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: