HomeMy WebLinkAboutX2020-2309 - PermitsFp City of Newport Beach - Building DivisionI
COMB Permit: X2020-2309
IIGIIIIIII�IIIIIIII�IIIIIIIIIIIIIIIIIIIIII�IN II
9
100 Civic Center Drive, Newport Beach, CA 92660
Project NO : 1798-2020
H. '• Permit Counter Phone (949)644-3288
" P Inspection Requests Phone (949)644-3255 i/
ZU Z-6 X22) U
T
Combination Type -BLDG PLUM
Issued Date: 10114/2020
"j' `y LA
ZS 2-4
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1011512023 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: 2524 HOLLY LN NB
Description: DEMO SFR 1198 SF, 3 BEDROOMS. SEWER CAP INCLUDED
Legal Desc.: N TR 1702 LOT 30
Owner: HAMILTON VANESSA & JEFF Contractor:
PATTON CONSTRUCTION INC Architect:
Address: 2524 HOLLY LN Address:
1881 TAHITI DR Address:
NEWPORT BEACH, CA 92663
NEWPORT BEACH, CA 92663
Phone: Phone:
714.444-2980 Phone:
State Lic:
Applicant: SANCHEZ RYAN Con State Lic:
521850 Engineer:
Address: 2459 LEE AV Lic Expire:
12131/2021 Address:
S EL MONTE CA 91733 Bus Lic:
BT00000821
Phone: 626-705-6526 Lic Exp Date:
10/31/2020 Phone:
State Lic:
Code Edit: 2019 Worker's Compensation Insurance Designer:
Type of Construction: V-B Carrier:
STATE COMP INS Address:
-
Occupancy Group: R31U Policy No:
9037333
Added /New sq.ft. Bldg: 0 Expire:
0110112021 Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2 Building Setbacks
Rear: / Special Conditions:
AMERICAN WRECKING TO
of Units: 1
Bl
Bldg Height: 0
Front: /
Left: /
HAUL DEBRIS
INSPECTOR
Bldg Sprinklers:
Right: I
Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone :
N
Construction Valuation: $8.000.00
-
Building Permit Fee: $120.00 Excise Tax:
$0.00 Planning Department -
Fire Department
Plan Check Fee: $227.50 Additional Fee :
$0.00 Plan check Fee : $92.50
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: $0.00 Grading Permit Fee:
$0.00 In-lieu Housing Fee: $0.00
Building Dept Adm $26.00
Energy Compliance: $0.00 Grading PC Fee:
$0.00 Public Works Department -
General Service $316.00
CA Seismic Safety: $0.00 WQ Insp. Fee:
$120.00 Park Dedication : $0.00
Refund Deposit $1,127.00
Disabled Access: $0.00
P/W Plan Check: $0.00
Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %:
$0.00 San Dist: $0.00
Building Green Fee : $1.00 Mechanical %:
$0.00 NMUSD Fee: $0.00
- $0.00
Plumbing %:
$10.80
$0.00
TOTAL FEE : $2,040.80
Plan Check Fee : ° `o $WQD e ° 4 ° Fe&Mub 5t
Permit Issuance : $2,040.80
° °
PROCESSED BY:
° PUBLIC WORI:S APPROVAL°
ZONING APPROVAL:
PLAN CHECK BY:
oe o°° o 0 0 00•
GRADING APPROVAL:
i; AVORI)VACM0 ISSUE:
°®° o00 0 • ou v° o00
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
is 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 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
of more than five hundred dollars ($500).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness 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
n 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
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 licensure under the Contractors' State License Law for the following reason:
y 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 legal
all a structure that I have built as an 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
rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.hlml.
ignature of Property Owner or Authorized Agent to
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 ) of 9Iyis�i9�!��,o.f the Business and Profess' n ode It n e
nd effect. License Class License No Dat Contractor Signatur
✓ORKERS' COMPENSATION DECLARATION
ARMING: 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 TH!
OST 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
prmance 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
Date
me of Agent -vnone s
certify that, in the pV
ce of a work for which this ermit 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
I, if I should becometo the ggrk/ars¢o ns rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
nature of Applicant�i f .10 Ci✓ L� - Da G rYJ' �C,
CLARATION REGAftING 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).
lder'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 party owner's behalf.
I have read this application and the information I v provided is correct.
I agree to comply with all applicable city and co rdina e d sta aws laling to building construction.
I authorize representatives of this city or county o t ti ' y for inspection purposes. �5 f /�/ /
nature of Prcoertv Owner or Authorized ADent (✓ / UJ Print Property Owner's or Authorized Agent's Narry&f /' `,t2 / /"`% %L�V' Date
ACTION DATE BY NDECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403 ••• • ••• • •••
PERMIT EXPIRED SUB E A BE TOS•NOT}ROATIONT+O •`•
PERMITCANCELLED r,, EPA: • _ • • S _ • _ • • _
PERMITF/NAL VAS@ESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF I�2I- (�JA/(_� I PROPOSED DAICILITJcry ••• ••. •• ;
OCCUPANCYISSUED J SIGNATURE:
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