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HomeMy WebLinkAboutX2020-0417 - PermitsCity of Newport Beach - Building Division i Civic Center Drive, Newport Beach, CA 92660 H _ + Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM 41 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0417 x 2 0 2 0 0 4 1 7 Project No: 0326-2020 Issued Date : 02114/2020 Inspection Area : 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VAUD INSPECTION. 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: DEMO 3 BDRM, 2907 SF SFR, INCLDS SEWER CAP Legal Desc.: TR 1237 LOT 155 POR OF LOT(AND POR OF LOT 156 INSPECTOR Owner: DOLOTTA PETER/SUH SUNG-HEE Contractor: PATTERSON CONSTRUCTION Architect: Address: 231 DRIFTWOOD RD Address: 15 CORPORATE PLAZA STEA60 Address: CORONA DEL MAR CA 92625 NEWPORT BEACH CA 92660 Phone: Phone: 949-723-1800 Phone: State Lie: Applicant: PATTERSON CONSTRUCTION Address: 15 CORPORATE PLAZA STE.150 NEWPORT BEACH CA 92660 Phone: 949-723-1800 Code Edit: 2019 Type of Construction: VB Occupancy Group: R3 Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Valuation: $10,000.00 Building Permit Fee: $103.00 Plan Check Fee: $208.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $2,339.27 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lie: 802367 Engineer: Lie Expire: 0713112020 Address: Bus Lie: BT02110534 Lie Exp Date: 09/30/2020 Phone: Worker's Compensation Insurance Designer: Carrier: STATE COMP Address: Policy No: 9065406 Expire: 0810112020 Phone: Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical W Plumbing %: Rear: I Front: I Left: I Right: I 'arkina Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.27 Plan Check Fee State Lie: Special Conditions: JD DEMO TO HAUL Fire Hazard Zane : N Planning Department - Plan check Fee Fair Share : SJH Trans: In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $90.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Xju $0.00 $26.00 $210.00 $1,692.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $2,339.27 PUBLIC WORKS 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 app,,Ua�,,: items) 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 far 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 sale compensation, will do (_) all of or U 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). 1 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). 7 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 Iegall) 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:hftp://vmw.leginfo.ca.gov/calaw.htmi. signature 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 Sec 7000) of Division 3 of the Business and ofessigar� Code, a d y license is in full force Ind effect. License Class License No Contractor Sig ure VORKERS' COiifiFENSATION DECLARATION I%RNING: FAILURE TO SiGURE 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 J:,T CF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm unr+er penalty of perjury one of the following declarations: 7 I 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 th orformance of th3 work for which this permit is issued. Policy No. h3,,e and will mainrain 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' ,Price carries a.,d policy number are: Policy Number Date to of Agent rnune e certify that, in tho 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 , :f I should become s"ct to the v(orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. CLAWVN REGARDWIG CONSTRUCTION LENDING AGENCY Hatay'affib under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section lder'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 rdinances and s to laws relating to building Construction. I authorize representatives of t y or county t ter the abo ntified property for inspection purposes. nature of Property Owner or thorized Agent � Print Property Owner's or Authorize s Name ACTION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGLILATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED E1AQMD PERMITFINAL CERTIFIC4TE OF OCCUPANCYISSL �O_q.� (� ASBESTO OTIFICATION IS WTAPPLICABLE TO PRI EMO}jT014 SIC rLAX compensation laws of California, and , Civil Code). k