HomeMy WebLinkAboutX2019-3242 - Permits1 tad City of Newport Beach - BUilding Division IIIIIIIIIII�III�III�IIIIIIIIIIIIIIIIIIIIIIIII�II„ III COMB Permit: X2019-3242
ss4¢- 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 2 4 2
Project No: 2248-2019
F Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255 ,
°x mrt%v'a Combination Type - SFP PLUM MECH ELEC GRAD Issued Date :
Inspection Arearea :2020
5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 424 RIVERA TER NB
Description: NEW SFR WI BASEMENT 333511484 SF
Legal Desc.: TR 1237 LOT 155 POR OF LOT(AND POR OF LOT 156
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Owner: DOLOTTA PETER/SUH SUNG-HEE
Contractor:
PATTERSON CONSTRUCTION Architect: BRANDON CHRISTOPHEJ
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Address: 231 DRIFTWOOD RD
Address:
15 CORPORATE PLAZA STEA 50 Address: 151 KALMUS DR #G-1
CDM CA 92626
NEWPORT BEACH CA 92660 COSTA MESA CA 92626
Phone:
Phone:
949-723-1800
Phone: 714-754-4040 State Lic:C031637
Applicant: BRANDON CHRISTOPHER
Con State Lie:
802367
Engineer: HAKIM FADY
Address: 151 KALMUS DR #G-1
- Lie Expire:
07/31/2020
Address: 124 PEONY
COSTA MESA CA 92626
Bus Lie:
BT02110534
IRVINE CA 92618
Phone: 714-754-4040
Lie Exp Date: 09/3012020
Phone: 310-422-1536 State Lic:C-075736
Code Edit, 2016
Worker's Compensation Insurance
Designer:
Type of Construction: V-B-SPR
Carrier:
STATE COMP
Address:
Occupancy Group: R3
Policy No:
9065406
'
Added /New sq.ft. Bldg: 4819
Expire:
0810112020
Phone:
° • °
Added /New sq. ft. Garage: 0
....
No of Stories: 3
Building Setbacks
Rear: 10'
Special Conditions:
° ° -=
�' ° •' ;
No of Units : 7 -
Front: 5'
Bldg Height: 0
Left: 6'
Bldg Sprinklers: Y
Right: 6'
Flood Zone: X
Use Zone: R-1-6000 Parkin S aces:
0 Fire Hazard Zone : N
e • ° °
° °
Construction Valuation: $843,000.00
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Building Permit Fee: $6,279.00
Excise Tax:
$1,011.99
Planning Department - Fire Department
Plan Check Fee: $5,058.00
Additional Fee:
$570.00
Plan check Fee : $417.00 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Sham: $0.00 Fine Plan Rev
40.00°
o °
Investigation Fee: $0.00
Grading PC Consultant:
$1,644.92
SJH Trans : $0.00 Demolition Fee
Record Management: $142.00
Grading Permit Fee:
$1,829.00
In -lieu Housing Fee : $0.00 Building Dept Adm
W9°
Energy Compliance: $268.00
Grading PC Fee:
$361.08
Public Works Department - General Service
$0.00°°
CA Seismic Safety: $109.59
WQ Insp. Fee:
$108.00
Park Dedication : $0.00 Refund Deposit
$0.00
Disabled Access: $0.00
P/W Plan Check: $247.50 Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$821.92
San Dist: $1,794.00 '
Building Green Fee : $34.00
Mechanical %:
$469.67
NMUSD Fee: $3,618.08
$0.00
Plumbing %:
$1,056.76
$0.00
TOTAL FEE : $25,740.51
Plan Check Fee
: $8,113.55 Fee Due at Permit Issuance : % $17,626.96
PROCESSED BY:
PUBLIC WORKS APPROVAL:
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ZONING APPROVAL: �
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PLAN CHECK BY: -
GRADING APPROVAL: \fib
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)
(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
the 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
Professions 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
not more than five hundred dollars ($500).
LJ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throul
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of cc
improved for the purpose of sale).
111, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70.
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contra(
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least or
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I
Professions Code, is available upon request when this application is submitted or at the following Web site:hfp://www.le
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect' gn 70DC
and effect. License Class License No llte
INORKERS' COMPENSATION DECLARATION ��•� \\\\
the work, and the structure is not intended or offered for sale (Section 7044,
employees' or personal effort, builds or improves the property, provided that the
pletion, the Owner -Builder will have the burden of proving that it was not built or
Business and Professions Code: The Contractors' State License Law does not
pursuant to the Contractors' State License Law).
to completion of the improvements covered by this permit, I cannot
that a copy of the applicable law, Section 7044 of the Business and
'calaw.html.
A Date
of the Business and
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDTH USAND DOLLARS ($100,01
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:
7 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
,erformance of ih%wQrIZ for which this permit is issued. Policy No.
and 411 jnatnttain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the
s carrieranil olicy number are:
Policy Number
Agents
y that, in the p'erforman o the for his pe[Malsissued, I shall not employ any person in any manor
;houlcl bPFo111)r subject ,�vvoEka ' co „ on provisions of Section 3700 of the Labor Code, I shall forthv
of A�F�ant
;ATION REGARDIiy(G ONSTRUCTIbN LENDING AGENCY
affirm.under penalty f p rjury that there is a construction lending agency for the performance of the work for wh
Name" ' Lender's Address
rty-signat(ye below I certify to each of the following:
I am the pr8o" owner or authorized to act on the
I have read this application and the information I he
I agree to comply with all applicable city and county
I authorize representatives of this city or county to 6
lature of Prooertv Owner or Authonze(M6ent i,
ACTION I DATE
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EMENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
3 to building construction.
for inspection purposes.
OF COMPLIANCE WITH CODE OF FEDERAL I FOR
PART 61 OF TITLE 40 AND AQMD RULE
UASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
IN ADDITION TO THE
Labor Code, for
of the work for which this permit is issued. My workers'
Date
so as to become subject to the workers' compensation laws of California, and agree
1 comply with those provisions.
this permit is issued (Section 3097, Civil Code).
USE ONLY