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Home My WebLink AboutX2020-0440 - Permitsrgwpo4� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0440 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 0 0 4 4 0 Project No : 1331-2019 Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 Issued Date: 02119/2020 Combination Type - BLDG 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: 512 BEGONIA AVE NB Description: DEMO DETACHED GARAGE 400 SF w '� ��tl t Legal Desc.: CORONA DEL MAR BLK 530 LOT 14 FI. °� V Owner: MULFUR CYNTHIA & TOM Address: 76191 VIA UZZANO INDIAN WELLS CA 92210 Phone: 503-333-4590 Applicant: ROOT TIM Address: 15 CORPORATE PLAZA STEA 60 NEWPORT BEACH CA 92660 Phone: 949-723-1800 Code Edit: 2016 Type of Construction: VB Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Valuation: $1,000.00 Building Permit Fee: $104.00 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 II TOTAL PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: PATTERSON CONSTRUCTION Architect: Address: 15 CORPORATE PLAZA STE.150 Address: Phone: NEWPORT BEACH CA 92660 949-723-1600 Phone: NOISE NO CO„ nNST TION NOISE Con State Lic: 802367 Engineer: Lie Expire: 07/31/2020 Address: Bus Lie: BT02110534 Lie Exp Date: 0913012020 Phone: ON Sa(eTURt' AYS - Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9065406 Expire: 0810112020 Building Setbacks 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: I 'arkina 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: JD DEMO HIGH DENSITY AREA 0 Fire Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication: $0.00 PNV Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 PUBLIC WORKS PLAN CHECK BY APPROVAL TO Ic 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 Fee Due at Permit Issuance : $105.00 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 ie 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 Irofessions 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 (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness 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). 7 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 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 legally 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:http://www.leginfo.ca.govlcalaw.htmi. 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 7 ) f Division 3 of the Business and Professi�% ode, and nse is in full force nd effect. License Class License No Dat L Contractor SignaturejL� VORKERS' CONd ENSATION DECLARATION VPNW3 FAILURE -0 SE-JRE 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. OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. h3retl affirm under penalty of perjury one of the following declarations: I nave and w'II mai.Ttain 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, �I nlance of me work for which this permit is issued. Policy No. 3l lra e and will urainiain 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' compensatior Isurajllc= carrier crd policy number are: .a"r Policy Number Expiration Date 'arre of Agent ._ _ Phone # ]I rprfifV 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, .at, if I should become Subject hmpensationprovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applican Date Z4 (4 /.2ECLARATION RE RDI NA�Worke LENDING AGENCY hereby affrm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309" , Civil Code). Ender's Name Lender's Address y 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 and state laws relating to building construction. I authorize representatives of this city or county to eAerJ4above;We #ied property for inspection purposes. Of PART 61 OF TITLE 40 AND AQM D RULE PERMITEXPIRED SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMITEXTENDED 1111 134AOMD PERMiTFINAL OCCUPANCY ISSUED "I fIf r�Wf I L16NA7ID EMQ1rIT10NNOTIFICATION wA NOT APPLICABLE TO Owners or Authorized AD ,I FOR OFFICE USE ONLY