HomeMy WebLinkAboutX2018-3653 - Permits*X20183653* COMB Permit: X2018-3653
Project No: 2832-2018
Issued Date : 12/04/2018
Inspection Area : 8
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: 158 WOODBURNE NB L>a
Description: MFR REPLACE PATIO SLAB, POSTS, REPAIR PATIO WALLS (76 SF) a G�`�?_„
Legal Desc.: TR 11604 LOT 2 UNIT 92 OF PROJECT LOCATED ON AP 442-291-40 TOGETHER. - 14A��
Owner:
City of Newport Beach - Building Division
Address:
100 Civic Center Drive, Newport Beach, CA 92660
F
Permit Counter Phone (949)644-3288
u_
Insoection Requests Phone (949)644-3255
W
Combination Type -MFP
*X20183653* COMB Permit: X2018-3653
Project No: 2832-2018
Issued Date : 12/04/2018
Inspection Area : 8
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: 158 WOODBURNE NB L>a
Description: MFR REPLACE PATIO SLAB, POSTS, REPAIR PATIO WALLS (76 SF) a G�`�?_„
Legal Desc.: TR 11604 LOT 2 UNIT 92 OF PROJECT LOCATED ON AP 442-291-40 TOGETHER. - 14A��
Owner:
HEGENER MIRIAM KATHLEEN
Address:
158 WOODBURNE
Record Management :
NEWPORT BEACH, CA 92660
Phone:
$0.00
Applicant:
PATSCHECK CONSTRUCTION LLC
Address:
556 OTERO COURT
Hazardous Mat
CAMARILLO, CA 93010
Phone:
805-402-9130
Code Edit: 2016
Type of Construction: VB
Occupancy Group: R2/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 10
Bldg Height: 0
Bldg Sprinklers:
Building. Permit fee: $359.00
Plan Check Fee: $261.00
Overtime Plan Ck:
$0.00
Investigation Feer
$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
TOTALFEE:
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
PATSCHECK CONSTRUCTION LLC
Address:
556 OTERO COURT
Fair Share'.
CAMARILLO, CA 93010
Phone:
805-402-9130 .
Con State Lie:
1011514
Lie Expire:
02129/2020
Bus Lie:
BT30061601
Lie Exp Date:
12131/2018
Worker's Compensation Insurance
Carrier: EXEMPT
Policy No: -
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant:
Grading Permit Fee:
Grading PC Fee:
WO Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: /
Left: I
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee :
Architect
Address:
Phone: State Lie
Engineer:
HELFRICH STEVEN
Address:
30640 KRISTIN CT
Fair Share'.
REDLANDS CA 92373
Phone:
909-389.7316 State Lic:C-040046
Designer:
-
Address:
Park Dedication :
Phone:
Special Conditions
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
P/W Plan Check:
$0.00
San Dist:
$0:00
NMUSD Fee:
$0.00
e e
mmeome
0
o• e
o e o
e ee
e
emee
e e
eaom
mm•e
0
ommo
0
o m
0000mm
c
0o m
0 o e
mo 0
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance: $661.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
e c
om•eoc
o
mmcoo
m
oor.oc
ooeooc
o r
0 0 0
oe•000
0 0
ceoo
Fire Department
$40.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
e e
mmeome
0
o• e
o e o
e ee
e
emee
e e
eaom
mm•e
0
ommo
0
o m
0000mm
c
0o m
0 o e
mo 0
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance: $661.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
e c
om•eoc
o
mmcoo
m
oor.oc
ooeooc
o r
0 0 0
oe•000
0 0
ceoo
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 iterw(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 appal' ant for
is 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 an6
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 1, as owner of the property, or my employees with wages as their sole compensation, will do (-) all of or (_) 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
n roved 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
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).
I 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 legall)
ell a structur%1% 1have 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 evailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
�igcAre of Property,Owner or Authorized Agent Date
.ICERSED CQNTISACTOR'S DECLARATION
yefty affirm ugder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Sec '6n 7000) of Division 3 of the Business Prof ns od�miYfIIforce
nReffect. License Class License No ate 12- `t- (X Contractor igna ure
I{ORKERS' 16MOPENSATION DECLARATION
�AIStRING: FAILU_R� TQ SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
ni ST.OF COMP A ON, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm uA(1&1)enalty of perjury one of the following declarations:
a•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 th
ance o{tk xork for which this permit is issued. Policy No.
e and Will,rgaintain 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' compensatiol
Rance carrii pa ncipolicy number are:
'.arrier Policy Number Expiration Date I
of Agent Phone #
rtify that, in the petriormance_of the r for which this pe Is Issued, I shall not employ any person in any manner so as to become subject to thelo cers' compensation laws of California, and
if I shoul o Clsu ' f t to e w ers' om ens I n p Islons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ti c
3ture of ADDIi ate lZ
Ireby 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 and0,<nmation I have provided is correct.
I agree to comply with all appliand county ordinan state law rel ti g to building construction.
