The URL can be used to link to this page

Home My WebLink AboutX2020-0418 - PermitsCity of Newport Beach - Building Division o f 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 u a� Inspection Requests Phone (949)644-3255 Combination Type - BLDG COMB Permit: X2020-0418 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Project No: 0326-2020 Issued Date : 02/14/2020 Inspection Area : 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID 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 DETACHED GARAGE Legal Desc.: TR 1237 LOT 155 POR OF LOT(AND POR OF LOT 156 ` Owner: DOLOTTA PETERISUH SUNG-HEE Contractor: PATTERSON CONSTRUCTION Architect: IA1��C�O� -, INSPECTOR Address: 231 DRIFTWOOD RD Address: 15 CORPORATE PLAZA STEA 50 Address: CORONA DEL MAR CA 92625 NEWPORT BEACH CA 92660 Phone: Phone: 949-723-1800 Phone: State Lie: Applicant: PATTERSON CONSTRUCTION Con State Lie: 802367 Engineer: Address: 15 CORPORATE PLAZA STE.150 Lie Expire: 07131/2020 Address: NEWPORT BEACH CA 92660 Bus Lie: BT02110534 Phone: 949-723-1800 Lie Exp Date: 09/3012020 Phone: State Lie: _ 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: 08/01/2020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I Special Conditions: JD DEMO TO HAUL No of Units : 0 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $2,000.00 Building Permit Fee: $103.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: '6.J0 , Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev . C.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 $26.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $210.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access : $0.00 PNV Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical W $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: $904.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee : $0.00 Fee Due at Permit Issuance : $904.00 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 Lawfor 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 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 not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U 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 rim roved for the purpose of sale). 1, 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). LJ I am exempt from lice nsure 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 thi, 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.loginfo.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 t� 7000) of Division 3 of the Busi ss and Profe s Code, a (fitly license is in full force and effect. License Class License No e Z//y .� .. hCOnt7e B or Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TG GE.]JRE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNURE HOUSAND DOLLARS ($100,000(, IN ADDITION TO THE COST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. he•Phy affirm under penalty of perjury one of the following declarations: CI I have and wil; :nair.'ain 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 III( crmarce of the rfork for which this permit is issued. Policy No. I have 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 insurance carrier and po::cy number are: rmit, I cannot Business and 'ier- Policy Number Expiration Date ie of Agent Phone # ce.A--f, 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' ompensation laws of California, and agree , if I sadorne su�t to the wor ers' compensation provisions of Section 3700 of the Labor Code, l shall forthwith comply with those provisionsto the wor ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. latur plicant ti Date Z/ 1 4 t 2-.� )E,7, \RATION REGAFZlIW CONSTRUCTION LENDING AGENCY hereby 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). _ender's Name Lender's Address 3y 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 thi 1 or county nter identified property for inspection purposes. 3i nature of Property Owner or Auth ed Agent — Print Property Owner's or Authorized Agent' ame �2oa�2oao ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED LJ I SUBMITTED ASBESTOS NOTIFICATION TO EPA 13AQMD ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: