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Home My WebLink AboutX2021-0278 - PermitsCity of Newport Beach - Building Division *X2021-0278* COMB Permit: X2021-0278 ^rr 100 Civic Center Drive, Newport Beach, CA 92660 p r Project No: 0303-2021 Permit Counter Phone (949)644 I P EECTO Inspection Requests Phone (949)644)644-3255 I VVV Combination Type - SFP ELEC MECH PLUM GRAD Issued Date : : 2021 Inspection Arreaea 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 07/22/2024 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: 217 GOLDENROD AVE NB Description: NEW SFR & GARAGE 3205 SF & 502 SF .� Legal Desc.: RESUB OF CORONA DEL MAR BILK 133 LOT 7 Owner: WEBB JOAN Contractor: PATTERSON CONSTRUCTION Architect: FALESE DEBRA S Address: 217 GOLDENROD AVE Address: 15 CORPORATE PLAZA STE.150 Address: 2943 PULLMAN ST STE A CORONA DEL MAR, CA 92625 NEWPORT BEACH CA 92660 SANTA ANA CA 92705 9' Phone: Phone: 949.723-1800 Phone: 949-553-8919 State Lic:CO24917E� Applicant: ASHER DUSTIN Con State Lic: 802367 Engineer: MANSHADI FARHAD D Address: 2943 PULLMAN ST STE A Lic Expire: 07/31/2022 Address: 1800 E 16TH ST UNIT B SANTA ANA CA 92705 Bus Lic: ST02110534 SANTA ANA CA 92701 {{'''' Phone: 714-351-6654 Lic Exp Date: 0913012021 Phone: 714.835-2800 State Lic:C-036S Code Edit : 2019 Worker's Compensation Insurance Designer: ® Type of Construction: V-B-SPR Carrier: STATE COMP Address: D O Occupancy Group: R3/U Policy No: 9065406 -� Added /New sq.ft. Bldg: 3205 Expire: 08101/2021 Phone: (n Added /New sq. ft. Garage: 502 No of Stories: 3 Building Setbacks Rear: 5 Special Conditions: HIGH DENSITY No of Units . 1 Front: 10 DEMO LARGER THAN NEW Bldg Height: 0 Left: 3 Bldg Sprinklers: Y Right: 3 Flood Zone: X Use Zone: Parking Spacee 0 Fire Hazard Zonn : N Construction Valuation: $1,000,000.00 Building Permit Fee: $5,855.00 Excise Tax: $778.47 Planning Department - Fire Department Plan Check Fee: $3,297.00 Additional Fee : $284.00 Plan check Fee : $520.00 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 : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $102.00 Grading Permit Fee: $997.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $303.00 Grading PC Fee: $867.39 Public Works Department - General Service $0.00 CA Seismic Safety: $130.00 WO Insp. Fee : $152.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 P/W Plan Check: $406.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $409.85 San Dist: $0.00 Building Green Fee: $40.00 Mechanical %: $234.20 NMUSD Fee: $0.00 $0.00 Plumbing %: $526.95 $0.00 TOTAL FEE : $14,902.86 Plan Check Fee : $5,120.00 Fee Due at Permit Issuance : $9,782.86 Z-'� j� PROCESSED BY: PUBLIC WORKS APPROVAL: ylv ZONING APPROVAL: PLAN CHECK BY: c� GRADING APPROVAL: APPROVAL TO ISSUE: 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 :he 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 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 rot 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 U 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 I,ot 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 pLrLcse 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). am exempt from Iicensure under the Contractors' State License Law for the following reason: By my signature telov. ! 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 Iegalli sell a stricture t'nat I hw,e 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 F rofesaions Code, is available upon request when this application is submitted or at the fallowing Web site:http://www. leginfo.ca.gov/calaw.html. Eiyra:Lre of Prcpo:t; 0Nner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I he,ety affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 0 of ivis n 3 of the Business and Prof ior}� y Iic Mull force Pnd effe-.t. License Glpss License No Date Contractor Signature / NIDPKERS' COMPENSATION DECLARATION NA.RNIN : FAILURI� TO PEM IRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T USAND DOLLARS I$100,0601, IN ADDITION TO THE COST OF COMPENSATION, C IMAGES 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, forth 3erformance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Expiration Date me of Agent I certify that, in the perfarmanc f the work for which his 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 hat, if I should becom s bjact w e ' ccmpen ti isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant Date 7— 22 Z )ECLARATION REGA DI ONSTRUCTION LENDING AGENCY hereby affirm under pen of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil ode). _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 owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and Jun ordin es and state laws r ating to building construction. I authorize representatives of this city or counnter ' ied inspection purposes. 1 signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name I SL�fIu,.Da �. 1 ACTION DATE BY J RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY GULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED Epq PERMIT EXTENDED I I InCiln PERMIT FINAL SeESTOs NOTIFI T N IS NOT CERTIFICATE OF ROP SEMOLI OCCUPANCY ISSUED SIGNATUR