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Home My WebLink AboutX2021-0416 - PermitsOBN-r'o4,r City of Newport Beach - Buflding Division Illlllllllllllllullllllllllllllllllll II Lm G100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 4 1 6 <Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 r+* Combination Type - BLDG PLUM COMB Permit: X2O21-0416 Project No : 0399-2021 Issued Date: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/24/2024 OR� IT 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 oq 5(�/ days or Holidays Job Address: 502 VIA LIDO NORD NB Description: DEMO SFR 3546 SF. 4 BEDROOMS. SEWER CAP INCLUDED Legal Desc.: TR 907 LOT 493 ALL -EX NWLY 40 FT - Owner: SNELL TER] Contractor: PATTERSON CONSTRUCTION Architect: CEO Address: 2965 S RABBIT BRUSH LN Address: 15 CORPORATE PLAZA STE.150 Address: a® JACKSON WY 83001 NEWPORT BEACH CA 92660 1V J Phone: 858-922-9447 Phone: 949-723-1800 Phone: (�� State Lie: Applicant: ROOT TIM Con State Lie: 802367 Engineer: Address: 15 CORPORATE PLAZA STE 150 Lie Expire: 07/3112022 Address: NEWPORT BEACH CA 92660 Bus Lie: BT02110534 Phone: Lie Exp Date: 0913012021 Phone: State Lie: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: STATE COMP Address: Occupancy Group: R3/U Policy No: 9065406 Added /New sq.ft. Bldg: 0 Expire: 0810112021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: High density form reed No of Units: 1 Front: I liquefaction area Bldg Height: 0 Left: / Tight Quarters to haul Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parkins Spaces: 0 Fire Hazard Zone : N Valuation: $15,000.00 Building Permit Fee: $120.00 Plan Check Fee: $227.50 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 : $1.00 TOTAL FEE: $2,388.80 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Excise Tax: $0.00 Planning Department - Additional Fee : $0.00 Plan check Fee: Grading Bonds Fee: $0.00 Fair Share Grading PC Consultant : $0.00 SJH Trans: Grading Permit Fee: $0.00 In -lieu Housing Fee: Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 PAN Plan Check: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $10.80 Fire Department- $92.50 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Plan Check Fee: $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: $0.00 $26.00 $219.00 $1,692.00 $0.00 $0.00 $0.00 $2,388.80 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 ie 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 Iicensure 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, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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 Iicensure 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 Iegalll 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 penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profe Si y ode, I y license is in full force t V 2, nd effect. License Class License No Da/B jam. ( Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLA $100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under 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 the bVrmance of the work forwhich this permit is issued. Policy No. EN 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' compensatiol Isuronce carrier and policy number are: Policy Number of Agent Date :1I certify that, in the performance oft a work for which his permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre ,hat, if I should become subject to the orkers' co tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant 3ECLARATION REGARDING tdN&TRtJCTION 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, Civil Code). -ender'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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordi nces and sta laws relating to building construction. I authorize representatives of this city or county to ni e abo property for inspection purposes. _ Signature of Property Owner or Authorized Agent- Print Property Owners or Authorized Agent's Name P1QO u r Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED i_ 111-16 MITTED PERMITCANCELLED EPA PERMITFINAL OCCIFIC4TY65UED %�i1 uA5BEED NOTIFICATION IS NOT A LICABLE TO CERTIFIG9TE OF PROPOSEDD OLI N SIGNATURE: /> 2ƒ)�� LU CO /{ \§7»\ $) =0" = �@ em /SB§= LU S2 -00S/0 e \ e« 2< 6&�00/ ( �§ <� 9± _0 Co § /_ §� /( /\�k\-E W ) t §w nc 3)) a§ ! 