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Home My WebLink AboutX2022-1641 - Permits�eNro�r City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 w Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 R. Combination Type - BLDG III�IIIIIIIIIIIIIIIIIIIIIIIIII�I II COMB Permit: X2022-1641 Project No : 2248-2019 Issued Date : 06/10/2022 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: SFR BIO-RETENTION PIT Legal Desc.: TR 1237 LOT i55 POR OF LOT(AND POR OF LOT 156 Owner: DOLOTTA PETER/SUH SUNG-HEE Address: 1912 PORT CARDIFF PL NEWPORT BEACH CA 92660 Phone: Applicant: BRANDON CHRISTOPHER Address: 151 KALM US DR#G-1 COSTA MESA CA 92626 Phone: 714-754-4040 Code Edit : 2019 Type of Construction: V-B 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: Contractor: PATTERSON CONSTRUCTION Address: 15 CORPORATE PLAZA STE.150 NEWPORT BEACH CA 92660 Phone: 949-723-1800 Con State Lic: 802367 Lic Expire: 07/31/2022 Bus Lic: BT02110534 Lic Exp Date: 09/3012022 Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9065406 Expire: 08/01/2022 Building Setbacks Rear: / Front: / Left: / Right: / Architect: BRANDON CHRISTOPHER Address: 151 KALMUS DR#G-1 COSTA MESA CA 92626 Phone: 714-754-4040 State Lic:C031637 Engineer: HAKIM FADY Address: 124 PEONY IRVINE CA 92610 Phone: 310-422-1536 State Lic:C-075736 Designer: Address: Phone Special Conditions: Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $5,000.00 Building Permit Fee: $161.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $140.07 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 $0.00 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 $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee : $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $302.07 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $302.07 PROCESSED BY: III - PUHI IC WORKS APPROVAL: ZONING APPROVAL: 7 -PAr GRADING APPROVAL: 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 applicant for :he 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 forthe 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 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). ❑ 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 legally 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://w .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 Section 7000) of Division 3 of the Business and Professio de, and. ry�y licpe i and effect. License Class License No Date Q� Contractor Signature 1 ///i» Uilf/ WORKERS' COMPENSATION DECLARATION _� NARNING: FAILURE TO 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ❑ave and orwill 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 th, mance of the work for which this permit is issued. Policy No. I ave and will 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' compensatior insur nce carrier and policy number are: Policy Number Date ne of Agent -vnone s certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as t0 become subject to the workers' compensation laws of California, and agre t, if I should become subject tt a workers' c mp/Jensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. '1 nature of Apt DatL'� CLARATION REGAR I ONSTRUCTION LENDING AGENCY !reby affirm under penalty of perjury that there is a construction lending agency forthe 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 owner's 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 county t en a bove-ide ifie prope rfrtspection purposes. rr11� pp�� nature of Prooertv Owner or Authorized Aoentu EGG 7 Print Property Owners or Authorized Agent's Name ,I wyn UAW Date 011-1`a' PERMIT EXPIRED DATE BY ,pdr-EGULATIONS PPATOF 061 OF TITLE 40 AN AQMD RUCE WITH CODE OF DLERAL FOR OFFICE USE ONLY ISUBM Fir AT -ON TO PERMIT EXTENDED I I LIAQMD PERMITFINAL (_.5.L1 J� ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF 7 PROPOSED DEMOLITION . OCCUPANCY ISSUED SIGNATURE: