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Home My WebLink AboutX2009-1947 - PermitsCity of Newport Beach Building Department COMB Permit No: X2009-1947 PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 r.,$ ui„ Combination Type - BLDG/ I I I Job Address: 2136 E BALBOA BLVD NB Description: NEW SITE WALLS 227 LF 6' H, PARTIAL RETAINING, INSIDE P/L Project : 1585-2009 1585.2009 Inspector Area: 1 Legal Desc.: TR 756 LOT 37(AND NWLY1/2 LOT 38 Owner: WET PAWS LLC Contractor: PATTERSON CONSTRUCTION Architect: Address: 7301 E 3RD AVE #319 Address: 421 31 ST ST UNIT B Address: SCOTTSDALE AZ 85251 NEWPORT BEACH CA 92663 - Phone: Phone: 949-723-1800 Phone: State Lie: Applicant: PATTERSON ANDREW Con State Lie: 802367 Engineer: TUCKER JERRY WALTER Address: 42131 ST ST Lie Expire: 07/3112010 Address: 466 FLOWER STREET NEWPORT BEACH CA 92663 Bus Lie: BT02110534 COSTA MESA CA 92627 Phone: 949-723-1800 Lie Exp Date: 09130/2010 Phone: 949-645-2422 X 11 State Lic:S-002187 Code Edit: 2007 Worker's Compensation Insurance Designer: Type of Construction: Carrier: STATE COMP Address: Occupancy Group: U Policy No: 719-0000630 Added /New sq.ft. Bldg: 0 Expire: 08/0112010 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: 0' Special Conditions: MD2008-025 (PA2008-065) No of Units : 0 Front: 30' Bldg Height: 24 Left: 4' Bldg Sprinklers: Right: 4' Flood Zone: Use Zone: R-1 Issued Date: 01/20/2010 Parking Spaces: 5 Fire Hazard Zone : N Construction Valuation: $25,000.00 Building Permit Fee: $409.70 Plan Check Fee: $294.98 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $36.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Fee Increase: Fee: $12.23 Additional Fee : $0.00 Hazardous Mat: $0.00 Building Green Fee: $1.00 TOTAL FEE: $932.41 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Solar System PC : $0.00 Excise Tax: $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 Electrical %: $0.00 Mechanical %: $0.00 Plumbing %: $0.00 FEES Planning Department - Plan check Fee: $178.50 Fair Share : $0.00 SJH Trans: $0.00 Public Works Department - Park Dedication: $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 $0.00 $0.00 Plan Check Fee: $194.90 m o Fee Due a>Pergrjt Issuance: $737.51 PUBLIE WORKS APWR004C: PLAN CHECK BY: / PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR ISSUE: a JD IA&Eg:TI'cDh/ ° a l� OWNER -BUILDER DECLARATION I ACTION DATE: BY: I hereYy afflrn 'under ppenatty of erjury that I am exempt from .the Contractors' State License Law tot the reasan(s) Indicated below by the checkmark(s I cave placed. next to the appliable Item(s) (Section 7031.5, Business and Professions Code; An city orcountY that requ�res aennitto construct; alter,7mrove, demolish, or repair any structure, prior to its PERMIT EXPIRED iecu rota Ian ro ,nroe ha annlinynl fns a it to .In fllr .intact a Ian,anl mot Ha n� c6a- I� -II ncaA n,• , n1 1n 1«a e or she Is exempt rrom nwnsure anu me oasis Tor me anegeo exam non. Ivry violation of aecuon I PERMIT CANCELLED a permit subjects the applicant to a civil penalty of not more than five undreddollars ($500).. or personal effort, builds or improves the I PERMIT EXTENDED wiDim one year or compieuon, me owner-munaer win nave -me Duman or proving mat it was not Duut or improvea Tor me purpCBS, of owner I PERMIT FINAL I, as ownerr of the property, am exclusively contracting with licensed Contractors to construct the project (Section 17044, Business and Professions Code: The Contractors' State License Law does not apply to an .owner of fpmpeq who builds or - improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Con rectors State Li nse Law). CERTIFICATE OF _❑ I am exempt from licensure under -the Contractors' State License. Law for the following reason: OCCUPANCY ISSUED DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL -. my signature below I acknowledge that, except for my personal residence In which I must haveresidedfor at least one year pBY builder If it hastinot been Iconstructted in Ittsventiretyby licensed Icoontractrr. legally nderrstand that a copy of the applipble law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the REGULATIONS PART 61 OF TITLE 40 AND AQMO RULE 1403. ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: following Web site:http://v ww.leginfo.ca.govlcalaw.html. ❑ Signature of Property Owner or Authorized Agent Date I EPA ❑ LICENSED CONTRACTOR'S DECLARATION AQMD ❑ I hereby affirm under penalty of ppeq'ury that I am licensed under ro of Cha er 9 (commencing with Section �7000) Division 3 the.Business Professions Code 11 is' I ffect. ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. of of and and my Be roe a Llcangg Class �'OZ 6 7 \ cans No. I o61n./ rnnl_.an, .inn.,«,..11 1 SIGNATURE: WORKERS' 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 ($100,0001, IN ADDITION TO THE COST OF - FOR OFFICE USE ONLY COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will. maintain a certificate of consent to self -Insure for workers' compensation, issued by the Director of . Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is It D ISSve andwill maintain Workers' compensation insurance, as required by Section 3700 of the Labor Code, for the noe of the work for which this permit is Issued. My workers' compensation insurance carver anti. policy number are: Policy Number . Expiration. Date - Name of Agent - - Phone # 1 ceffly that, in the performance of the work for which this permit Is Issued, I shall not employ an arson in any manner so as to become subject to the workers' cornppensaflon laws of Califomia, and agree that if I shout become subject to the - workers' compensation provisions of Section WOO of the Labor Code, I. shall forthwith comply with those provisions. Signature of Applicant - Date - - DECLARATION REGARDING CONSTRUCTION LENDING AGENCY . I hereby affirm under Bratty of pperjury that there is a construction lending agency for the performance of the work for -which this permit Is Issued tSection.3097, Civil Code). Lender's Name' Lender's Address 6y my signature below, I certify to each if$he gollowat I am the property owner or authorized to ae!!ol=thepert$ jopo�in r'-bdflalfY+ I have read this application and the Informal an I have pro s at. I agree to comply with all applicable city and county ord' n s a state taws relating to bulldtn truction. I authorize representatives of this city or county to e r t ab e-identifletl.property for i ctIon rposes j ature of Property Owner or Authorized Agent .. .. ' . ...�+ Date �,�J �1} Property Owner's or Authorized Agent's N s + -