HomeMy WebLinkAboutx2016-0569 - Permits (2),.,
City of Newport Beach - Building Division
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COMB Permit: X2018-0569
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone.(949)644-3288
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FIRE SPRINKLERS
Project No: 0492-2016
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Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM GRAD
REQUIRED
Issued Date : 2018
Inspection Arearea : 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: -2209 BAYSIDE DR NB
Description: NEW SFR W/BASEMENT 8278 SF & GARAGE 2823 SF
/
Legal Desc.: P BK 47 PG 32 PAR 2
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Owner: 2209 BAYSIDE LP
Contractor:
PATTERSON CONSTRUCTION
Architect:
BRANDON CHRISTOPHER
Address: 6641 ESPIONAGE
Address:
15 CORPORATE PLAZA STEA 50
Address:
3001 RED HILL AVE, BLDG 1 STE 102
PLAYA DEL REY, CA 90293
NEWPORT BEACH CA 92660
COSTA MESA CA 92626
Phone: 310-702-5252
Phone:
949-723-1800
Phone:
949533-2340 State Lio:C031637
Applicant: BRANDON CHRISTOPHER
Con State Lie:
802367
Engineer:
JAFARI MASOUD
Address: 3001 RED HILL AVE, BLDG 1 STE 102 Lie Expire:
0713112018
Address:
23 ORCHARD #250
COSTA MESA CA 92626
Bus Lic:
BT02110534
LAKE FOREST CA 92630
Phone:. 949-533-2340
Lie Exp Date: 0913012018
Phone:
949-206.9929 State Lic:S-003812
Code Edit: 2013
Worker's Compensation Insurance
Designer:
Type of Construction: V-B-SPR
Carrier:
STATE COMP
Address:
Occupancy Group: 113/1
Policy No:
9065406
Added /New sq.ft. Bldg: 8278
Expire:
08131/2018
Phone:
Added /New sq. ft. Garage: 2823
No of Stories: 0
Building Setbacks
Rear: 5' (Water)
Special Conditions: LIQUEFACTION
No of Units : 1
Front: 15' (Street)
COASTAL# CD17-050
Bldg Height: 24
Left: 4'
Bldg Sprinklers: Y
Right: 4'
Flood Zone: X
Use Zone: R-1
Parking Spaces: 3
Fire Hazard Zone : N
Construction Valuation: $2,000,000.00
'
Building Permit Fee: $8,096.00
Excise Tax:
$2,331.21 Planning Department -
Fire Department
Plan Check Fee: $57.00
Additional Fee :
$0.00 Plan check Fee:
$750.00 Fire Inspection:
Overtime Plan Ck: - $0.00
Grading Bonds Fee:
$0.00 Fair Share :
$2,203.00
Fire Plan Rev
Investigation Fee: $0.00
Grading PC Consultant:
$609.58 SJH Trans :
$0.00 Demolition Fee
Record Management: $142.00
Grading Permit Fee:
$1,715.00 In -lieu Housing Fee
:
$0.00 Building Dept Adm
Energy Compliance: $0.00
Grading PC Fee:
$133.82 Public Works Department -
General Service
CA Seismic Safety: $260.00 -
WQ Insp. Fee:
$108.00 Park Dedication :
$0.00
Refund Deposit
Disabled Access : $0.00
P/W Plan Check:
$684.00
Grading Bond:
Hazardous Mat $0.00
Electrical %:
$1,059.77 San Dist:
$0.00
Building Green Fee : $80.00
Mechanical %:
$605.58 NMUSD Fee: $10,633.36
Plumbing %:
$1,362.56
TOTAL FEE: $30,830.88 1 Plan Check Fee: $0.00 Fee Due at Permit Issuance
PROCESSED BY: � ;® °�;; PUBLIC WORKS APPROVAL:
ZONING APPROVAL: � _ ti „ ' � � � � PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$30,830.88
DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Cafftra�aols State,License.LaW✓f4DMhe Teas n(s) indicated below by the checkmark(s) I have placed next to the applicable items)
Section 7031.5, Business and Professions Code: Any city or county th&4quires-a p AietD construQt,�alfer, al ove, demolish, or repair any 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 pr }slp�Ls,pf t�lesGanixagt�rs' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
3rofessions Code) or that he or she is exempt from licensure and the basis fort aggged ek_e_'mptfo, (; jy violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
lot more than five hundred dollars ($500).
1 1, 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,
3usiness 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
mprovements 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
mproved 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
ipply 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:
3y 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 legal],
;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.m.gov/calaw.htm].
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 MOD o D yy'ssi of the Business and Profe i s de, ar�rl (� i full force
Ind effect. License Class License No Date 1� Contractor Signature '
VORKERS' COMPENSATION DECLARATION
rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND p0 LARS ($100,000), IN ADDITION TO THE
:OST 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 I ave 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 thi
rmance of the work for which this permit is issued. Policy No.
have and �•.,�,K•,�.,•aintain 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'
r r.r,ie,inn `—Iir.. numh --
Date
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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
if I should become subject is the workers'wcomyensatipn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of Applicant
hereby affirm under penalty of perjury th there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ender's Name Lender's Address
y 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 t- o�entQr tbA�p�ov7e-lepyifi i spection purposes. 1 •`�....
ignature of Property Owner or Authorized Agent � �jh% riG(l/� - (� drat Property Owner's or Authorized Acent's Name �s6 4d ilY
i ACTION
DATE I BY
COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RT 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO • •••
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• • • • • • : : • • • �
PERMITCANCELLED
EPA • •
PERMIT EXTENDED
MD • • •
PERMIT FINAL
CER77FIC4TEOF
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
OCCUPANCY ISSUED
SIGNATURE: ••
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