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Home My WebLink AboutX2019-3958 - Permitspx�laoy City of Newport Beach - Building Division *X2019-3958* COMB Permit: X2019-3958 a`t *ram 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 2733-2019 N Permit Counter Phone (949)644-3288 — n Inspection Requests Phone (949)644-3255 r",vnx�`M Combination Type - SFP ELEC MECH PLUM GRAD Issued Date : 0611112020 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0611212023 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: 2701 CIRCLE DR NB Description: NEW SFR WITH ATTACHED GARAGE 5,560 & 671 SF INSPECTOR Legal Desc.: N TR 1102 LOT 27 Owner: LISENBEE GARY Contractor: Address: 2581 CIRCLE DR Address: NEWPORT BEACH CA 92663 Phone: Phone: Applicant: WILSON TYLER SCOTT Con State Lie: Address: 24471 CHRISANTA DRIVE Lie Expire: MISSION VIEJO, CA 92691 Bus Lie: Phone: 714-754-4040 Lie Exp Date: Code Edit: 2016 Type of Construction: V-B-SPR Occupancy Group: R31U Added /New sq.ft. Bldg: 5560 Added /New sq. ft. Garage: 671 No of Stories: 3 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Building Permit Fee: $8,633.00 Plan Check Fee: $6,131.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $108.00 Energy Compliance: $268.00 CA Seismic Safety: $166.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $48.00 TOTAL FEE: $27,653.51 PATTERSON CONSTRUCTION Architect: WILSON TYLER SCOTT 15 CORPORATE PLAZA STE.150 Address: 24471 CHRISANTA DRIVE NEWPORT BEACH CA 92660 MISSION VIEJO, CA 92691 949-723-1800 Phone: 714-754-4040 State Lic:C036519 802367 Engineer: MANSHADI FARHAD 0713112020 Address: 1800 E 16TH ST UNIT B 4 09/3012020NO C®WRI90PON 1A f/SRFC:C-036840 Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9065406 Expire: 08/01/2020 Building Setbacks Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical %: Plumbing %: PROCESSED BY: `3 At `— ZONING APPROVAL: LK GRADING APPROVAL: Rear: / IC Front: /tvr Left: / k. r Right: /Nj N Parkino Spaces: $1,308.51 $304.00 $0.00 $1,354.64 $1,293.00 $297.36 $108.00 $604.31 $345.32 $776.97 Plan Check Fee Designer: Address: ®tad SA 6 ldRDAYS - Special Conditions: *LIQUEFACTION* Noise agreement signed with demo permit Planning Department - Plan check Fee Fair Sham, SJH Trans : In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check : $330.00 San Dist: $920.00 NMUSD Fee: $4,250.40 Fire Department $417.00 . Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: oo°0000 $0.00 •$0.00 ° °$p go $0.00 $0.00 $0.00 $0.00 $7,737.88 Fee Due at Permit Issuance : $19,915.63 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: �� 0 0 ° o ° 00 0 OWNER -BUILDER DECLARATION 1 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 Iicensure 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 (_) 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). ❑ 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 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 Iicensure 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 Iegallt 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.html. 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 700 ) of Division 3 of the Business and Professig Code, a license is in full force and effect. License Class License No I J Contractor SiVture WORKERS' COMPENSATION DECLARATION NARNING: 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: have and "16 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 Tnance of jtp work for which this permit is issued. Policy No. and wilPmaivtain 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' carr6r ar c6policy number are: Agent y that •in the performance of the ;hould btr q(rydsubj94 to the wy of Policy Number Date 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 Tlpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ebypffirm ypaer l5walty 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). ter's Name 0 0 • Lender's Address 1; signature bekxw !certify to each of the following: 'aA the propevdwner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinance nd state laws relating to building construction. I authorize representatives of this city or county jejoilperidentified property for inspection purposes. n L ACTION DATE BY --FDECLARATION-OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND Al RULE 1403 PERMITEXPIRED _ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED LIAQMD PERMITFINAL LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF ' PROPOSED DEMOLITION OCCUPANCY ISSUED a 7 SIGNATURE: