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: