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HomeMy WebLinkAboutXR2022-2367 - PermitsCity of Newport Beach �W POR I III I I I I II I I III II II II r COMB Permit : XR2022-2367 Community Development Department -Building Division 1DO Civic Center Drive, Newport Beach, CA 92660 Plan Check No n Permit Counter Phone: (949) 644-3288 Issued Date Inspection Requests Phone: (949) 644-3255 Inspection Area : 3 °gcivo a��P newportbeachca.gov/inspections Combination Type - SFP PLUM Work Class - Demolition PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 604 ALDEAN PL Legal Desc : N TR 1583 BLK LOT 2 Description: DEMO SFR & GARAGE 1157 SF. 3 BEDROOM. SEWER CAP INCLUDED Owner: RICHARD NELSON Contractor: PATTON CONSTRUCTION INC Architect Address : 604 ALDEAN PL NEWPORT BEACH, CA 92663 Address : 1881 TAHITI DR NEWPORT BEACH, CA Address 92663 Phone: Phone: (714)444-2980 Phone: Con State Lic : 521850 State Lic Applicant: PATTON CONSTRUCTION INC Lic Expire : 12/31/2023 Address : 1881 TAHITI DR NEWPORT BEACH, CA 92663 Bus Lic : BT00000821 Engineer Phone: (714) 444-2980 Bus Lic Expire : 10/31/2022 Address Workers' Compensation Insurance Phone: Owner/Builder : Carrier : Address: Policy No: 9037333 Designer: Phone: W. C. Expire: 1/1/2023 Address Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $26,000.00 Type of Construction : V-B Fire Hazard Zone : No Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage : 0 Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone : X I �o, Use Zone : R-1 - Single -Unit Residential 1 N[ PROCESSED BY: oet SPECIAL CONDITIONS: JD DEMO TO HAUL DEBRIS 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(si (Section 7031.5, Business and Professions Code: Any city or County that requires a permit to construct, after. 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' Stale 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 appiieantto a civil penalty of not more than five hundred dollars ($500). El 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 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). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors Stale License Law does not ,aP�ply 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). LJ I am exempt from icensure under the Contrectors' 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 on owner -builder if it has not been constructed In its entirely 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:iiwm .leg'mfo.ca.govicalaw.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 700 D' Ision 3 of the Business and Profs d e Is in full force and effect. License Class License No Dat� ConVactor Sdgna a WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUaJEOT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t6100,000), 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 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 th mince of the work for which this permit is issued. Policy No. va and. will maintain workers' compensation insurance, as required by Section 370D of the Labor Code.. for the performance of the work for which this permit is issued. My workers' compensatiol sur ce carrier and policy number are: Baer policy Number Expiration Date Vane of Agent Phone lF —1I certify that, in the pert f the wo k for w h thi permit Is issued, I shall not employ any person m any manner so as to become subject to the workers' compensation laws of Caffomia, and agre ,hat.. if I should become sable, t e work r.'o e s n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. p 14 >Ignalure of Applicant __, Da _____ 1� �. DECLARATION REGAR N'T UCTION MENDING 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). _endar s Name Lenders Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the properly owner's behalf. have read this application and the information t hey, vitled is correct. I agree to comply with all applicable city and county r it noes in sl. a relating to building construction. I authorize representatives of this city or county to er e a. v -id rty for Inspection purposes. / Si nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name V lzKll Date ACTION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AQ.MD RULE PERM1TkXPMED j U I5URMITTED A58ESTO5 NOTIFICATION TO PERMlTCANCELIED pA All required alarms, rches gates and renew which . Lrre itpart of a pool/spa barrier, shall PERA47ExTEND£O qMp be in place prior to ar pr ;ve! to fill poollspa & shall remain'�n place & be maintained for the PERMIT PlNA1 ? `23 /uAyj�r�❑ ATD5 NOTI CA ION 15 T P A TO life Of the pool. CERTIRCATE OF QCCUPANCYfSSSU£D __' %%._]L SGNATUREDEM .._ 1. /L24%? _