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Home My WebLink AboutX2020-0029 - Permits/ City of Newport Beach - Building Division IIII�IIIIIIII�IIIIIIII�IIIIIIIIIIIII�IIIIIIII� COMB Permit: X2020-0029 �' it 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0 0 2 9 Project No : 0030-2020 F + � Permit Counter Phone (949)644-3288 0 ii Inspection Requests Phone (949)644-3255 `fi`i+s<,r�`� Combination Type - BLDG PLUM Issued Date : 01/06/2020 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 SFR & GARAGE 2750 SF.+BEDROOMS. SEWER CAP INCLUDED 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 Lie: Applicant: ROOT TIM Con State Lie: 802367 Engineer: Address: 15 CORPORATE PLAZA STE 150 Lie Expire: 07/31/2020 Address: NEWPORT BEACH CA 92660 Bus Lie: BT02110534 Phone: 949.402-1630 Lie Exp Date: 09130/2020 Phone: State Lie: Code Edit : 201q Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: STATE COMP Address: Occupancy Group: R3/U Policy No: 9066406 � Added /New sq.ft. Bldg: 0 Expire: 08101/2020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: / Special Conditions: TIGHT QUARTERS NoUnits: 1 Bldgg Height: 0 Front: / Left: / TO H UL ECT® Bldg Sprinklers: Right: / i { i rr `�' • Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $10,000.00 Building Permit Fee: $103.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $208.00 Additional Fee : $0.00 Plan check Fee : $90.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $26.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $210.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $1,692.00 Disabled Access : $0.00 - PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee: $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 - - Plumbing %: $9.27 $0.00 TOTAL FEE : $2,339.27 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,339.27 PROCESSED BY: ' PUBLIC WORKS APPROVAL: ZONING APPROVAL: S PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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 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 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 not 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 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). ❑ 1, 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 licensure 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 legall, 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.htm]. 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 7000) of Divi ion 3 of the Business and Professio ode, anc license is in full force and effect. License Class License No Date ��c3Contractor SignaturliN 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 HOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. II 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 th Sformance 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:. - Policy Number of Agent Date JI 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 tat, if I should become subject ubjectjg the work mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant X /V/�— Darn / = O IECLARATION REGARDI ONSTRUCTICN LENDING AGENCY hereby 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). ender's Name Lender's Address sy 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, to en r t entified property for inspection purposes. p sicnature of Prooertv Owner or Authorized Acent ll �r Print Prooertv Owner's or Authorized ADent's Name 1., �'^� f`+r;�r�" Date ACTION DATE BY REGULATIONS TION OF COMPLIAT 61 OFF TNTLE 40 CE H CODE OF FEDERD AQMD RULE AL FOR OFFICE USE ONLY PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITC1INCELLED PA PERMIT EMENDED PAGIVID PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED ` 1/VI l/1 w ASBESTOS NOTIFICA ION IS NOT PROPOSEDDEMO— SIGNATURA/ JJ�� PLICABLE TO