HomeMy WebLinkAboutX2021-0123 - PermitsCity of Newport Beach - Building Division
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
COMB Permit: X2021-0123
`y�,Ktr,�r
100 Civic Center Drive, Newport Beach, CA 92660
X 2 0 2 1 0 1 2 3
Project No : 0132-2021
Er :; Permit Counter Phone (949)644-3288
0
u A Inspection Requests Phone (949)644-3255
`S„Y„�* Combination Type - BLDG
Issued Date: 02/18/2021
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/19/2024 OR PERMIT WILL BE INVALID
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 or Holidays
Job Address: 511 36TH ST NB
Description: RAISE EXTG 4' BLOCK WALL TO 6' x 64 LF & 6' HI RET WALL ABOVE (9) 10'6"
CAISSONS INSIDE P/L *MARKERS ON SITE"
Legal Desc.: CANAL SECTION LOT 6 BLK 536(AND SWLY1/2 LOT 7 BILK 536
C
Owner: HOLDINGS GARDEN GROVE SIMPSON Contractor:
PATTERSON CONSTRUCTION Architect:
Address: 21 ATUO CENTER SR Address:
15 CORPORATE PLAZA STE.150 Address:
IRVINE CA 92618
NEWPORT BEACH CA 92660
Phone: 714-709-3116 Phone:
949-723-1800
Phone:
State Lie: 00006,
e 0
Applicant: ANDRADE ALEX Con State Lie:
802367
Engineer:
PETROV PLAMEN °
Address: 15 CORPORATE PLAZA DR #150 - Lie Expire:
07/31/2022
Address:
28161 CASITAS CT o 00
e n
NEWPORT BEACH CA 92660 Bus Lic:
BT02110534
LAGUNA NIGUEL CA 92677 o e o 0
Phone: 949-402-3008 Lie Exp Date:
09/30/2021
Phone:
714-717-7542 State Lic:C-066947 e
Doan 0
° ° °o
Code Edit: 2019 Workers Compensation
Insurance
Designer:Type
o.
Construction: Carrier:
Occupancy
Occupancy Group: U Policy No:
STATE COMP
9065406
Address:
/� �y �-+°ry°� y
NO CONSTr'IUCTI4my'I` NOldEeo
Added /New sq.ft. Bldg: 0 Expire:
08101/2021
Phone:
°
Added /New sq. ft. Garage: 0
u 0 0 0 ° 0
0 0 e 0 0 0
No of Stories: 0 Building Setbacks
Rear: 5'
Special Conditions:°
Bldgof Units: 0
Bldg Height: 0
Front: 4'
Left: 4'
p-t- p 000000
ON SA URDAY °0000°
I V O/'1 rl /s'C 1
Bldg Sprinklers:
Right: 4'
Flood Zone: Use Zone: R-2
Parking Spaces:
0 Fire Hazard
Zone : N
Construction Valuation: $100,000.00
Building Permit Fee: $1,209.00 Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $1,051.83 Additional Fee :
$0.00
Plan check Fee :
$0.00 Fire Inspection: $0.00
Overtime Plan Ck: $0.00 Grading Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev $0.00
Investigation Fee: $0.00 Grading PC Consultant :
$413.28
SJH Trans :
$0.00 Demolition Fee
Record Management: $6.00 Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00 Building Dept Adm $0.00
Energy Compliance: $0.00 Grading PC Fee:
$90.72
Public Works Department -
General Service $0.00
CA Seismic Safety: $0.00 WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit $0.00
Disabled Access : $0.00
PAN Plan Check: $0.00
Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %:
$0.00
San Dist: $0.00
Building Green Fee : $4.00 Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $2,774.83
Plan Check Fee
: $1,287.83 Fee
Due at Permit Issuance : $1,487.00
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
C
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
/�_
X/ V V ��
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the mason(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 ($500).
1 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
nproved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
Iy my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions C9de,i6 Hvailable upon request when this application is submitted or at the following Web site:http:llwww.leginfo.ca.govicalaw.htmi.
signature of PrC e7ty Owner or Authorized Agent Date
.ILENSED GONTTRACTOR'S DECLARATION ' // �yyytttt
hereby affirm order penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section of )v,'tsi n 3 of the Business and Profe$ IoJ de ari� y s in full force
rd efrect. License Class License No Date ! S % Contractor Signature �d ''II /!
COMPENSATION DECLARATION
Ir RNIN3: FAILURE TO SF-URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRSb THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE
OS r OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNE)rS FEES.
