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Home My WebLink AboutX2020-2221 - Permits1• City of Newport Beach - Building Division 111111111111111111111111111111111111111111111111111Jill COMB Permit: X2020-2221 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 2 2 2 1 Project W . rr `_ Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 X 2c� n �2Z� I Issued Date: 10114/2020 Combination Type -BLDG 25-3-� H-um 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 DETACHED GARAGE 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 Lie: Applicant: SANCHEZ RYAN Con State Lie: 521850 Engineer: Address: 2459 LEE AV Lie Expire: 1213112021 Address: S EL MONTE CA 91733 Bus Lie: BT00000821 Phone: 626-705-6526 Lie Exp Date: 1013112020 Phone: State Lic: Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: STATE COMP INS Address: Occupancy Group: U Policy No: 9037333 Added /New sq.ft. Bldg: 0 Expire: 01101/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: I Special Conditions: AMERICAN WRECKING TO No of Units : 1 Front: I HAUL DEBRIS ^®� Bldg Height: 0 Left: / Bldg Sprinklers: Right: / MVV./ 'NSPE1 Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $2.000.00 -. Building Permit Fee: $120.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee: $0.00 Plan check Fee: $0.00 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 : $0.00 Grading Permit Fee: $0.00 In-lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PNJ 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 %: $0.00 $0.00 TOTAL FEE : $121.00 Plan Check Fee : ° -,$0!00 m ° � ° Feplpu6 Batt Permit Issuance : $121.00 0 ooe o 0 o a PROCESSED BY: PUBLIC WORKS APPROVAL° ZONING APPROVAL: PLAN CHECK BY: oo° a coo GRADING APPROVAL: �. �. APPRIQV;4010 I9S,UE: c c o c °0 000 0 0 00 00 000 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) ction 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 U portions of the work, and the structure is not intended or offered far sale (Section 7044, ,iness and Professions Code: The Contractors' Stale 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: Iy 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 legaflt ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. 'signature of Property Owner or Authorized Agent ate .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) 1 1 'o of the Business and Pr f n y % I rce nd effect. License Class License No Dat Contractor Signal VORKERS' COMPENSATION DECLARATION 'ARNING: 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 ($700,000), IN ADDITION TO THE 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: A3 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, yrgance 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 —Pnone O I certify that, in the performa5egof the work for which this pe mit 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, t, if I should become subjeo he w fke c m e ti visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. mature of Applicant IL/ Da U 2� CLARATION REG DI 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). 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 hav llrovided is correct. agree to comply with all applicable city and count inanc s nd state I WE r I ting to building construction. I authorize representatives of this city or county t IIInf the v 1 of r inspection purposes. /' �^ ,.nr„re of ornnerr„ rn.,nor nr A, dhnrlced A�AntA/I /��t /o . ./ Print Prooertv Owner's or Authorized Aoent's Name 'Ai'��1G'�LI/ T!-%�%V'� Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 ••• • ••• • ••• PERMITEXPIRED ISUi B EEDBESTO A9S•NOTOW;G TIONTO PERMIT CANCELLED EPA • _ • • _ ' • _ PERMITF/NAL U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMdLITJdnj • • • • • • • �' OCCUPANCVISSUED SIGNATURE: ••• •• •• • • ••• ••