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Home My WebLink AboutX2019-1556 - PermitsCity of Newport Beach - Building Division IIIII�IIIII�IIIIIII�IIIIIII�IIIIIIIIIIIIIIIIII II COMB Permit: X2019-1556 b1 o 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 5 5 6 Project No : 1117-2019 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644 3255 x* w Combination Type - SFP ELEC GRAD MECH PLUM Issued Date: 11/0412019 Inspection Area... 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 6,00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 212 GOLDENROD AVE NB - Description: NEW SFR W/ BASEMENT & GARAGE 4592/607 SF Legal Desc.:. RESUB OF CORONA DEL MAR LOT 12 BLK 34(AND LOT 14 BLK 34 Owner. JONES JEFF&SHELLY Contractor:. PATTERSON CONSTRUCTION-.' Architect: BRANDON CHRISTOPHER Address: -20429 NE31ST ST Address: 15CORPORATE PLAZA STE.150 Address: 151 KALMUS DR #G-1 SAMMAMISH WA 98074 NEWPORT BEACH CA 92660 COSTA MESA CA92626 Phone: 425-557.7711 Phone: 949-723.1800 Phone: 714-754-4040 State Lic:C031637 Applicant LINSDAY BRANDON Con State Lic: 802367 :.Engineer: MANSHADIFARHAD . Address: 151 KALAMUS DR STE G1 Lic Expire:' , - 0713112020 . Address: 1800 E 16TH ST UNIT B COSTA MESA CA 92626 Bus Lic: BT02110534 SANTA ANA CA 92701 .Phone' 714-7544040' - Lic Exp Date: 0913012020: Phone: 714-835-2800 State Lic:C-036840 Code Edit: 2016 Worker's Compensation Insurance Designer. Type of Construction. V-BSPR Carrier: - STATE COMP - Address: Occupancy Group: B R3/U Policy No: 9065406 Added /New sq ft, Bldg. 4592 Expire. 08101/2020 Phone: P lip, ' NO CONSTRUCTION NOISE _ Added /New sq. ft. Garage: 607 No of Stories: 3 Building Setbacks Rear: 5 Specia�Gonditions: Noise agreement No of Units : 1.' Front: 10 received Bldg Height: 0 Left: 3 .Bldg Sprinklers' Y Right' 3 THE WEEKEND. Flood Zone' X Use Zone: Parking Spaces: 0 Fire Hazard Zone : PN wnauuuiun Vaweuun:. - arat.00u.uu Building Permit Fee. $6,279.00 Excise Tax: $1,091.79 Planning Department - Fire Department Plan Check Fee: $5,119.00 Additional Fee : $588.00 Plan check Fee, $417.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: - $0.00 Fair Share : $2,386.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant :. $677.32 SJH Trans : $0.00 Demolition Fees Record Management. $134.00 Grading Permit Fee $1,109.00 In -lieu Housing Fee: $0.00 Building Dept Adm�, i Energy Compliance' $268.00 Grading PC Fee: $148.68 Public Works Department - General Service $0. CA Seismic Safety: $0.00 WQ Insp. Fee: $108.00 Park Dedication : $0.00 Refund Deposit $0.00' Disabled Access, $0.00 PAN Plan Check: $247.50 .Grading Band: $0.00: Hazardous Mat $0.00 '. Electrical %: $821.92 ..San Dist: $5,475.00 Building Green Fee . : $38.00 Mechanical % $469 67 NMUSD Fee' $8 44928 to 00 Plumbing %: $1,056.76 TOTAL FEE: $34,883.92 Plan Check Fee : $7,423.55 Fee Due at Permit Issuance PROCESSED BY: —f ZONING APPROVAL: GRADING APPROVAL: P..UBLIC WORKS APPROVAL: 0 PLAN CHECK BY: 0 0 "� o`� �`•� APPROVAL TO ISSUE: o c o c o $0.00 $27,460.37 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Con t Li a se f the reason s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that -t • A - ,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 e p ovlsions o ONE nt a L arise 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 M"U_ 'olation of Section 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 do U all of or U portions of the 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 an owner of property who, 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 improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that R 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' State 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, 1 Cannot legal) 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:/Aw .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 7Q00) Of..ivi ion 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date 8 Contractor Signature ORKERS' COMPENSATION DECLARATION WARNING: 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 J� , 001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROWDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - I hereby affirm under penalty of perjury one of the following declarations: kve 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 once ofthe work for which this permit is issued. PolicyNo. e 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' compensatio ke carrier and policy number are: Policy Number Expiration Date Name of Agent Phone # I 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 agre that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor. Code, I shall forthwith comply with those provisions. Signature of Applicants DateAL li L{ t �. DECLARATION REGAA CONSTRUO L DING AGENCY 7/) I 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). Lender's Name Lender's Address By 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 coun y o er the v -ide tifie�p o arty for'action purposes. Signature of Property Owner or Authorized Agent ,V�A Property Owners or Authorized Agent's Name i1` WMa:)Date 0� ACTION DATE BY .DECLARATION CIt4CtVUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY - REGULATIONS PAT lOF TITLE 40 AND AQMD RULE 1403 ••• •.• • • ••• .. PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICAIMON TB • • ••• • •� PERMIT CANCELLED EIEPA • • • • • • • • e PERMIT EXTENDED QMD PERMIT FINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF. \ U PROPOSED DEMOLITION ••• • •• • •• • ss e eee ee • OCCUPANCY ISSUED SIGNATURE: • • • • s e • e 0 0 0 o o o e e