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Home My WebLink AboutF2020-0237 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 r, y '/tirnti*� Job Address: 620 POPPY AVE NB Inspector Area: I Owner: JACKSON PAT Address: 620 POPPY NEWPORT BEACH, CA 92625 Phone: 626-437-0653 Applicant: WILSON TYLER Address: 151 KALMUS DR STE G-1 COSTA MESA, CA 92626 Phone: 714-7644040 Code Edit: 2019 Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: No of Units: Flood Zone: Bldg Sprinklers: U 0 0 0 0 N Construction Valuation: $1,000.00 Building PC Fee Building Overtime PC Fee: Building Extention Fee : Building Investigation Fee Fire Plan Check Fee: Fire Permit Fee : / \` Building Permit Fee PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: F �2� 0 �2� 0 0 �23 7 Description: SFR FUEL MOD SEE 0957-2020 Legal Description: N TR 673 BLK B LOT 11 Contractor: PATTERSON CONSTRUCTION Address: 15 CORPORATE PLAZA STE.150 NEWPORT BEACH CA 92660 Phone: 949-723-1800 Con State Lie: 802367 Lie Expire: 07/3112022 Bus Lie: BT02110534 Lie Exp Date: 0913012021 Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9065406 Expire: 08/01/2021 Issued Date: 11/20/2020 Setback- Front: Rear: Left: Right: FEES FIRE Permit: F2020-0237 Project No: 0957-2020 Inspection Requests Phone (949)644-3255 I NSo P E FR Architect: BRANDON CHRISTOPHER Address: 151 KALMUS DR #G-1 COSTA MESA CA 92626 Phone: 714-7544040 State Lie: C031637 Engineer: MANSHADI FARHAD Address: 1B00 E 16TH ST UNIT B SANTA ANA CA 92701 Phone: 714-835-2800 State Lic: C-036840 Designer: _ 0., Address: 4 Phone: - Special Conditions: �c R y9 NO (;ONST' `Uu� � �� 1 p $217.00 Fire Residential Alarm PC Fee: $0.00 Records Management: - 0.00 $0.00 Planning Counter Review: $0.00 $0.00 Planning Zoning PC Fee: $0.00 $0.00 $0.00 $0.00 Public Works PC Fee: $0.00 $0.00 $0.00 Public Works Traffic Plan Check Fee; $0.00 $263.00 $480.00 Plan Check Fee: $202.00 Fee Due at Permit Issuance : $278.00 OTHER PLAN CHECKED BY:: APPROVALTO PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION ER 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 the 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 Professions 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 not 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, 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 it was not built or improved for the purpose of sale). ❑ 1, 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). I 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, I cannot legally 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://e .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 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date + Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUB.(ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ON DRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm a,wer penalty of perjury one of the following declarations: 1 hEve and wig 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 €Tioa;pr6 of the wIrk for which this permit is issued. Policy No. h61sa and wi.l 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' compensatiol 1SLI,Ance carrier cr.J policy number are: ;arrier Policy Number Expiration Date lame of Agent Phone # 71 cert'fy 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 agree ,at, if I should become subject to workers' compensation provisions f Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �.gaatare of Applicant - Date IECLARATION REGARDING C13)(STROOTION LENDING AGENCY hereby affirm under penalty of duty that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Enders Name Lender's Address ly my signature below, I cerfify to each of the following: �7 I am the property owner or authorized to act on the property owner's behalf. ; n,� �6( I have read this application and the information I have provided is correct. �X7 �y 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 count t he abo e-identified prop y for inspection purposes. 'signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's NameDate_ ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART fit OF TITLE40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITFEDASBESTOS NODRCATIONTO: ❑ EPA ❑ AOMO PERMfTCANCELLED P€RMITEXTEND€D ❑ ASBESTOS NORRCAIION IS NOT APPLICABLE TO PROPOSEDDEMOLITION. PERMIT FINAL CERTIFICATEOF SIGNATURE: OCCUPANCYISSUEO