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Home My WebLink AboutX2021-1956 - PermitsfCity of Newport Beach - Building Division "X2021-1956` COMB Permit: X2021-1956 100 Jivic Center Drive, Newport Beach, CA 92660 Project No: 1709-2021 Permit Counter Phone (949)644-3288 uuowi'l Inspection Requests Phone (949)644-3255�'@yIssued Combination Type BLDG PLUM 'V' Date : 07/27/2021 - y Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0712712024 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: 2495 OCEAN BLVD NB Description: DEMO SFR 6500 SF (4 BEDROOMS) Legal Desc.: P BK 36 PG 3 PAR 2 Owner: SHEEHY BRAIN Contractor: PATTERSON CONSTRUCTION Architect: BRANDON CHRISTOPHER Address: 99 JANE ST#5H Address: 15 CORPORATE PLAZA STE.150 Address: 151 KALMUS DR #G-1 NEW YORK NY 92625 NEWPORT BEACH CA 92660 COSTA MESA CA 92626 Phone: Phone: 949-723-1800 Phone: 714-754-4040 State Lic:C031637 Lic: WORK802367 Engineer: ORK Address:lt: 15 COR ORATE PLAZA STE 150 Lic Expire: 0731/2022 Address: No CONSTRUCTION NEWPORT BEACH, CA 92660 Bus Lic: BT02110534 -. - Phone: 949-402-1636 Lic Exp Date: 09/30/2021 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: A S Type of Construction: Carrier: STATE COMP ON S�T��Rr-yry�/r Address: J V 1 Occupancy Group: R3/U Policy No: 9065406 Added /New sq.ft. Bldg: 0 Expire: 08/01/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / Special Conditions: LANDSLIDE AREA No of Units : 1 Front: / CERT MAIL ATTACHED Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $20,000.00 Building Permit Fee: $122.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $223.00 Additional Fee : $0.00 Plan check Fee : $104.00 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 : $137.76 SJH Trans : $0.00 Demolition Fee Record Management: $6.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $27.00 Energy Compliance: $0.00 Grading PC Fee: $30.24 Public Works Department - General Service $265.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $152.00 Park Dedication : $0.00 Refund Deposit $1,692.00 Disabled Access: $0.00 PIN 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 %: $10.98 $0.00 TOTAL FEE : $2,770.98 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $2,770.98 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: , GRADING APPROVAL: 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 items) (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 Iicensure 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). 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, Business 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 improvements 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 improved for the purpose of sale). 1, 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 apply 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 exempt from Iicensure 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 one year prior to completion of the improvements covered by this permit, I cannot legall) sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://wvvw.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm ulhuer"penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 0 O) of Division 3 of the Business and Pr Sion ode, an my license is in full force and effect. Lice.i. c Mass License No Date y Z-% 11 Contractor Signatu �NURRERS' COMPENSATION DECLARATION NARNING: FAILURE r0 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED D DOLLA ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under aerially of perjury one of the fallowing 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 performance of the Aork forwhich 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: �f Agent I certify that, ;o the performance of the work for It, if I should become subject b tb@ workers' co of Policy Number Date 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 ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. n CLARATION REGARDiVG CSILMTRUC TION 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, Ider's Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property ow4stlaws I have read this application and the information I have provided I agree to comply with all applicable city and c unty ord' nces relating to building construction. I authorize representatives of this city or coun o r e aboroperty for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Ag ACTION DATE BY D Lzg5oATION COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AQM D RULE PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDEDCJ6/AQM D PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED I SBE5T05�FIC7 N IITAIIIICABLE TO 5 SITI 92EE 0600 2000 0622 920E OhEE 0600 2000 0622 9TOL T09E LOTL T000 Oh9T 6TOL EEEE 0600 2000 0622 920E + L s Ci rJ t=• w w c�V( IL b m Q Q N E _ ¢ voodoo" o 56EE 0600 2000 0622 9COc. hTLh 62hE T000 0g— 2 TOLL I