La.0y affirrrrur,der 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
,o,rlance of,(he wq. rk for which this permit is issued. Policy No.
have and EMI: ma:'ntain 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' compensa
K,arce carrier and )olicy number are:
rie? U Policy Number Expiration Date
of Agent
]I certify that, in the perf mance of he work �Oom,
Mnsahtlo
rmit is issued, I shall not employ any person in any manner so as to become subject to the workers' mpensation laws of California, and agree
eat, if I should becom�3/�gbfjjeect to �II((vQ�orgkei 'rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisionsignature of Applicant \u�9 Date
iECLARATION REG DING coNSTRtJCTION 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, kivil C de).
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 owners behalf.
I have read this application and the information I h ve provided is correct.
I agree to comply with all applicable city and u y or n nces an stat laws relating to building construction.
I authorize representatives of this city or ceun ent�(d)�1 j�nbo,'��J1, an led pr erty for inspection purposes. I yl�g /Z I
icnature of Prooertv Owner or Authorized ADent 1 1/U/� _ Print Property Owner's or Authorized Agent's Name -_ DatV I
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE I BY
i-L't-ul J
OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
APPLICABLE TO
m
F `0
Z N
T
U
F u O
W NN
N
p" m M
w O d'
Cr AZ¢m
Qc
0
c
c
0
u
h
3IL
J
(1
```
i
C
a
3
c
�
I
a
V
tt
s
�
N
1
4
�J
1,\�
I
d�
c
�I
�
-cc�J
i3
5
d
z
i
z
�
z
v\
aY'i
a
c
3
i
�
a
I`
e
TL
a
iE
# N
F
t
a
U
C
a
m
C
U
U
J
�
EE
Z
�
m
a
m
ik
c~
m
U
�
�
0
v I�:t
o
O
m
❑
e
g
y �
C
T
w
�
°N°
m
Z
Z
O
12
U�
C
o
o�
.
d �.�
e
a
_�
m
z
LL�
Wv
>
w
c�
O
`
U
k
l�
a
z
o
O
Q w
\�
z7
Hm
�J
F
O
40
0
O
«
O
U
m
O
IOU
U
O
C
.
LL
«
❑
❑
❑
❑
R,
zZ
w
0
O
W
U
z
W
M
w
ul
0
W
m
O
El
L
`o ' ,y�Ci c "�
-^ N. m_5
Q�lj ro U � A�i
v 'o TW € C m
«A 8
N N N y N
& Ez
dym «,S
a > 1 E N
D P N Yj ati
c E 0 m y r
« u£t; >.°
L
CC A
2 °a -mc
m m
nN �� E
0v£
a Yi 0y 0 :0 m yoy
Ciq L N C
U 1 O O p G ( w
01 OObOObC V01 � LLy1l L9 U C
mtoa, n� S
—u=EBm_�O
1 N Cj
r
rn
W
m
Uo
O
N�
w
c0 co
22
0
Gi f` roj
A m N
o0
FA a 3
N N
C
d
C
U
V
CJ
O
V-
O
CD
NQ
1.4
L�l
J
m
mnc
m�
a
U
=
W
a
m
m
�
U
U
J
VUJ
z
`o
mii
m
oI
m
U
m
^
O
F
N�
E
\
m
D
C
V
O
N UUU
�
4aV !\
w
K
9
N
m
N
M
C
�
\
u
m „
rn
c
�
m
v
0
Wm
U
92
a
uj
U
t
p
uj
W
m
Q
fA
z
O
U
w
z
z
a
U
Q
F-
z
W
2
u;
W
W
N
om
0
k
t
N
Q
$
i
Z
a
�.
O
d
uu0
8
0
z_
1�
w
Z
❑
to
O
RY>
O
v
c
to
.�
oLL
t
v>
3
o
w
I
W
p
o
y
j
LU
m
0
m
m
v
$
m
0
O
v
ZOZ
p
W
z
Ill
O
W 1
rn
?O
-
m m
a
O
z$
m
CL
0
m
zU
,_..
m
SSy
m
I y
U
9
m W
is
a
y
W
W L
m
❑
❑
❑
❑
W
E
0 0
m
Z
W
m
WO
= m
V
O
!C Cl)'
C
m
U
m
1-
l a
pot{
g m
v U
m
m
=
U
w
N 9
I
0
U
'L
=
a
o g
m
N
N
N
a?
W
L
❑
❑a
❑
❑�
N f7
w
m
m
QO
K
u
n
0
O
a
is,