HomeMy WebLinkAboutX2020-1177 - Permits�tI
City of Newport Beach - Building Division
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
COMB Permit: X2020-1177
a
100 Civic Center Drive, Newport Beach, CA 92660
x 2 0 2 0 1 1 7 7
Project No : 0899-2020
l,.✓
Permit Counter Phone (949)644-3288
r�
Inspection Requests Phone (949)644-3255
Combination Type- - SFP ELEC MECH PLUM GRAD
I i"� F)'E R
�
Issued Date :
"x� .m
YP
'� � ��� �
Area : 12020
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 10/23/2023 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: 107 VIA YELLA NB�
Description: SFR ADD 2086 SF, REMODEL 750 SF, NEW GARAGE 377 SF
Leqal Desc.: N TR 907 LOT 388 0
Owner: BRAGG MARSHALL
Address: 107 VIAI YELLA
NEWPORT BEACH, CA 92663
Phone:
Applicant: GUIDERO WILLIAM
Address: 425 30TH
NEWPORT BEACH CA 92663
Phone: 949-676.2626
Code Edit:
2019
Type of Construction:
V-BSPR
Occupancy Group:
R31U
Added /New sq.ft. Bldg:
-ZJ*,% SF
Added /New sq. ft. Garage:
377
No of Stories:
2
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
Construction
Building Permit Fee: $3,580.00
Plan Check Fee: $2,190.43
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$80.00
Energy Compliance:
$303.00
CA Seismic Safety:
$62.01
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$20.00
TOTAL FEE: $12,582.84
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
PATTERSON CONSTRUCTION
Address:
15 CORPORATE PLAZA STEA60
NEWPORT BEACH CA 92660
Phone:
949.723-1800
Con State Lie:
802367
Lie Expire:
07/31/2022
Bus Lie:
BT02110634
Lie Exp Date:
09/3012021
Workers Compensation Insurance
Carrier: STATE COMP
Policy No: 9065406
Expire: 0810112021
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: 10
Front: 10
Left: 4
Right: 4
$0.00
$128.26
$0.00
$1,066.82
$975.00
$234.18
$120.00
$250.60
$143.20
$322.20
Architect
Address:
Phone:
State Lie:
Engineer:
GABRIEL MICHAEL R
Address:
483 E 20TH STREET
COSTA MESA CA 92627
Phone:
949-646-6596 State Lic:S-002939
Designer:
GUIDERO WILLIAM
Address:
425 30TH
NEWPORT BEACH CA 92663
Phone:
Special Conditions: LIQUEFACTION
DEMO 3 BED & ADD 3 BED
(LOT MERGER)
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication : $0.00
PAN Plan Check : $516.00
San Dist: $0.00
NMUSD Fee: $1,597.12
Fire Department
$185.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
O
Z
D
$0.00
$0.00
$26.00
$219.00
$564.00
$0.00
$0.00
$0.00
Plan Check Fee : $3,479.71 Fee Due at Permit Issuance : $9,103.13
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: ��
J&
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law far 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 (_) all of or (_) 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
im roved 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).
❑ 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 legal
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
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sects 000) of Division 3 of the Business and ro ssio Code d my license is in full force
and effect. Licease Cl3^s License No Da I I L Z y� Contractor Signatu _
VORKERS' COMPENSATION DECLARATION
L.RNING::'AILURE':O SECUIE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE
OST OF COMPENSALON, DAMAGES AS PROVIDED PORN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I,ereby affirm unde, penalty of perjury one of the following declarations:
DOLLARS ($100,000), IN ADDITION
and will rrairtain 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
ice of the work for which this permit is issued. Policy No.
and wil; ma;nt6in 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' compensa
carrier and policy number are:
)e of Agent __
certrfp that, in Ph=.l
if I should berorrll
lature of Applicant
Policy Number Expiration Date
ice of the work forwhictithis 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
to 90 workers' p satien provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. IIMM��
/� Date/\. / D 4 Z Z / 2�
RUCTION LE ING AGENCY
hereby affirm under P)bnalty of perjury that there is a Zonstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civl Code).
-ender's Name Lenders Address
3y 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 i correct.
I agree to comply with all applicable city and county ordi nces nd state laws relating to building construction.
I authorize representatives of this city or coun e r e - entified property for inspection purposes. n
signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Nam
ACTION DATE BY ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
L_I I SUBM TFED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
UEPA
PERMIT EXTENDED
QMD
PERMITFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
ASSET SNOTIFICATION IS NOTAPPLI BLE TO
R DEMOLI N