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HomeMy WebLinkAboutX2020-0715 - Permitsri"'<r� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0715 .� , t'� 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0 7 1 5 Project No : 2248-2019 H % Permit Counter Phone (949)644-3288 _S Inspection Requests Phone (949)644-3255 + Issued Date : 03/13/2020 `'�✓•,r„nr•° Combination Type - SFP ELEC PLUM MECH 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: DETACHED GARAGE ARAGE 676 SF LegalDesc.: TR1237LOT155POROFLOT(AND POR OF LOT 156 I N S P EI"O R Owner: DOLOTTA PETERISUH SUNG-HEE Contractor: PATTERSON CONSTRUCTION Architect: BRANDON CHRISTOPHER Address: 231 DRIFTWOOD RD Address: 15 CORPORATE PLAZA STEA 50 Address: 151 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 Lic: 802367 Engineer: HAKIM FADY Address: 151 KALMUS DR #G-1 Lic Expire: 0713112020 Address: 124 PEONY COSTA MESA CA 92626 Bus Lic: BT02110534 IRVINE CA 92618 Phone: 714-754-4040 Lic Exp Date: 0913012020 Phone: 310-422-1536 State Lic:C-075736 Code Edit: 2016 Type of Construction: VB Occupancy Group: U Added /New sq.ft. Bldg: 676 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $621.00 Plan Check Fee: $621.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $56.00 CA Seismic Safety: $7.15 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $3.00 Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9065406 Expire: 08/01/2020 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 10 Front: 5 Left: 6 Right: 6 $141.96 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $43.47 $24.84 $55.89 IITOTAL FEE: $1,609.31 Plan Check Fee PROCESSED BY: ZONING APPROVAL: .l1���� GRADING APPROVAL: Designer: Address: Phone: Special Conditions: Fire Hazard Zone : 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 $35.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: $0.00 :$0.00 $0 00 $0.00 $Y1.00 $0.00 $0.00 $0.00 $1,609.31 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 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 for 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 sole compensation, will do U 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). 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). I I am exempt from licensure under the Contractors' State License Law for the following reason: �y 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 legal 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:http://www.leginfo.ca.gov/calaw. html. ignature of Property Owner or Authorized Agent Xate ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Self n 7 )l io of the Business d Professi, s'C ; i_lix , e Is in full force nd effect. License Class License No _n'il� Contractor nature WORKERS' COMPENSATION DECLARATION ING: FAILURE To SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TMOUSAND DOLLARS ($100,000(, IN ADDITION TO THE 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: 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 )mlance of the work for which this permit is issued. Policy No. 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' compensal rance carrier anu policy number are: ,b of Agem ccrtify that, in the perforrq nclpggg of . if I shoubecome sub the ld Policy Number Date 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 agre _ { a Ion -provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / f ,onawre of licant I J � ECLARAT ON REG 4RDIN CONNSTR CT�N LENDING AGENCY I,cmty affirm under oenalty`of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Prd=P s Name I Lender's Address v my signature below, I ceffify 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 pro Ided is c ct. I aq,ee to cnmply with all applicable city and count o i�aan a a' -'relating to building construction. I authorize representatives of I city or county t 6 e d I perty for inspection purposes. innahlre of Pronedv Owner or Adhorized Anent G Print Prooertv Owner's or Authorized AaentQ15m, Civil Code). 3 /l ACTION DAIS 1 BY VECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY EGULATIONS PART fir OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMIT EXTENDED LJAQMD PERMITFINAL i-((-23 /� nL- ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: