HomeMy WebLinkAboutX2018-0882 - Permits1 City of Newport Beach - Building Division IIIIIIIIIII''1lllllllllllllllllllllllllllll II
04 100 Civic Center Drive, Newport Beach, CA 92660 X 2 9
E Permit Counter Phone (949)644-3288FW+i�„4t'_
Inspection Requests Phone (949)644)644-3255
"ter vcb "' Combination Type - SFP ELEC PLUM FEWR W
COMB Permit: X2018-0882
Project No: 0730-2018
Issued Date : 0810812018
Inspection Area : 2
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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: 518 ALISO AVE NB
Description: NEW DETACHED GARAGE 937 SF
Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BLK 38 LOT 5
Owner:
FOSS FAMILY TRUST
Address:
518 ALISO AVE
Record Management:
NEWPORT BEACH CA 92663
Phone:
$0.00
Applicant:
MCNEELYJOHN
Address:
1792 SKYLINE DR
Hazardous Mat
SANTA ANA C 92705
Phone:
714-417-9277
Code Edit: 2016
Type of Construction: VB
Occupancy Group: U
Added /New sq.ft. Bldg: 650
Added /New sq. ft. Garage: 650
No of Stories: 1
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: YX
Building Permit Fee: $1,766.00
Plan Check Fee: $1,233.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$6.76
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :.
$3.00
Contractor:
PATTON CONSTRUCTION INC
Address:
523 SANTA ANA AVE
Fair Share:
NEWPORT BEACH, CA 92663
Phone:
949.642-8696
Con Slate Lic:
521850
Lie Expire:
12131/2019
Bus Lie:
BT00000821
Lie Exp Date:
10131/2018
Worker's Compensation Insurance
Carrier: STATE COMP INS
Policy No: 9037333
SANTA ANA CA 92705
Expire: 0110112019
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: K
Front: 194
Left: I &(
Right: 1 y
$196.77
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$123.62
$0.00
$158.94
Architect
Address:
Phone: State Lie
Engineer:
MANSHADI FARHAD
Address:
1800 E 16TH ST UNIT B
Fair Share:
SANTA ANA CA 92701
Phone:
714-835-2800 State Lic:C-036840
Designer:
MCNEELYJOHN
Address:
1792 SKYLINE DR
Phone: 714.417-9277
Special Conditions:..
Fire Hazard Zone : N
Planning Department -
Fire Department
Plan check Fee
$150.00
Fair Share:
$0.00
SJH Trans :
Fire Plan Rev
In -lieu Housing Fee
$0.00
Public Works Department -
Park Dedication :
$0.00
PNV Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
I
TOTAL FEE: $3,638.09 Plan Check FOg : .$1,233.00 Fee Due at Permit Issuance : $2,405.09
PROCESSED BY: ` ` o v `„` PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
GRADING APPROVAL:
/ PLAN CHECK BY:
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APPROVAL TO ISSUE:
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Fire Department
$150.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
TOTAL FEE: $3,638.09 Plan Check FOg : .$1,233.00 Fee Due at Permit Issuance : $2,405.09
PROCESSED BY: ` ` o v `„` PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
GRADING APPROVAL:
/ PLAN CHECK BY:
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APPROVAL TO ISSUE:
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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 require lish, 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 pr w (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 allege(fig of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500). - ;, u 11 _ T$`
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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
im roved 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 legaill
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://www.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 0 of Div' ion 3 of the Business and Prle Rns Code, and my license .iwce
and effect.. License Class License No Date r6 Contractor Signature 4sv
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5108 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
:11 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
oejKrmance of the work for which this permit is issued. Policy No.
have and will mi{� ain 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'
rance carrier and}ti)(jcy number arm _ P
Date
is of Agent � "%.1 6 UT Phone #
certify 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
, if I should become�suuWect to the workers' Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Iature of Applicant y.�L n y
rreby affirm under penalty of perjury tKat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code)
Ider's Name Lender's Address
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 coup y ordinances and state laws relating to building construction.
I authorize representatives of this city or countW.wl1gqJW agove-igentified property formation purposes. 'r—t I
Signature of Property Owner or Authorized Agent " Print Property Owners or Authorized Agent's Na 1�Y c..rT Date
ACTION DATE BY DECLARATIC& OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY -
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO • + • ••e ••• ••• ••+
PERMITCANCELLED UEPA • ' • • • • . • • •
PERMITEXTENDED 13AQMD • • • • ••• •.•
PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF PROPOSED DEMOLITION ee +••
OCCUPANCYISSUED !(/ I� SIGNATURE: • ° e o e • • • •••
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