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HomeMy WebLinkAboutX2019-1532 - 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 PLUM COMB Permit: X2019-1532 x 2 9 1 9 1 5 3 2 Project No : 1091-2019 Issued Date, 08/20/2019 Inspection Area : 4 Type of Construction: V -B Occupancy Group: R3 Added /New sq.ft. Bldg:. PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Added /New sq.. ft. Garage:. 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 fPlidays Job Address: 210 GOLDENROD AVE NB No of Units : 1 In -lieu Housing Fee: ®Iv, Description: DEMO SFR 3200 SF (4 BEDROOMS) $0.00 Flood Zone: $0.00 Legal Desc : RESUB OF CORONA DEL MAR LOT 12 BLK 34(AND LOT 14 BLK 34 - $0.00 Overtime Plan Ck: Owner JONES JEFFREY Contractor: PATTERSON CONSTRUCTION Architect: LINSDAY BRANDON R ' m Address: 20429 NE 31ST ST - Address: 15 CORPORATE PLAZA STE.150 Address: 151 KALMUS DR #G-1 • ° °� $0.00 SAMMAMISH, WA, 98074 NEWPORT BEACH CA 92660 Building Green Fee : COSTA MESA, CA 92627 Phone: 425-557-7711 Phone: 949-723-1800 Phone: 714-754.4040 State Lic:C035799 ommo.° Applicant LINSDAY BRANDON R Con State Lic: 802367 Engineer: Address: 151 KALMUS DR #G-1 - Lic Expire: 07/31/2020 Address: t'z'::OI�ISTRU(.:TION�N®ISE®,•`� COSTA MESA, CA 92627 Bus Lic BT02110534 Phone: 714-754-4040 Lic Exp Date: 10131/2019 Phone: State Lic • • e o ° Code Edit: 2016 - Worker's Compensation Insurance Designer. °•m�� 0 Type of Construction: V -B Occupancy Group: R3 Added /New sq.ft. Bldg:. 0 Added /New sq.. ft. Garage:. 0 No of Stories: 2 SJH Trans No of Units : 1 In -lieu Housing Fee: Bldg Height: 0 Public Works Department- Bldg Sprinklers: $0.00 Flood Zone: $0.00 Construction Valuation: $30 Building Permit Fee: $103.00 Plan Check Fee: $208.00 $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $4.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $2,344.27 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Carrier: STATE COMP Policy No: 9065406-2019 Expire: 08/01/2020 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear / Front: I Left: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.27 Plan Check Fee : Address. ON THE WEEKEND- mO00G Phone: omomdr. m m c©°o oomo Special Conditions: JD DEMO TO HAUL • mm DEBRIS FCwZ1✓' �LiVe-D - Int �1-� Planning Department - Fire Department Plan check Fee $90.00 Fair Share: $0.00 SJH Trans Fire Plan Rev In -lieu Housing Fee: $0.00 Public Works Department- . Park Dedication: $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Zone: N $298.00 Fee Due at Permit Issuance : $2,046.27 PUBLIC WORKS APPROVAL: PLAN CHECK BY: J� \ APPROVAL TO ISSUE:7 / Fire Department $90.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $26.00 General Service $210.00 Refund Deposit $1,692.00 Gradtng Bond: $0.00 $0.00 $0.00 $298.00 Fee Due at Permit Issuance : $2,046.27 PUBLIC WORKS APPROVAL: PLAN CHECK BY: J� \ APPROVAL TO ISSUE:7 / 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)' fiction 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 ffir 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 �fessions 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 more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, :iness 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 _ Movements 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 Moved for the purpose of sale). I, as owner of the property, am exclusively contractingwith licensed Contractors to construct the project (Section 7044, Business and Professions Code The Contractors' State License Law does not fly 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 am exempt fwa licensure under the Contractors' State License Law for the following reason: my signature pg1pr4l 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 Iegalll 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 iM Mons Code, is srailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. na�ure of Proderfy'Owner or Authorized Agent Date TENSED CONTRACTOR'S DECLARATION Ireby affirm uItder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 of Division 3 of the Business and Prof sl s Codea/�d my license is in full force l.efle,ct.-Licteri Class License No Date o • rt Contractor Signature_ �E?/•i--- ARERS' COMPENSATION DECLARATION MINGFAILURE VV 9SCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,0001, IN ADDITION TO THE PNDF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. �i"pffirm unper pepalty of perjury one of the following declarations: �Ma I have and welI 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 1 "Once of tlw worli for which this permit is issued. Policy No. `hZve and wilFinaitrtain 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' compensatiol Trance carrier and policy number are: :arrier Policy Number Expiration Date lame of Agent Phone # 3 certify that, in the perfoymance 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 agre iat, if I should becomes bj ct to the w kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iignature of Applicant Date T., -o f!1 IECLARATION REG DING CONSTRUCTION LENDING AGENCY hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, �i it Code). ender's Name Lender's Address ly 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 tate laws relating to building construction. I authorize representatives of this city or county to t the abov tified property for inspection purposes. li nature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's Name L 9-ol Date q• CP t 1CTION DATE BY / DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY / REGULATIONS PART 61 OF TITLE 40 AND, D RULE PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED NOTIFICATION TO NOTAPPLICABLE TO ; LO z \ 7 cq / S= \ §zfk 52&y zzaa 00, ])\) w -o2 > §co � \\2 ® § ) d J ( k k :/ 2?3Cc) -r>--1 \/u I& dm } 9 0 t om \-0 M c � w LLJ ■ a) / e = o» o _ a� @< 6Cl�®°/ = ___ ui� \� / < 0- oI cu C: (1) 2� __ £mEam= a®cf§= Q= J# E/==EG ■_ °_ 0 -2@0® � z cu 7 b ± / � CO z� yU //gm7� S � f M o § » o� §__ 0 =o o z g m 2 E§/ z U) _@ 7 LL »_ tf ° �0\% /\°02 z =E 0 0E%§// CL � k■ /� /- \2 o /� /\ )) 2 e C) / %03� / ~ /( �70 &E=ttf E/ ; oz »\^ __®°`_ ®®C, Q) z § =_/ o /\/kms k \2« = e t _\& 00c CLE $ 0EJ 2227&§ a d J ( k k