HomeMy WebLinkAboutX2021-2278 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-2278
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 2 2 7 8 Project No : 0729-2021
w : Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SLOG PLUM Issued Date : I2021
Inspection Arearea :1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/26/2024 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: 908 W OCEAN FRONT NB
Description: DEMO SFR R ATT GARAGE. 3199 SF. 4 BEDROOMS. SEWER CAP INCLUDED
Legal Desc.: N TR 234 BLK 9 LOT 3
Owner:
908 NB PROPERTY MANAGEMENT LLC
Address:
3717 EUCLID AVE
DALLAS, TX 75205
Phone:
Applicant:
VAN VOORHIS JEFFREYA
Address:
151 KALMUS DR. STE G-1
COSTA MESA, CA 92626
Phone:
714-754-4040
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: R3/1.1
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Building Permit Fee: $122.00
Plan Check Fee: $0.00
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: $1,704.98
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: PATTERSON CONSTRUCTION Architect:
Address: 15 CORPORATE PLAZA STE.150 : Noise
Phone: 949N7.0 4 `tRU C�honel:
Can State Lic:
802367
Lic Expire:
07/31/2022
Bus Lic:
BT02110634
Lic Exp Date:
09/30/2021
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 9065406
Expire: 08/01/2022
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical W
Mechanical W
Plumbing %:
Rear: /
Front: /
Left: /
Right: /
arking Spa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$152.00
$0.00
$0.00
$10.98
Engineer:
Address:
ON ND
4 onei:
Designer:
Address:
Phone:
Special Conditions: JD DEMO TO
HAUL DEBRIS
Planning Department -
Plan check Fee:
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
State Lic:
State Lic:
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Plan Check Fee: $0.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
Aikido
$0.00
$0.00
$27.00
$265.00
$1,127.00
$0.00
$0.00
$0.00
$1,704.98
d")�o
OWNER -BUILDER DECLARATION 1
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) lindicated 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).
LJ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portion
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, thrc
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of
improved for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contr
❑ I 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
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors
Professions Code, is available upon request when this application is submitted or at the following Web site:ht1p://www.
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 701
and effect. License Class _ License No note.!
COMPENSATION DECLARATION
1ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA1
:DST OF COMPENSATION, DAMAGES AS PROwDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 Dire
e mance of the work for which this permit is issued. Policy No.
h ve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for
Isur nce carder and policy number are:
ne of Agent
certify that, in the performance
if I should become subject tort
Policy Number
of the work, and the structure is not intended or offered for sale (Section 7044,
3h employees' or personal effort, builds or improves the property, provided that the
impletion, 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).
year prior to completion of the improvements covered by this permit, I cannot
nderstand that a copy of the applicable law, Section 7044 of the Business and
3 of the Business and
_L Contractor Sipna
AND CIVIL FINES UP TO ONE HUNDRED
Date
and mv.4cens5, is in
DOLLARS ($100,000), IN ADDITION TO THE
of Industrial Relations as provided for by Section 3700 of the Labor Code, for
performance of the work for which this permit is issued. My workers'
Date
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
Akers' compen.AtiOryovisions of 00 of the Labor Code, I shall forthwith comply with those provisions.
'ignature of Applican ''
IECLARATION REG NG ON TRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for
ender's Name Lender's Address
y my signature below, 1 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 to enter �bove-identjfriad property for ins iori purposes.
ignature of Property Owner or Authorized ADenh I ilL/ws, (�.>✓.L�./ p,ht n... .o
ACTION
DATE I BY
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PEE\ T FINAL t kit .Z t
<ATE OF
OF COMPLIANCE WITH CODE OF FEDERAL FOR
PART 61 OF TITLE 40 AND AQMD RULE
1403
SUBMITTED ASBESTOS NOTIFICATION TO
ISNOTAPPLICABLE TO
Day, _O /' //;-1
this permit is issued (Section 3097, Civil Code).
USE ONLY