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HomeMy WebLinkAboutX2018-2679 - Permitsp"R!• City 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 ii►►�1►1111111��►►o►li►l►l►ililli►i►►►l►i►iii������u COMB Permit: X2018-2679 Project No : 1194-2018 Issued Date : 0 910 712 01 8 Inspection Area : 1 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 Job Address: 1012 W BAY AVE NB Description: BLOCK WALL 6'X 108 LF (ON PIL) PIL FENCE AGMT ON PLANS (NEW SFR X2018-1552) Legal Desc.: N TR 626 BILK 5 LOT 8 Owner: KABERNA KEVIN & STEPHANIE Address: 1012 BAY AVE W Record Management: NEWPORT BEACH, CA 92661 Phone: $0.00 Applicant: PATTERSON CONSTRUCTION Address: 15 CORPORATE PLAZA STE.150 Hazardous Mat NEWPORT BEACH CA 92660 Phone: 949-723-1800 Code Edit: 2016 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Valuation: Building Permit Fee: $386.00 Plan Check Fee: $342.50 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $769.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: PATTERSON CONSTRUCTION Architect: Address: 15 CORPORATE PLAZA STE.150 Address: Grading PC Consultant: NEWPORT BEACH CA 92660 Grading Permit Fee: Phone: 949-723-1800 Phone: Con State Lie: 802367 Engineer: Lie Expire: 07/31/2020 Address: Bus Lie: BT02110634 Lie Exp Date: 09/30/2018 Phone: Worker's Compensation Insurance Designer: Carrier: STATE COMP Address: Policy No: 90654062018 Expire: 08101/2019 Phone: Building Setbacks Rear: 5' Front: 25' Left: 3' Right: 3' Excise Tax: $0.00 Additional Fee: $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant: $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WO Insp. Fee: $0.00 Electrical %: $0.00 Mechanical %: $0.00 Plumbing %: $0.00 State Lie State Lie: Special Conditions: PERMANENT MARKERS ON SITE 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 PMI Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $0.00 IN e o e• nuooc 0 0 0 • n ono• $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $769.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: n c • • c n• c • • • OD C es•sn •OOJJ tcs•oo o • n • o u O©Oba^ Fire Department $37.50 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: e o e• nuooc 0 0 0 • n ono• $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $769.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: n c • • c n• c • • • OD C es•sn •OOJJ tcs•oo o • n • o u O©Oba^ 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 item(s) action 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 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 Ifessions 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). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, siness 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 )rovements are not intendeo 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 )roved 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' Stale License Law does not )ly 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 am2zempttfrom licensure under the Contractors' State License Law for the following reason: 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 legalll 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 �fessions'bode, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. nature of Propett§OOwner or Authorized Agent Date IEN§ED CONTRACTOR'S DECLARATION w9b,) affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 of ivtsi n 3 of the Business and Profession gde, and my li ense is in full fyree— I effect. Lic&qP4 lass License No Dat ll Contractor Signature �lili/, � / )RKERS' COMPENSATION DECLARATION WING: FAILURE WQ26CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE IT Of COMPENSATION+DAMAGES AS PROVIDED FOR IN SECTION 370$ OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Araby affirm under penalty of perjury one of the following declarations: 1 i)ar and,�LN,''.li 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 the b7 ante of the work for which this permit is issued. Policy No. 06 ve and wil+ mainlain 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' nc`e carrier ana policy number are: Policy Number of Agent .-•.- Phone# Date certify 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' compensation laws of California, and , if I should become subieEt to th"olkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iature of Applicant _ Date 7 —I U IECLARATION REGARDING CO)ISTRUCTION 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 y 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 this city or cou y to r the above?- en ' d pr party for inspection purposes. icnature of Propertv Owner or Authorized AD t �///lif// - Print Propertv Owner's or Authorized ADent's Name c BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE EXPIRED I I I ❑ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED ❑AQMD PERMITFINAL LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF ���� PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: