HomeMy WebLinkAboutX2020-0439 - Permits��wro City of Newport Beach - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
u¢ Inspection Requests Phone (949)644-3255
"r,ryp�'D Combination Type - BLDG PLUM
11111111111111111111111111111111111111111p111111111 JillCOMB Permit: X2020-0439
Project No : 1331-2019
Issued Date : 0211912020
Inspection Area : 5
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. =
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 NB
Description:
DEMO DUPLEX 1074 SF (111 BEDROOMS)
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Legal Desc.:
CORONA DEL MAR ELK 530 LOT 14
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Owner:
MULFUR CYNTHIA & TOM
Contractor: PATTERSON CONSTRUCTION Architect:
Address:
76191 VIA UZZANO
Address: 15 CORPORATE PLAZA STEA 50 Address: _
INDIAN WELLS CA 92210
NEWPORT BEACH CA 92660
Phone:
503-333-4590
Phone: 949-723-1800 Phone: State Lie:
Applicant:
ROOTTIM
Address:
15 CORPORATE PLAZA STE.150
NEWPORT BEACH CA 92660
Phone:
949-723-1800
Code Edit: 2016
Type of Construction: VB
Occupancy Group: R3
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 2
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation: $9,000.00
Building Permit Fee: $103.00
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
: $1
PROCESSED BY:
h(4]CIIk,CC] :101Ve119
Con State Lie:
802367
Engineer:
Lie Expire:
07/31/2020
Address:
Bus Lie:
BT02110534
Lie Exp Date:
09130/2020
Phone:
Worker's Compensation
Insurance
Designer:
Carrier:
STATE COMP
Address:
Policy No:
9066406
Expire:
08/01/2020
Phone:
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WO Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: I
Left: /
Right: I
'arking Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$9.27
Plan Check Fee
MANSHADI FARHAD
1800 E 16TH ST UNIT B
SANTA ANA CA 92701 -
714-835-2B00 State Lic:C-036840
e
NO CONSTRUCT9ON< NClSr=
Special Conditions: JD DEMO IS HAULER
2 STREET Tefi SATU RDAYS
0 Fire Hazard Zone : N
Planning Department -
Plan check Fee:
Fair Share :
SJH Trans:
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$0.00
PUBLIC WORKS /
PLAN CHECK BY:
Fire Department
$0.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$26.00
General Service
$210.00
Refund Deposit
$1,127.00
Grading Bond:
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $1,476.27
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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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).
11, 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).
7 I am exempt From licensure under the Contractors' State License Lawfor the following reason:
l7 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 legally
Ph 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 Code, ij available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw. html.
l:gnatur(, of PropeCy Owner or Authorized Agent Date
.ICENSED COPTRA_TOR'S DECLARATION
hereby iffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 ) f Division 3 of the Business and Prof ssp�;pR6figde, and m I nse is in full force
and effect. License Class License No Dat Z//f//3d Contractor Signature'
-- �
VORKFRS' CL)YPF.NSATION DECLARATION <J /
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,00D), IN ADDITION TO THE
'J.,-, 6F COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
:iereby affirm under penalty of perjury one of the following declarations:
T 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 the
x,ry:4nance of tree work-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:
Policy Number
of Agent
Date
11 certify that, in the performance 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 agre
iat, if I should become sMINGN4STRUC1fI_QA
mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applican Date_ Z. <
IECLARATION REGA LENDING AGENCY
hereby affirm under p nalty of peis a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ender's Name Lender's Address
ly my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordi antes and sta laws relating to building construction.
I authorize representatives of this city or county r he abov Ified property for inspection purposes.
lionature of Prooertv Owner or Authorized ADenf�i Print Propertv Owners or Authorized Agent's Namme�
ACTION DATE BY 1 rDECMRATION
REGULATIONS OF CO 1 LIANF TIT E WI
DE OF EDEERAL I I FOR OFFICE USE ONLY 1 11
PERMITEXPIRED I I / 1 11 Vri SUBMUTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED MD
PERMITFINAL ^ BESTOS NOTIFICATION 15 NOT APPLICABLE TO
/jW CERTIFICATE OF ROPOSED DI M ITION
OCCUPANCYISSUED SIGNATURE: S`