HomeMy WebLinkAboutX2021-1610 - Permits�1I7ra4 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 6 1 0
F Permit Counter Phone (949)644-3288
sz., fi Inspection Requests Phone (949)644-3255
Combination Type - BLDG
NO CONSTRI1rTinfrl
COMB Permit: X2021-1610
Project No: 2407-2019
Issued Date : 06/22/2021
Inspection Area : 5
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: 2731 SEAVIEW AVE NB
Description: SFR BLOCK WALL 3'-6' X 192 LF (INSIDE P/L,MARKERS ON SITE) ON�®� �����
Legal Desc.: RESUB OF CORONA DEL MAR BLK 133 LOT 19
Owner: DIANE CUNIFF Contractor: PATTERSON CONSTRUCTION Architect: MCDANIEL RYAN G
Address: 1629 SUPERIOR AVE Address: 15 CORPORATE PLAZA STE.150 Address: 151 KALMUS DR STE G-1
COSTA MESA CA 92627 NEWPORT BEACH CA 92660 COSTA MESA CA 92626
Phone: Phone: 949-723-1800 Phone: 714-764-4040 State Lic:C035732
Applicant:
HYLAND BILL
Address:
15 CORPORATE PLAZA STE.150
NEWPORT BEACH CA 92660
Phone:
949-723-1800
Code Edit: 2019
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
Construction Valuation: $16,000.00
Building Permit Fee: $348.00
Plan Check Fee: $302.76
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $694.76
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lie:
802367
Engineer:
Lie Expire:
07/31/2022
Address:
Bus Lie:
BT02110534
Lie Exp Date:
09/30/2021
Phone:
Worker's Compensation
Insurance
Designer:
Carrier:
STATE COMP
Address:
Policy No:
9066406
Expire:
08/01/2021
Phone:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical W
Plumbing %:
Rear: 5'
Front: 10'
Left: 3'
Right: 3'
MANSHADI FARHAD
1800 E 16TH ST UNIT B
SANTA ANA CA 92701
714-835-2800 State Lic:C-036840
Special Conditions: HIGH DENSITY AREA
$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
PNV Plan Check:
$43.00
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:
$0.00
Fee Due at Permit Issuance :
$694.76
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PQBLtC 1AgRIjS APPROVAL:
(p y F94 Qmc Oa � r n PLAN CHECK BY:
APPROVALTO 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 requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
ie 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, 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,
lusiness 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
nproved 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 I am exempt from Iicensure under the Contractors' State License Law for the following reason:
ly 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 legall,.
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 Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 70 ) of Division 3 of the Business and Pro as ¢erode, a d y Ii�eys� Is In full force
nd effect. License Class License No Date. ,-zz- 2 Contractor Signatur 1S� I
VORKERS' COMPENSATION DECLARATION
IARNING: 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
DST 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
erformance of the work for which this permit is issued. Policy No.
and will m ntai(t 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 an policy, number ar%F rn n
Date
of Agent
3 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 agre
lat, if I should become sst4bject to the workers' cation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant )( 1� � \,o(9' sensD Lr, - 2 Z_ z b Z
IECLARATION REG*DING CONSTRUCTION LENDING AGENCY
hereby affirm under p nalty 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)
Ender's Name Lender's Address
y 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 county ordinances and state laws relating to building construction.
I authorize representatives of this city or county tproperty for inspection purposes. 1 Iyt
innature of Pronertv Owner or Authorized Anent ) `J J Print Prooertv Owner's or Authorized Anent's Na 1 (� 1�-� 1
DATE BY I` REGULATIONS PART DECLARATION OF OMPLIANCE WITH CODE OF 61 OF IITLE 40 AND QMD RULE AL FOR OFFICE USE ONLY
PERMITEXPIRED
ISUBMITTEDASBESfOS-.NCCrIFICATI TO • +
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PERMITCANCELLED
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PERMITEXTENDED
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PERMITFINAL
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
PROPOSED DEMOLITION ••• • • .
OCCUPANCYISSUED
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SIGNATURE: . • : " • ' "
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