I authorize representatives oft y or count nt the dent ied rop y for inspection purposes. -�—,,
nature of Pronertv Owner or Authorized Aoent. L- Print Prooertv Owner's or Authorized Aaent's ame C5i1 1)VJ
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED I I I UI SUBMITTED ASBESTOS NOTIFICATION TO
PERMITFINAL f > UASBESTOS NOTIFIC TIO NOT P
CERTIFICATE OFOCCUPANCY SUED �- I - 1 Ld i " ROPAT Eg DE169LUJ `
12 - L) -(ir
d a o d e
o `L+ ° o °
9eG= r
�mm
v ° a
4g
Y
y o e
f0) moo 0 3 d y o m d \r,H
LU H d Cf CI c pNp
r'ZNV O M
U.
c C5
I W I a z 9 m ��s�lS
C63
L'
LLIz CSI y a y oo _ �3y
� Q ZU uj o E d.A'a) a a °e
CL
C= IL
C E� y � pago � +°
s
o '.� �aalomz° I.a.r°� o° � °
° d oda G ° =
21.1
Ilemw c
y�uaDim� 2= go y« y \\1
ZWti26. d d CGI ate+
fa
R ° E °
I
N0 °j ° d ° $ w� °L SCI o
N t°0 _ W or3d3Ca, °'' CLW CLI
CL 0
F:1
ui
d
0
N
F
2
e
W
W
7
U)
0
0
d
CL
IL
V
e
N
N
c
r
C
CL
CL
0
m
r
ao,
A c
CL *'
CL
m
- c
W
d
2
o
M
, c
O
U
ov
°o
v�
ti
'4,.Z
o
°x
w
,\4
W
d
n
N tlj m p c N N y N N` w a
� (cl1Qe o € c N h o
E Cld N oa € cu
C '0 L O N U% M Y !9 �1` V w
O O O N m
N N 'SC m m 0 O S E L O d .0
m N a+ d Yl C
.—mC Q. C C d C X �� 3 b
a
m N a) a) m m 0 0 0 N
ryE csi`m E �m� �p
0 Lo0 co O m N a) O •R Op O E C 1C U
E O O -05
N C w O a CL O a) O m m C
c N @ o o o rnE m N Fm 0 Q A.h
o U c o �' co m rn c c o N C o
m= E -0 .E v 0.01 ` do
U N 0 O O N N O 'E -v d CL c 'C a°i
. 0 O 0) O = 3 .O M N O C• m b.
o �o cvo) 0 w 3 "
c �a0iaa)) moE o a) 0U) mo
m
:3 Icj
v c o
m m m m m d
o c d m Z v N E
N v°aNi c �_ aN7 m w 0$�Oa mm �
m a) N >4 U C O OAU «Y C Qy
m € o o c v� &c d 0•- °�
m m Z'o'ag m �K'E Ma
vc UD m E°'m o naffs dmr �2
m p
(D (D V 'OO O p N Ci'
dIrE=m in M
00
cQ0t:m M,o)a�i aNm:am E
m yU
'cv0 ow
_o c m wM E c m d tm
,-00 c� I 3 0 ami � �c c `o c � d `m o
_ N V 0) co .0, �` m N N O a ii a) ,•�-� N C t ++ \ c
(� 0) o E cEn a) a AS 0) _ �
y '"•'O `. ' N b
�- fa N N O
92 0CL 0 N 4)C 9..0
a? o m o (Dc ms D m a E~ c m v q o
L N m X O N a) .0 B ,® d 0) O m c
F c 000 m acn a a®. 05 25 $
E ro
0
r)
Z ua0
t N
X
O
O
E
"o
z
°O
O
o
W
LC
N
L
ZZE
�O
o,
O
z�zv
—o
V
�•�•
p. C� � o'
OC7r3
G
Zoo
.o
3+q
L
A m0
ka)
w�d1
0 L
Amo
V W_o
O
EI C
�w-
W
D
O
H
Y
U
o
V U
o
gi
y
o
U)
C
C ..
n
N tlj m p c N N y N N` w a
� (cl1Qe o € c N h o
E Cld N oa € cu
C '0 L O N U% M Y !9 �1` V w
O O O N m
N N 'SC m m 0 O S E L O d .0
m N a+ d Yl C
.—mC Q. C C d C X �� 3 b
a
m N a) a) m m 0 0 0 N
ryE csi`m E �m� �p
0 Lo0 co O m N a) O •R Op O E C 1C U
E O O -05
N C w O a CL O a) O m m C
c N @ o o o rnE m N Fm 0 Q A.h
o U c o �' co m rn c c o N C o
m= E -0 .E v 0.01 ` do
U N 0 O O N N O 'E -v d CL c 'C a°i
. 0 O 0) O = 3 .O M N O C• m b.
o �o cvo) 0 w 3 "
c �a0iaa)) moE o a) 0U) mo
m
:3 Icj
v c o
m m m m m d
o c d m Z v N E
N v°aNi c �_ aN7 m w 0$�Oa mm �
m a) N >4 U C O OAU «Y C Qy
m € o o c v� &c d 0•- °�
m m Z'o'ag m �K'E Ma
vc UD m E°'m o naffs dmr �2
m p
(D (D V 'OO O p N Ci'
dIrE=m in M
00
cQ0t:m M,o)a�i aNm:am E
m yU
'cv0 ow
_o c m wM E c m d tm
,-00 c� I 3 0 ami � �c c `o c � d `m o
_ N V 0) co .0, �` m N N O a ii a) ,•�-� N C t ++ \ c
(� 0) o E cEn a) a AS 0) _ �
y '"•'O `. ' N b
�- fa N N O
92 0CL 0 N 4)C 9..0
a? o m o (Dc ms D m a E~ c m v q o
L N m X O N a) .0 B ,® d 0) O m c
F c 000 m acn a a®. 05 25 $