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HomeMy WebLinkAboutX2022-1226 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG NO CONSTRUCTION NOISE COMB Permit: X2022-1226 Project No : 1331-2019 Issued Date : 04/2712022 Inspection Area : 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: 512 BEGONIA AVE B I Description: MFR CMU WALL 2NMAXx 25 LF (3) PILASTERS (CITY STD PLAN) ON THE. WEEKEND Legal Desc • CORONA DEL MAR BILK 530 LOT 14 Z Owner: MULFUR CYNTHIA & TOM Address: 76191 VIA UZZANO Contractor: Address: PATTERSON CONSTRUCTION 15 CORPORATE PLAZA STE.150 Architect: Address: INDIAN WELLS CA 92210 NEWPORT BEACH CA 92660 Phone: Phone: 503-333.4590 Phone: 949-723-1800 Phone: State Lic: Applicant: PATTERSON CONSTRUCTION Con State Lic: 802367 Engineer: rn Address: 15 CORPORATE PLAZA STE.150 Lic Expire: 07/31/2022 Address: -. NEWPORT BEACH CA 92660 Bus Lic: ST02110534 Phone: 949-723-1800 Lic Exp Date: 09/30/2022 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: TONY/PATTERSON CONST Type of Construction: VB Carrier: STATE COMP Address: 15 CORPORATE PLAZA #213 Occupancy Group: U Policy No: 9065406 NEWPORT BEACH 92660 Added /New sq.ft. Bldg: 0 Expire: 0810112022 Phone: 949-723-1800 Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: 5' Special Conditions: No of Units: 0 Front: 18' Bldg Height: 0 Left: 3' Bldg Sprinklers: Right: 3' Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $3,000.00 Building Permit Fee: $127.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $110.49 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 : $2.00 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 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN 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 %: $0.00 $0.00 TOTAL FEE : $240.49 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $240.49 PROCESSED BY: PU3LIC 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 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). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Usiness 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 am exempt from licensure 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 Cade, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. lignature of Property Owner or Authorized Agent D910 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 1 pf�lBysigp� the Business and Pr ssi an y i e is in full force nd effect. License Class License No Date i / L F[ Contractor Si nat COMPENSATION DECLARATION ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO C OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: RIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU RED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE 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 'orryance of the work forwhich this permit is issued. Policy No. have and will m In workers' compensation insurance, as rance carrier an ooIi number are/� _ of Agent by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Date 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 t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date_ CLARATION REGARDING CONSTRUCTION LENDING AGENCY Ireby 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 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 provid s correct. I agree to comply with all applicable city and c unty or¢in es and state s Ing to building construction. I authorize representatives of this city or cou to the abo i Ie roperty for inspection purposes. nature Of Pmoertv Owner or Authorized Agent Print Property Owners or Authorized Agent's Nam ACTION DATE BY ' R CIA T ION PART 610 TNT E CE I AND TH DE OFAQMD RULERAL I FOR OFFICE USE ONLY Civil Code). I/>°�j�' Date _A 2 PERMIT EXPIRED L_I 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED J EPA PERMIT EXTENDED M D PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: