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Home My WebLink AboutX2020-2533 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG 1111111111In1111111111111111p11111111111111 COMB Permit: X2020-2533 X 2 0 2 0 2 5 3 3 Project No: 2248-2019 Issued Date : 11/1612020 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1VI712023 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: RETAINING WALLS DETAIL A, 55 LF X 5' 6"MAX, DETAIL B, 59 LF X 6'H MAX, DETAIL C, 20 LF X 6'H MAX, (4) CAISSONS *INSIDE PIL* (REV20-1657) Legal Desc.: TR 1237 LOT 155 POR OF LOT(AND POR OF LOT 156 Owner: DOLOTTA PETERISUH SUNG-HEE Contractor: PATTERSON CONSTRUCTION Architect: Address: 1912 PORT CARDIFF PL Address: 15 CORPORATE PLAZA STEA 50 Address: NEWPORT BEACH CA 92660 NEWPORT BEACH CA 92660 Phone: Phone: 949-723-1800 Phone: State Lic: Applicant: RUBEN Con State Lic: 802367 Engineer: HAKIM FADY Address: Lic Expire: 0713112022 Address: 124 PEONY Bus Lic: BT02110534 IRVINE CA 92618 Phone: 949-572-9118 Lic Exp Date: 09130/2021 Phone: 310-422A536 State Lic:C-075736 Code Edit: 2019 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: 08/01/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: 10' Special Conditions: REV20-1657 O No of Units : 0 Bldg Height: 0 Front: 5'� Left: 6' /*a e Y Bldg Sprinklers: Right: 6' ` Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $80,000.00 Building Permit Fee: $1,049.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $912.63 Additional Fee : $1,002.50 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: $545.30 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: $119.70 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 . PAN 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: $2,968.13 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: 5M Plan Check Fee : $2,035.00 Fee Due at Permit Issuance : $933.13 PUBLIC NrORSS APPROVAL: PLAN CHECK BY: 4POROVA! :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 3rofessions 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 lot 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 TI 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 Ipply 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: 3y 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) ;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 rrofessions Code, is available upon request when this application is submitted or at the following Web site:http:llwww.leginfo.Ga.govlcalaw.htmi. 3gnature of Property Owner or Authorized Agent Date _ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 f Div Sion 3 of the Business and Professio de, and m lice a is in f Ind effect. License Class License No Date Contractor Signatur PORKERS' COMPENSATION DECLARATION IARNING: 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: 1 hh� ve 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 th 5�mance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Expiratic of Agent Phone # Date 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 to become subject to the workers' compensation laws of California, and agree I. if I should become sube rkers' compensa n p isions of Sectio of the Labor Code, I shall forthwith comply with those provisions. I (� I �/ ^� nature of Applican �� D l ! by CLARATION REG&RbWTCONSTRLTCTION LENDING AGENCY rreby 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). rder'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 ordiiWryyIces and state laws relating to building construction. I authorize representatives of this city or county+o enjefthVabove-identged pXgerty for i ton purposes. of Property Owner or Authorized Aoerit-,!/ �Y lltllt7 Print PrODertv Owner's or Authorized Aaent's Name A n v"Iv"O u'h/ Date ACTION DATE RY✓rREGULATIONS PART 61 OF TITLE 40 AND QMD RULE ECLARATION OF COMPLIANCE WITH CODE OF �L I FOR OFFICE USE ONLY PERMIT EXPIRED LJ I SUBMITTED ASBESTOS AOTI RI :ATION TO PERMIT CANCELLED EIEPA PERMIT EXTENDED LJIAQMD PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED /� _ (_LC _l ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: