HomeMy WebLinkAboutXR2024-0789 - PermitsSEW PORT City of Newport Beach Illll�lllllll�lllllll�llllllll�lllllllulllllll� II COMB Permit XR2U24-U%$9
C� R Community Development Department -Building Division X R 2 0 2 4 0 7 8 9
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1409
>n _ Permit Counter Phone: (949) 718-1888 Issued Date : 03/28/2024
newportbeachca.gov/civic Final Date:
"PoCombination Type - Permit Status: Issued
Work Class - Other Inspection Area: 2
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY
OR SUNDAY IN HIGH DENSITY AREAS AND NO
WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 1810 TAHUNA TER
Legal Desc : N TR 2813 BILK LOT 85
-- - -
Description: DEMO POOL *METHOD B* CITY STD
Owner: SCOTT TOWNES
Contractor: PATTON CONSTRUCTION INC
Architect
Address: 1810 TAHUNA TER
Address: 1881 TAHITI DR
Address
CDM, CA 92625-1822
COSTA MESA, CA 92626
Phone : (949) 307-4519
Phone : (714) 444-2980
Phone
Con State Lic : 521850
State Lic
Lic Expire : 12/31/2025
Applicant: PATTON CONSTRUCTION INC
Bus Lic: BT00000821
Engineer: DALE L FORBES
Address : 1881 TAHITI DR
Bus Lic Expire : 10/31/2024
Address : 1800 E 16TH ST #B
COSTA MESA, CA 92626
SANTA ANA, CA 92701
Phone: (714) 444-2980
Workers' Compensation Insurance
Phone: (714) 835-2800
Carrier: STATE FUND
Owner/Builder :
Policy No: 9037333
Designer:
Address :
W. C. Expire : 1/1/2025
Address:
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $5,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : U
No of Units : 0
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 0
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10
Flood Zone: X
Use Zone: -Single-Unit Residential
PROCESSED BY
SPECIAL CONDITIONS:
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 pernil 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 fora permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
111, 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).
Ell, 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' Slate 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 legall,
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 70" 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/c law.htmi.
Signature of Property Owner or Authorized Agent ate
LICENSED CONTRACTOR'S DECLARATION ,
I hereby affirm urder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se ) ' 'o e Business a rofess' C li n �y5 in full force
and effect. License Class License No D ontractor Signa u 1
WORKERS' COMPENSATION DECLARATION
NAPNING FAILURE lO SECURE 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
CC ST �F COMPENSATICN, DAMAGES AS PROVIDED FOR IN SECTION OTOS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under peralty of perjury one of the following declarations:
I nave 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
grmance of the wcr:, for which this permit is issued. Policy No.
and will mamcain 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'
carrier anu policy number are:
iP or Agent
ca.t;fy that' the per
I( I should b ome s
Iature of Applic
Policy Number
Date
of the/��qqrk f r which this permit is issued, I shall not employ any person in any manner so as to become subject to the
the v{�rtSlrs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
areby 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
tder s Name Lenders 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 h e)provided st,�d�>Wied
ell.
I agree to comply with all applicable city and cou an ste laws relating to building construction.
I authorize representatives of this city q�coun je5 t property for inspection purposes.
of Property Owner or AL
DATE
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMITRIVA1
CERTIFICATE OF
OCCUPANCY 155UED
I
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS
p� LJ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
rrrss' compensation laws of California, and agre
}—
If i
Civil Code).