HomeMy WebLinkAboutX2019-3813 - PermitsrH•rw City of Newport Beach - Building Division
`Q. 100 Civic Center Drive, Newport Beach, CA 92660
F s fr= S Permit Counter Phone (949)644-3288
Ts fi Inspection Requests Phone (949)644-3255
`+crr�iur`a Combination Type - BLDG
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-3813
Project No: 2010-2019
Issued Date : 02113/2020
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:
SFR RETAINING WALLS 130 LF X 8'
HIGH MAX & BLOCK WALLS 6' HIGH X 182 LF *INSIDE P/L*
Legal Desc.:
N TR 3357 LOT 67
Owner:
WELLING GLEN & LAURI
Contractor:
PATTERSON CONSTRUCTION
Architect:
BRANDON CHRISTOPHER ^"
Address:
4621 ORRINGTON RD
Address:
15 CORPORATE PLAZA STE.150
Address:
151 KALMUS DR #G-1 ^ ^ ^ ^
CORONA DEL MAR, CA 92625
NEWPORT BEACH CA 92660
COSTA MESA CA 92626 =
Phone:
Phone:
949-723-1800
Phone:
714-754-4040 State Lic:C031637
Applicant:
BRANDON CHRIS
Con State Lic:
802367
Engineer:
MANSHADI FARHAD
Address:
151 KALMUS DR
Lic Expire:
0713112020
Address:
1800 E 16TH ST UNIT B
COSTA MESA CA 92626
Bus Lic:
BT02110534
SANTA ANA CA 92701 -
Phone:
Lic Exp Date:
0913012020
Phone:
714-835-2800 State Lic:C-036840
Code Edit: 2016
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:
Construction Valuation: $44,772.00
Building Permit Fee: $412.00
Plan Check Fee: $365.00
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 :
$2.00
TOTAL FEE: $819.00
PROCESSED BY:
ZONING APPROVAL:
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 9065406
Expire: 08/01/2020
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: 30'
Front: 6'
Left: 6'
Right: 6'
$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: rrPP{�
Special Conditions: MARKERS ON SITE �` 'r i j'
0 Fire Hazard Zone : N
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$40.00
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 Issua�nce : $819.00
PUBLIC WORKS APPROVAL: I(C.
PLAN CHECK BY:
GRADING APPROVAL: t 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).
❑ 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).
LJ I am exempt frrr licensure under the Contractors' State License Law for the following reason:
By my signature helow 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 legal
yell 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
Orofess-ons Code, is a':allable 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
LIGENSED CONTRACTOR'S DECLARATION
I hereby affirm under nrnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of Division 3 of the Business and Prof sioo Code, and my (tense is in full force
nd effect. License Class License No Date Contractor Signature L
COMPENSATION DECLARATION
IARNING. FAILURL ",O bE:URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIM
.OS r Jr COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
haieoy affirm under penalty of perjury one of the following declarations:
I have and w:;l mai.ltain a certificate of consent to self -insure for workers' compensation, issued by the
erformznce of th-m-xk for which this permit is issued. Policy No.
slihave and will rhaintain workers' compensation insurance, as required by Section 3700 of the Labor Code,
ce carder and policy number are:
:arrier Policy Number
of Agent
PENALTIES AND CIVIL FINES UP TO ONE HUNbRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
for the performance of the work for which this permit is issued. My workers'
Date
certify that, in the perfor ante of the wor for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' y6mpensation laws of California, and agree
t, if I should become su ec the we compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Da
CLARATION REGA I ONSTRUCTION LENDING AGENCY
�reby affirm under p alty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 7, Civil 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 owner's behalf.
I have read this application and the information I Pave provided is correct.
I agree to comply with all applicable city and coVfity ordinances and tate laws relating to building construction.
I authorize representatives of this city or coun i to er the at"-iy�ntified property for inspection purposes.
signature of Property Owner or Authorized Age
ACTION I DATE I BY
PERMITEXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
Print Prooertv Owner's or Authorized AGent's Name / 'h^+ IT �Ir_
WITH CODE OF FEDERAL
TONS PART 61 OF TITLE 40 AND AQMD RULE
NOTIFICATION TO
NOTIFICATION IS NOTAPPLICABLE TO
FOR OFFICE USE ONLY
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