The URL can be used to link to this page

Home My WebLink AboutX2021-0860 - Permits (3)w .r,,, City of NevOloort Beach - Building Division *X2021-.0860* COMB Permit : X2021-0860 ��' r�'_,t�A ,, 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0794-2021 Yn Permit Counter Phone (949)644-3288 1 Inspection Requests Phone (949)644-3255 s as 9 ri Issued Date : 07/29/2021 -a<„. N,;o Combination Type - SFP GRAD ELEC PLUM MECH Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 07/29/2024 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: 25 BURNING TREE CIR NB Description: NEW SINGLE FAMILY RESIDENCE WITH ATTACHED GARAGE 8165 SF & 958 SF Legal Desc.: N TR 7638 LOT 50 Owner: STERN BRIAN & DEBBI Contractor: PATTERSON CONSTRUCTION Architect: LINSDAY BRANDON R Address: 1956 PORT CARDIFF PL Address: 15 CORPORATE PLAZA STE.150 Address: 151 KALMUS DR #G-1 NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92660 COSTA MESA, CA 92627 Phone: Phone: 949-723-1800 Phone: 714-754-4040 State Lic:C035799 Applicant: LINSDAY BRANDON R Con State Lic: 802367 Engineer: HAKIM FADY Address: 151 KALMUS DR #G-1 Lic Expire: 07/31/2022 Address: 124 PEONY COSTA MESA, CA 92627 Bus Lic: BT02110534 IRVINE CA 92618 Phone: 714-754-4040 Lic Exp Date: 09/30/2021 Phone: 310-422-1536 State Lic:C-075736 Code Edit : 0 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 8165 Added /New sq. ft. Garage: 958 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X Valuation: $1 776 700.00 Building Permit Fee: $9,159.00 Plan Check Fee: $6,683.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $132.00 Energy Compliance: $303.00 CA Seismic Safety: $230.97 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $72.00 TOTAL FEE: $34,919.23 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9065406 Expire: 08/01/2021 Building Setbacks Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 15 Front: 10 Left: 6 Right: 6 Parking Spaci $1,915.83 $0.00 $0.00 $23892.96 $973.00 $13481.55 $152.00 $641.13 $366.36 $824.31 Designer: Address: Phone: Special Conditions: Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 P/W Plan Check: $203.00 San Dist: $1,068.00 NMUSD Fee: $7,301.12 Fire Department $520.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $6,889.50 Fee Due at Permit Issuance : $28,029.73 PUBLIC WORKS APPROVAL: Y PLAN CHECK BY: 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 = ,plicant for 1e 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 'rofessions 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 U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 'usiness 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). 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 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://w .leginfo.Ga.gov/calaw.htmi. signature of Prihar,y Owner or Authorized Agent Date .ICENSED CZ;NTRACTOR'S DECLARATION herPFy affirm unde: penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sciatic 7000 Divisi n 3 of the Business and P ssions a and my license is in full force no ehect. Lcense Class License No Dat Contractor Signatu - VOkKERS' COMPENSATION DECLARATION Y� 'ARNING: FAILURr TO : ENURE 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 JF COMPEt SAT.JN. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. he, -Eby affirm under penalty of perjury one of the following declarations: I nPve and '.Y" I 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 thf f,.I,rance of the work for which this permit is issued. Policy No. I mw. Jain 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' rid policy number are: Policy Number of Agent Date I certify that, in the performance of the work forwhich 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 agree t, if I should becoa/pubject to /q�kersmcomppeensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �7 [nature of Applicant 7� M( J / i" ,� ' Date / 2C7 z2 CLARATION REGCONSTRUCTION LENDING AGENCY Breby 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). 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 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 counto entegboyei�ryltji4d property for inspection purposes. A Signature of Property Owner or Authorized Agent IN,/��7'/ / 1/ Print Property Owner's or Authorized Ag ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED AQM D PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED �I\ `.J V1 r SBEST S OTIFICATI SNOTAPPLICABLE TO PROP ED OLITIQyJi�.� SIGNATURES y v 0144-