HomeMy WebLinkAboutX2018-2359 - PermitsY,}7.1Yj City of Newport Beach - Building Divisidd' •1111N1111 1�IJ11111111p1111111111111111
100 Civic Center Drive, Newport Beach, CA 92660 m ° m e0 � 8e 2 3 5 9
Permit Counter Phone(949)644-3288 °"° °°' °°• ° ° °
Inspection Requests Phone (949)644-3255 ' ...
° • °
ena'� Combination Type - BLDG PLUM °
Applicant: DONIPATTERSON HOMES
Address: 15 CORPORATE PLAZA STE 150
NEWPORT BEACH CA 92660
Phone:
Code Edit : 2016
Type of Construction: V -B
Occupancy Group: R31U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Building Permit Fee: $103.00
Plan Check Fee: $189.00
Overtime Plan Ck:
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. anarSaturdapdromI6
Job Address:
1012 W BAY AVE NB
Record Management :
Description:
DEMO SFR 2352 SF, 4 BEDROOMS. SEWER CAP INCLUDED
$0.00
Legal Desc.:
N TR 626 BILK 5 LOT 8
Disabled Access:
Owner:
KABERNA KEVIN Contractor:
PATTERSON CONSTRUCTION
Address:
1012 BAY AVE W Address:
15 CORPORATE PLAZA STE.150
NMUSD Fee:
NEWPORT BEACH, CA 92661
NEWPORT BEACH CA 92660
Phone:
Phone:
949-723-1800
Applicant: DONIPATTERSON HOMES
Address: 15 CORPORATE PLAZA STE 150
NEWPORT BEACH CA 92660
Phone:
Code Edit : 2016
Type of Construction: V -B
Occupancy Group: R31U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Building Permit Fee: $103.00
Plan Check Fee: $189.00
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 :
PROCESSED BY:
ZONING APPROVAL:
Con State Lic:
802367
Lie Expire:
07131/2020
Bus Lie:
BT02110634
Lie Exp Date:
09/3012018
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 9065406
Expire: 0 810112 01 8
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 %:
Plumbing %:
Rear: I
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
COMB Permit: X2018-2359
Project No: 1870-2018
Issued Date : 0810712018
Inspection Area : 1
a.m. to 6:00 p.m. No work on
Architect
Address:
Phone: State Lie:
Engineer:
Address:
Phone: State Lie:
Designer:
Address:
Phone:
Special Conditions: TIGHT QUARTERS TO
HAUL DEBRIS
Planning Department -
Fire Department
Plan check Fee:
Fire Inspection: "
Fair Share
Fire Plan Rev
SJH Trans
Demolition Fee
In -lieu Housing Fee
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
$0.00
$0.00
$24.00
$197.00
$1,692.00
$0.00
$0.00
$0.00
$2,305.27
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:
Plan Check Fee: $0.00 Fee Due at Permit Issuance:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
$0.00
$0.00
$24.00
$197.00
$1,692.00
$0.00
$0.00
$0.00
$2,305.27
OWNER -BUILDER DECLARATION ;
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State aicense LDw:oTthe reeseq(E) ip4isated 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.4 csrtstruct! 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 Sgctioo •7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500). . • ; • • • • ,
❑ I, as owner of the property, or my employees with wages as their sole compensation will doh) Al of oc(_�p �rtion?olhe, 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 * &WneF of proper& w , 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 improvemeAt is IN within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
improved 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
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).
❑ 1 am exempt from licensure under the Contractors' Stale 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 this permit, I cannot egall.
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 the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:/AvwN.leginfo.ca.gov/calaw.html.
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 Section 70!on f the Business and PrgF s ' n de, d my license is in full force
and effect. License Class License No D /' ! Contractor Signature
NORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE 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
COST 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:
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
-1rmance of the work for which this permit is issued. Policy No.
ypl I ave 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' compensatiol
y once carrier and policy number are:
3arrier Policy Number Expiration Date
Vame of Agent Phone #
:1I certify that, in the performanc thinork 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 ogre
hat, if I should become�subject t e rers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicaq't J� c DJ;(
)ECLARATION REGMD114G CMSTRUCTION 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 providedcorrect.
I agree to comply with all applicable city and county ordinanc nd to laws relating to building construction.
I authorize representatives of this city or coun t enter the )ve-* ntified property for inspection purposes. rri, y
3ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized A enl's Name C Date U 0
ACTION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED Ui SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED UEPA
PERMIT EXTENDED QMD
PERMIT FINAL C 9%!61' L1 ASBESTOS NOTIFICATI IS 7N�p-�T APPLICABLE TO
CERTIFICATE OF 8 �T �'%� oo✓ ROPOSED DE LITIO ,/(
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