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Home My WebLink AboutX2020-0030 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 F Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG IIIII�IIIIIIIIII�IIIIIIIIIIIII�IIII�� II COMB Permit: X2020-0030 x 2 0 2 0 0 0 3 0 Project No : 0030-2020 Issued Date : 01/0612020 Inspection Area : 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: 4621 ORRINGTON RD NB Description: DEMO DETACHED GARAGE Legal Desc.: N TR 3357 LOT 67 Owner: WELLING GLEN & LAURI Contractor: PATTERSON CONSTRUCTION Architect: Address: 4621 ORRINGTON RD Address: 15 CORPORATE PLAZA STEA 50 Address: CORONA DEL MAR, CA 92625 NEWPORT BEACH CA 92660 Phone: Phone: 949-723-1800 Phone: State Lic: Applicant: ROOT TIM Con State Lic: 802367 Engineer: Address: 15 CORPORATE PLAZA STE 150 Lic Expire: 0713112020 Address: NEWPORT BEACH CA 92660 Bus Lic: BT02110534 Phone: 949402-1630 Lic Exp Date: 09130/2020 Phone: State Lic: Code Edit: 201M Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: - 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Building Permit Fee: $103.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $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: $0.00 TOTAL FEE: $103.00 PROCESSED BY: _J d ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9066406 Expire: 0810112020 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: / 3arkina Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Designer: Address: Phone: Special Conditions: TIGHT QUARTERS TO HAUL DEBRIS Planning Department - Plan check Fee Fair Share SJH Trans: In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PM Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 N Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $103.00 0 0 o aem m PUBLIC WRIISAPAROV.Ata 0 0 om m a m PLAN CHECK BY: APPROVA!.'f0f 9UI5.-mo 0 0 0 ou o m °o ono � o 00 10 0�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 to 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 '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). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) 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 nproved 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: ;y 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 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:hftp://www.leginfo.ca.gov/calaw.html. 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 7000) fI DIvis qn of the Business and fess' s Code my license is in full force nd effect. License Class License No Date Contractor Sign t VORKERS' COMPENSATION DECLARATION DARNING: 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 DST 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 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 ;ormance of the work for which this permit is issued.. Policy No. 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' carrier and policy number are: of Agent Policy Number Expiration Date Phone # 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 agre, t, if I should become� s))ubje to the rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of AppliD 1 /% ,/ 2 -D CLARATION F ARID NG CONSTRUCTION LENDING AGENCY ;reby 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, ivil 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 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 ordinances a d state laws relating to building construction. I authorize representatives of this city or count to nt the -identified property for inspection purposes. �/ nature of PrODertv Owner or Authorized ADent Print PfopertY Owner's or Authorized ADent's Namei A I—; Date ACTION DATE BY • V 4pEQLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY JREGULATIONS PART 61 OFTITLE 40 ANDAQMD RULE PERMIT EXPIRED PERMITFINAL dj / UASBESTOSNOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF I I� _(� • •PRO�PGSBD OEMO•LWI&T • • • OCCUPANCYISSUED l l SIGNRTOR0 _ _ __ _ •es oe o0 0 o ccc o0