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Article Addressed to: - D: Is delivery address different from item 17 ❑ Yes 1. Article Addressed to: If YES, enterdeliveryaddress below: ❑ No -Ratral4 �� l U /A- Ai Le A0-4 $b 1 Vt fl: L1a9 VIDY01 NLvilbvA- GU4-", c-, 92463 cl2�ofo� 3. Service Type ❑ Priority Mall Express® II I IIIIII IIII III I II IIII III II I I I I III I II I I II I III Ll Adult Signature Restricted Delivery ❑ Registered Mall Restrict d Mail® ❑ Certified Dver 9590 9402 5652 9308 7221 64 ❑ Distilled on livery ea Delivery ❑ Collect on Delivery ❑ M m nd eeil' for p, pnlnla Mumher (transfer from service labep ❑_ Collect on Delivery Restricted Delivery - ❑ Signature Con7lmationTm ❑Signature Confirmation 7 019 01,40 0000 2775 2108 estttoted!Delivery .Restricted Delivery PS Form 3811, July 2015 PEN 7530--02-000-9053 Domestic Rehm Receipt ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. ❑ Agent Date of Deli Is delivery address different from Item 17 I 'AE If YES, enter delivery address below: 4 No I GMt S KC UnAO^ 2,'LLL \1I*& Lov-c p- n N12i,d- on $eack CA 97U3 3. Service Type ❑ Priority Mail Exprem II I IIIIII I'll III I II IIII III II I I I I III I I II II II III • AdultRestricted Delivery ❑ Registered Mall Res El Crtified M I® Delivery 95909402565293067221 71 ❑ Certified Mall Restricted Delivery El Collect on Delivery ❑ Return Receipt for I Arrlc1u1Qhtmhar r'rmrtefer from serviceiabell I❑ Collect on Delivery Restricted Delivery Signature Confirmal f❑ (gnature Coni" a' 7019 0140 0000 2775 2115 all it Restricted Deliveryesme as oalroe v Ps Form 3811, July 2015 PSN 7530-02-000-90531 Domestic Return Rec > � ■ Complete item 2, and 3. A.'Sighature y ■ Print your name atild address on the reverse ❑ Agent essee � so that we can return the card to you. ❑ Address of Delivery i B. Received by (Printed N me C. Date of Deliv ■Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: 'D. Is delivery address different from item 17 u Yes ) 1. Article Addressed to: D. Is delivery address different from Rem -1? El Yes If YES, enter delivery address below: [I No 'I Owu CYarl.� If delivery address - below: El No 5lk VI C, L1ltS+o POV-A i5b0 Via uotzNot-01 Now1wr Sc6r1nCA 'I?.(,G3 "I'L o `' CA �, N Service Adult ❑ Priority Mal Expressito Registered ❑ryed MaiTm 3. Service Type ❑ Priority Mail . O� II I IIIIII IIII III I II IIII III II I I I I II II II I III I III Adult RestrictedSignature Delivery ❑ Deefetl MailRestri II IIIIIII I'llIII I II IIIIIIIII I I I I IIII IIIIII I III �ed uiSignesnict Delty 7R Mail RestrD 9590 9402 5652 9308 7222 70 ❑ Certified d M ❑ Certified Mall Restricted Delivery [3 Return Receipt for Merchandise Me a Mall Restricted Dell e ❑Return eiptfor ❑ Collect on Delivery n c^"^^`-- ^slivery Restricted Delivery ❑ Signature Confirmation- ❑ signature Contirnabon 9590 9402 5652 9308 7221 95 w . 2 " -- ^•T ^^�•'^^ ^^^•r^^'^^^n ct an elivery ryRe ' ed Delivery Merchandise ndi ❑ Signature Confirmatio 2. Article Number (Transfer from service /ehc" 7019 0140 0000 2775 2023 Restricted Delivery Restricted Delivery 7019 D140 0000 2775 2078 a rioted Delivery ❑ Signature Colivery io Restricted Delivery I lover Seee) _ PS Form -3811, July 2015 PEN 7530-02-000-9053 Domestic Return Receipt , PS Form 3811, July 2015 PEN 75330-02-000-13053 Domestic Return Race =To; 6I&2 0000 OfilO 6T H T902 G!!2 0000 ow7e 6:8L STT2 M.2 0000 efilo 6TOL ee:e SwL2 0000 8fi:; &!;E 5902 s!&e - 0000 ohle 6loa � m) ,Ab,S®\ ` k ci- / -- A !| r a w � . • '� / • tit{ !{� ;; � � �} 9f!{i k J 2K • .� 'I I / _' ! yDoED] a: ƒ E202 5!1.E OOOB ofiIo 6!o& \ ■ OE02 5LL2 0000 Oh20 6TH WOT2 5LL2 0000 DECO 6TH 19020 a c� n 4'• 3� t 47 If) 6, ;o 4-• i o IfiT .Gt • tj'.h 1 �.li:+ 11 •� Q � m E .v.. 6 tS OO •C�y1 • �� a aaa m� Ec_ �'� � �b�d" w Vl 'm m z m ti J00000g a m �� y hooS 6T2.2 0000 ONTO 620L Lh02 5LL2 0000 ObTO 620E 14 f _s . JG Is 2020 U h502 5•LL2 0000 DECO 620L 9L02 5LL2 0000 Oh20 6TGO R