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Home My WebLink AboutX2021-0522 - Permits�rakr City of Newport Beach - Building Division �11111111111p11111p11111111111p1111111111111 it JillCOMB Pen.. : X2021-0522 ag 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 5 2 2 Project No : 0957-2020 n Permit Counter Phone (949)644-3288 U ,@ Inspection Requests Phone (949)644-3255 ;r > Combination Type - SFP ELEC Issued Date: 12021 Inspection Arearea : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0313112024 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: 620 POPPY AVNB Description: DELTA 1, ADD SF @ 2ND FLOOR (REV21-0296) Q ° 2_2 Legal Desc.: N TR 673 BLK B LOT 11 Owner: JACKSON PAT Contractor: PATTERSON CONSTRUCTION Architect: BRANDON CHRISTOPHER Address: 620 POPPY Address: 15 CORPORATE PLAZA STE.150 Address: 151 KALMUS DR #G-1 NEWPORT BEACH, CA 92626 NEWPORT BEACH CA 92660 COSTA MESA CA 92626 Phone: 626-437-0653 Phone: 949-723-1800 Phone: 714-754-4040 State Lic:C031637 Applicant: WILSON TYLER Con State Lic: 802367 Engineer: MANSHADI FARHAD Address: 151 KALMUS DR STE G-1 Lic Expire: 07/3112022 Address: 1800 E 16TH ST UNIT B COSTA MESA, CA 92626 Bus Lic: BT02110534 SANTA ANA CA 92701 Phone: 714-754-4040 Lic Exp Date: 09/30/2021 Phone: 714-835-2800 State Lic:C-036840 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B-SPR Carrier: STATE COMP Address: Occupancy Group: R3/U Policy No: 9065406 Added /New sq.ft. Bldg: 18 Expire: 08101/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 3 Building Setbacks Rear: 10' Special Conditions: VHFHSZ, LANDSLIDE AREA No of Units : 1 Front: 20' Bldg Height: 0 Left: 3' Bldg Sprinklers: Y Right: 3' Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : Y Construction Valuation: $3,300.00 Building Permit Fee: $836.00 - Excise Tax: $3.78 Planning Department - Fire Department Plan Check Fee: $647.00 Additional Fee: $672.00 Plan check Fee : $185.00 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: $40.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $61.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety : $0.50 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $109.43 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $33.12 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $2,588.83 19:ieINX-Y-9�9 ]A ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $0.00 Fee Due at Permit Issuance : $2,588.83 PUBI_13 WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: C 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 penally 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). ❑ I 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 legally 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.htmi. 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 0 f D'visi n 3 of the Business and Prof s' Code, and my license is m f II force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION 01-111 NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH SAND DOLLARS I$100,000i, 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: 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 'brmance of the work for which this permit is issued. Policy No. have and will mil am workers' "ance carrier an o v number ie of Agent I certify that, in the performance of the if I should become sublect to the we of Applicant required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' Date xk for which this permit is issued, I sh I not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre ks' compensation provisions of Se ' n 3700 of the Labor Code, I shall forthwith comply with those provisions. TIoNeLENDING AGENCY hereby affirm under pe(ially of pe ' that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Ender's Name Lender's Address y my signature below, I certifyfo each of the following: I am the property owner or authorized to act an 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 cou ty rdinances and state laws r, I authorize representatives of this city or county t er a identified pro ignature of Property Owner or Authorized Agent ACTION PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED to building construction. )r inspection purposes. Print PrODertv Owner's or Authorized DATE BY D,KLARATTON OF COMPLIANCE WITH CODE OF FEDERAL EGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 I SUBMITTED ASBESTOS NOTIFICATION TO 3 O ti13 Dom. 4UA5BESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION FOR OFFICE USE ONLY Civil Code).