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Home My WebLink AboutX2020-0398 - Permits$t=„ City of Newport Beach - Building Division IIIIIIIIII�IIIIIIII�IIIIIII�IIIIIIII�IIIIIIIII II COMB Permit: X2020-0398 .. 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 0 0 3 9 89 p Project No : 2010-2019 E - � Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 naue.,it�"c' Combination Type - BLDG Issued Date: 0211312020 Inspection Area : 5 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 worts on Sundays or Holidays Job Address: 4621 ORRINGTON RD NB Description: SFR TEMPORARY SHORING Legal Desc.: N TR 3357 LOT 67 Owner: WELLING GLEN & LAURI Contractor: PATTERSON CONSTRUCTION Architect: BRANDON CHRISTOPHER Address: 4621 ORRINGTON RD Address: 15 CORPORATE PLAZA STEA 50 Address: 151 KALMUS DR #G-1 .... CORONA DEL MAR, CA 92626 NEWPORT BEACH CA 92660 COSTA MESA CA 92626 °' • ° ° ° Phone: Phone: 949-723-1800 Phone: 714-754.4040 State Lic:C031637 °• ° ° Applicant: BRANDON CHRIS Con State Lie: 802367 Engineer: MANSHADI FARHAD ° ° ° • ° Address: 151 KALMUS DR Lie Expire: 07/31/2020 Address: 1800 E 16TH ST UNIT B ° ° ° ° ° ° • . ° COSTA MESA CA 92626 Bus Lie: BT02110534 SANTA ANA CA 92701 Phone: Lie Exp Date: 0913012020 Phone: 714-835-2800 State Lic:C-036840 Code Edit : 2016 Worker's Compensation Insurance Designer: Type of Construction: Carrier: STATE COMP Address: °, • ...... Occupancy Group: U Policy No: 9065406 p Added /New sq ft Bldg: 0 Added /New sq. ft. Garage: 0 Expire: 08 01/2020 Phone: i NQ r� No of Stories: 0 Building Setbacks Rear: 30' Special Conditions: No of Units : 0 Front: 6' Bldg Height: 0 Left: 6' Bldg Sprinklers: Right: 6' Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $125,000.00 Building Permit Fee: $554.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $917.00 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 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 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 : $5.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $1,476.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $$11,476.00 PROCESSED BY: PUBLIC WORKS APPROVAL: -e'St-�c( ZONING APPROVAL: 11 PLAN CHECK BY: GRADING APPROVAL: � n APPROVAL TO ISSUE: 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) :coon 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 Ifessions 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 U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 3iness 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 fly 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 exempj h5Rlljpensure under the Contractors' State License Law for the following reason: my signature bel" 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 legalll lastr'Ucture 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 Ifessbns Cod%j?a4ilable upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi. raters, of Propeity Owner or Authorized Agent Date :BNSED CONTRPCTOR'S DECLARATION , :reby affirm undeppenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) of Division 3 of the Business and Profe ion ode, and m r icense is in full force fejfect. License Class License No Date a Contractor Signature k&FEERS' COMPEAISATION DECLARATION .. .. IFAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN RED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE IT OF OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. ffirm upper jlalty of perjury one of the following declarations: 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 ce of t4A%%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' compensa carrier and policy number are: Policy Number of Agent Date certify that, in the perfo ance of the work fo hich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' com ensation laws of California, and agree t, if I should become s je o tie wor c mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date Z/ 13 /2 O CLARATION REG NG ON TRUCTI LENDING AGENCY �reby affirm under nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivil 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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and coun ordinances and state laws relating to building construction. I authorize representatives of this city or county t eglgf the a Identified property for inspection purposes. �_ nature of Prooertv Owner or Authorized Acent �L, Print Prooertv Owner's or Authorized AGent's Nam / .. 94.E f ate Z./ 1 7/2 ACTION DATE I BY REGULATIONS PARTOECLARATION OF O 1 O TIITLE 40 AN AQMD RULECE WITH CODE OF RAL FOR OFFICE USE ONLY PERMITEXPIRED Jdi SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA PERMIT EXTENDED QMD PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED C J' SBESTOS N IFICATION IS NOTAPPLICABLE TO SED DE OLITI SIGNATURE: