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Home My WebLink AboutX2019-3243 - Permits�ti"'rr,a City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ti s Permit Counter Phone (949)644-3288 u S Inspection Requests Phone (949)644-3255 Combination Type - BLDG IIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-3243 x 2 0 1 9 3 2 4 3 Project No : 2248-2019 Issued Date: 03/13/2020 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 424 RIVERA TER NB Description: NEW SFR PERM/TEMP SHORING & RET WALL, (11) PERMANENT CAISSONS, (4) TEMPORARY CAISSONS Legal Desc.: TR 1237 LOT 155 POR OF LOT(AND POR OF LOT 156 f��'�A pn l/�_T Owner: DOLOTTA PETER/SUH SUNG-HEE Contractor: PATTERSON CONSTRUCTION Architect: BRANDON CHRISTOPHER INSPECTOR S • Ev 1 O Address: 231 DRIFTWOOD RD Address: 15 CORPORATE PLAZA STE.150 Address: 161 KALMUS DR #G-1 CDM CA 92625 NEWPORT BEACH CA 92660 COSTA MESA CA 92626 Phone: Phone: 949-723-1800 Phone: 714-754-4040 State Lic:C031637 Applicant: BRANDON CHRISTOPHER Con State Lie: 802367 Engineer: HAKIM FADY Address: 151 KALMUS DR #G-1 Lie Expire: 0713112020 Address: 124 PEONY COSTA MESA CA 92626 Bus Lie: BT02110534 IRVINE CA 92618 Phone: 714-754-4040 Lie Exp Date: 09130/2020 Phone: 310422-1536 State Lic:C-075736 Code Edit : 2016 Worker's Compensation Insurance Designer: Type of Construction: Carrier: STATE COMP Address: Occupancy Group: U Policy No: 9065406 Added /New sq.ft. Bldg: 0 Expire: 08101/2020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: 10 Special Conditions: No of Units : 1 Front: 5 - Bldg Height: 0 Left: 6 Bldg Sprinklers: Right: 6 Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N - Construction Valuation: $100,000.00 ` Building Permit Fee: $554.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $917.00 Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00� Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev " 59:0Q0 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service 'o.60- CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $6'6b Disabled Access : $0.00 PNV Plan Check: $0.00 Grading Bond: '$0'.00, Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 ' - Building Green Fee : $4.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $1,475.00 PROCESSED BY: SRO= a�V ZONING APPROVAL: r ! IQLAA%i�i GRADING APPROVAL: 40411111 Plan Check Fee $968.31 Fee Due at Permit Issuance : $506.69 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 1 APPROVAL TO ISSUE: TOE 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 Iicensure, 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 L) all of or L) 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). ❑ 1 am exempt from licensure under the Contractors' State License Law forthe 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, 1 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' I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se 'on 70g,a) ivjsipij�3 of the Business d Professi s J3bdE,la Dn }in5�1--ri P11Yorce and effect. License Class License No i S 4l Contract gnature —in Mu WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU9.IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: PI have 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 the performance of the work for which this permit is issued. Policy No. and wN maintain 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' carder Pnd policy number are: Policy Number Te of Agent cert,fy that, in the pE , if I should b6COME. iPh re of ArNOTnt Date issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agreE is of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. J / hereby affirm ur.a& j,enalty 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). _ender's Name % Lender's Address by my signature belov', I certi to each of the following: I am the props-ty owner or authorized to act on the property owner's behalf. I nave read U67pplication and the information 1 have rI Ide r t. I ayree to comely with all applicable city and county Id n s ;& we relating to building construction. I authorize representatives of t cit ounty to e a o /V ifi d property for inspection purposes. Signature of Pro erty Owner or Aut ed Agent Print Property Owner's Wuthorized A ACTION DATE BY DECVARATION F COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY I REA LATIONS PART 61 OF TITLE 40 AND AQM D RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED 0AQMD PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED 73 F" LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: Name c)ceA `1 ` 3/+