The URL can be used to link to this page

Home My WebLink AboutX2021-0573 - Permits1�"t= City of Newport Beach - Building Division tet. 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG COMB Permit: X2021-0573 Project No: 0527-2021 Issued Date : 03/31/2021 Inspection Area : 4 Code Edit: 2019 Type of Construction: V -B (. Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 4 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $799.00 Plan Check Fee: $695.13 Overtime Plan Ck: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0313112024 OR PERVT WILL BE 1 Investigation Fee: Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 6:00 a.m. to 6:00 p.m. No work on Sunq$Y� or olid: Job Address: 61 SEA ISLAND DR NB CA Seismic Safety: � fig' Description: MFR -CRACK REPAIR, REPAIR SPALLING & EXPOSED REBAR @ RETAINING WALL, Hazardous Mat Legal Desc.: TR 8444 LOT 1 UNIT 61 OF PROJECT LOCATED ON AP 442-251-01 TOGETHER $2.00 Owner: SEA ISLAND COMMUNITY ASSN Contractor: PATSCHECK CONSTRUCTION LLC Architect: Address: 27051 TOWNE CENTER DR #200 Address: 556 OTERO COURT Address: $0.00 FOOTHILL RANCHCA 92610 CAMARILLO, CA 93010 Phone: Phone: 805-402-9130 Phone: State Lic: Applicant: POUCHER TYLER Con State Lic: 1011514 Engineer: HAIGHT CHRISTOPHER Address: 1401 DOVE ST #240 Lic Expire: 02/28/2022 Address: 3434 VIA LIDO $0.00 IRVINE CA 92660 Bus Lic: BT30061601 NEWPORT BEACH CA 92663 Phone: 949-335-6151 Lic Exp Date: 12/3112021 Phone: 949-675.8030 State Lic:S-004596 Code Edit: 2019 Type of Construction: V -B (. Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 4 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $799.00 Plan Check Fee: $695.13 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $8.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $1,504.13 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: EXEMPT Policy No: Expire: 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: / Front: I Left: / Right: / Designer: Address: Phone: Special Conditions: •• • q P O NV 6GOGGC c $0.00 Planning Department - Fire Department $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 $0.00 Public Works Department- General Service $0.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 $0.00 San Dist : $0.00 $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $1,504.13 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: C O C••604 C tfi00J croscu nID-.ac. C T O S G �vDID-� i, m,.`b 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) action 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 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 )fessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 6iness 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 )rovements 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 )roved 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 )ly 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: my signature Iiialow 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 legal a structure 11Vn 64Ae 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 I;v§C)ns CodeYj%Available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw. html. nature of Propertyy��Owner or Authorized Agent Date -ENSED CbNYKACTOR'S DECLARATION .rofay affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of Division 3 of the Business and Profess'O od a is in fr I f rce I effect. LiceRsGCIAss License No Date Cn Z 2 Z/ Contractor Signature UaKtRS' COMPENSATION DECLARATION 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 1GES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. under penalty of perjury one of the following declarations: and 011 pfa ntain 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 :e of tAdwoAc for which this permit is issued. Policy No. I+ave and A 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' rance carrier and policy number are: of Agent ertify that, in the pi if I should become of Policy Number Expiration Date rwhi h this pe t is Is u , I shall not employ any person in any manner so as to become subject to the workers' compens Ion laws of California, and agre imp nsation r ision Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date_ Z 2 — Z CLARATION REGARDING CONSTRUCTION LENDING AGENCY :reby 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). )der'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 correct. I agree to comply with all applicable city and county rdinance and to I ws rel g t b Iding construction. I authorize representatives of this city or county to h abov = p y for spection purposes. nature of Prooertv Owner or Authorized Aaent int Prooertv Owner's or Authorized Agent's Name�!{LJ fa T ACTION DATE BY RDECLARATION OF I EGULATIONS PAR OMPLIA61 OF NT E CE WITH C DE OF FEDERUDERAL I FOR OFFICE USE ONLY PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA PERMITEXTENDED OMD PERMIT FINAL DaJBESTS NOTIFICATION IS LI AE CERTIFICATEOF ��AI Z PROPOSED NkMOLITI@tT` OCCUPANCY ISSUED SIGNATURE: