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HomeMy WebLinkAboutX2021-1957 - PermitsCity of Newport Beach- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ` Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 Combination Type - BLDG *X2021-1957* INSPECIUR COMB Permit: X2021-1957 Project No : 1709-2021 Issued Date : 07/27/2021 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 07/27/2024 OR PERMIT WILL BE INVALID Construction Hours: Monday- Friday7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 2495 OCEAN BLVD NB Description: DEMO POOL "METHOD B" Legal Desc.: P BK 36 PG 3 PAR 2 Owner: SHEEHY BRAIN Address: 99 JANE ST#5H NEW YORK NY 92625 Phone: Applicant: ROOT TIM Address: 15 CORPORATE PLAZA STE 150 NEWPORT BEACH, CA 92660 Phone: 949-402-1636 Code Edit: Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Contractor: PATTERSON CONSTRUCTION Address: 15 CORPORATE PLAZA STE.150 NEWPORT BEACH CA 92660 Phone: 949-723-1800 Con State Lie: 802367 Lie Expire: 07/31/2022 Bus Lie: BT02110534 Lie Exp Date: 09/30/2021 2019 Worker's Compensation Insurance Carrier: STATE COMP U Policy No: 9065406 0 Expire: 08/01/2021 0 Building Setbacks Rear: / Front: / Left: I Right: I Use Zone: Parkinq Spaces: Building Permit Fee: $246.00 Plan Check Fee: $214.02 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 : $2.00 TOTAL FEE: $462.02 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Architect: BRANDON CHRISTOPHER Address: 151 KALMUS DR#G-1 COSTA MESA CA 92626 Phone: 714-754-4040 State Lic:C031637 Engineer: - - - - Address: ��TTpo11''��++-r rr��'' WORK Phone: NO CONtafeLRU CTION VVOr7"^a- Designer. Address: Phone: ON SATURQ�Y� Special Conditions: LANDSLIDE AREA Excise Tax: $0.00 Planning Department - Fire Department - Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $462.02 PUBLIC WORKS APPROVAL: Y PLAN CHECK BY: J APPROVALTOISSUE: 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) Section 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 IS 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 'rofessions 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 of more than five hundred dollars ($500). I, 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, lusiness 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 nprovements 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 nproved 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 pply 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 from licensure under the Contractors' State License Law for the following reason: ly 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 legall, ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under Density of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) f Ivision 3 of the Business and Profes i s� e, an n license is in full force nd effect. License Class License No Date Contractor Signature ^ VORKERS' (:OidPENSATION DECLARATION IA"NINC: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T USAND DOLLARS f 00,000j, IN ADDITION TO THE CST CF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Sereby affirm under penalty of perjury one of the following declarations: 0 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 a, ful,nance o: thj wo-k for which this permit is issued. Policy No. have 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' Wce carrier and policy number are: Policy Number me of Agent Date I certify that, in the kof wo forwhich 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 It, if I should becomork com ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. mature of ApplicanDate :CLARATION REGUC N LENDING AGENCY areby affirm underrallyhat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, it Code). nder'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 provided is correc I agree to comply with all applicable city and county dinances and st laws relating to building construction. I authorize representatives of this city or county t ter a abov Pied property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Ag ACTION I DATE I BY DEC F C014PLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART K OF TITLE 40 AND AQMD RULE 403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED Ep PERMIT EXTENDED QM D PERMIT FINAL SBEST S N IF ION IS P LE TO CERTIFICATE FI NAL /) P O SET E 10 OCCUPANCYISSUED ( I 1 sIr.NAT E LIJ v v p i8J � -p 0 o � � �, °' CL C: Lug 0 2 -° o c p c- i �� �6 U a� 55 cn �C]o co o c II I U U r z o Z co CD Q 0p Ai a aA�� p> �a 0M.E Cop 3 � �fX o N o m c6 -0 �' z UUJ c �� cz 2I t LL N 1. U N C V �/p� �i lJ _ V �/f"�4_ 133 V [A I 1 N¢ u a 3 N w p Eco cr Ln I a 3 m ai l� •CD O; �' I N O- O ? `J LLJ o Co Qtz rm -6 C y s = w C z `— N - N O Co U`J N I a m s z© ai N m e o Q_ _� r v a�� U � u7 O m N .a > 0Ne =. Q N QS ° 402. 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