= TA -v& Dated` ContraQt a re kg WORKERS' C PEIATION DECLARATION t NARNING: FAILURE FOURWORKERS' COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL B68J CE EMPLOYER TO CRIMINAL RE L T S N CIVI INS PTO ONE UNDRED THOUSAND DOLLARS (E700,000), IN ADDITION TO THE COST OF COMP EN ATI , LAM A[tGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES I hereby affirm under enaltgaf'perjury one of the following declarations: I have and will m ntain a cete of consent to self Insure for workers' compensate n Issued by the Direct@�0EYh�ustrial Relation r b Section 3700 of the Labor Code, for th performance of the wor for w t is permit is I to, No. �o O L31 have and wi5 main; wo r o ,pensation insurance, as recution 3700 of the Labor �de, for the perform of the w c t permit is issued. My workers' compensatioi insurance carrier and pall num riYiia` Carrier Polic b I-Expirat e Name o: Agent a k kkpp'' e # n1 certify that, in the perfor nce rk f r this p 1j31ssued, I shall not amp y person in a FEE to become subject to the workers' compensation laws of California, and agre Ina., if I should bt:comE subja to th compen kvk ovisions of Section 37 the Labor Co , she[ ith comply with those provisions. C ,g.I..tJ.e of Applicant WW`"' Date_ [)= ARATION REGARDING NST UCTION LENDING AGE I hereby affirm under penalty of p ury that there is a cons on lending age or t ormance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Ender's Address By my signature below, I certify to cFj(� Ilowing: I am the property owner or auth iz d to act on the art s behalf. I have read this application and t inform he vided is correct. I agree to comply with all applicab an y or ' a ce at to laws relating to building construction. I authorize representatives of this c o to o e id tified property for inspection purposes. II Signature of Property Owner or Authorized Age t Print Property Owner's or Authorized Agent's Na DaL41 ( 4 ACTION DATE BY DECLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40 AND PERMITPIRED EXAQMD RULE 1403. I ❑ I SUBWTTEDASBESTOS IfO7IFICATION TO: PERMIT CANCELLED ❑ EPA PERMITEXTENDED [I AQMD ❑ ASBESTOS NOTIFICAHONIS NOT APPL/CABLE TO PERMIT FINAL PROPOSED DEMOLITION. CERAFICATE OF SIGNATURE: OCCUPANCYISSUED o p i W Y =_ -L' a LL ocro E m0ci)a 3 }LO� w3 - Urn ��� octet Eo C .J = N> O •F = 101E Oi .,0.. X @ r i V N J N N a;v-T 2 V Mo O Z L O N O i' L UJ @ U O `t ¢> u •C � �� O@ � ..+ "G N •� wi !6 •S 3 t0 Y LL. O 2 Ul N N NO 01 >0Cr.1� ria�Oc fQTn 3AO cNN •c_R adZ vbtF cO. y ON ucowo cu L. 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