HomeMy WebLinkAboutX2021-0789 - Permits4tiy.clpT City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
a Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM GRAD
III��IIIII�IIIIII��IIIIIIIII�IIIIIIIIII�II II COMB Permit: X2021-0789
x 2 9 2 1 0 7 8 9 Project No : 0729-2021
Issued Date : 08126/2021
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 08/26/2024 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: NEW SFR W/ATT GARAGE 4,5161732 SF
Legal Desc.: N TR 234 ELK 9 LOT 3
Owner:
908 NB PROPERTY MANAGEMENT LLC
Contractor:
PATTERSON CONSTRUCTION
Address:
3717 EUCLID AVE
Address:
15 CORPORATE PLAZA STEA 50
DALLAS, TX 75205
NEWPORT BEACH CA 92660
Phone:
Phone:
949-723-1800
Applicant:
VAN VOORHIS JEFFREY A
Con State Lic:
802367
Address:
151 KALMUS DR. STE G-1
Lic Expire:
07/31/2022
COSTA MESA, CA 92626
Bus Lic:
BT02110534
Phone:
714-754-4040 -
Lic Exp Date:
09/3012021
Code Edit:
2019
i Type of Construction:
V-BSPR
i Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
4516
Added /New sq. ft. Garage:
732
No of Stories:
3
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
Y
Flood Zone:
X
Building Permit Fee: $7,371.00
Plan Check Fee:$5,528.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$92.00
Energy Compliance:
$303.00
CA Seismic Safety:
$113.69
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$35.00
TOTAL FEE: $31,605.41
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 9065406
Expire: 08/01/2022
Building Setbacks Rear:
0'
Front:
8'
Left:
3'
Right:
3'
Use Zone: R-1 Parkino
Soe
Excise Tax:
$1,102.08
Additional Fee :
$291.00
Grading Bonds Fee:
$0.00
Grading PC Consultant:
$2,066.40
Grading Permit Fee:
$1,304.00
Grading PC Fee:
$453.60
WQ Insp. Fee:
$152.00
Architect:
VAN VOORHIS JEFFREY A
Address:
151 KALMUS DR. STE G-1
COSTA MESA, CA 92626
Phone:
714-7544040 State Lic:C037065
Engineer:
MANS HADI FARHAD
Address:
1800 E 16TH ST UNIT B
SANTA ANA CA 92701
Phone:
714-835-2800 State Lic:C-036840
Designer:
Address:
PhoneNO
Special ® it99NO4rFb UG_F1@N NOISE
LIQUEFACTION C
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication : $0.00
PAN Plan Check : $406.00
Electrical %: $515.97 San Dist : $2,084.00
Mechanical %: $294.84 NMUSD Fee: $8,309.44
Plumbing %: $663.39
Plan Check Fee
Fire Department
$520.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
$7,521.00 Fee Due at Permit Issuance : $24,084.41
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjurythat 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
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 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
not 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 d7044,
that
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
urd a of 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).
❑ 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
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).
❑ 1 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 one year prior to completion of the improvements covered by this permit, I cannot legal
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://www.leginfo.ca.gov/calaw.html. Date
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0)g ivisio 3 of the Business and'Professio I'€, and my li tense is in full f
and effect. License Class
License No Da Contractor Signatur
✓ORKERS' COMPENSATION DECLARATION
A.RNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE HOUSANO DOLLARS I$100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
on, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thi
I have and will maintain a certificate of consent to self -insure for workers' compensati
e rmance of the work for which this permit is issued. Policy No.
have 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' compensatiol
Is ance carrier and policy number are:
tier Policy Number Expiration Date
Phone #
lame of Agent
�I certify that, in the performan 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 ogre
Tat, if I should beco�m�e�subje t�'0 kers' co m nsauon provis' -of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. � ��^ `/�,
Signature Of Applicanl, /" "'���� % D G�
)ECLARATION REGMbWG CONSTRUCTION LENDING AGENCY
hereby 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, 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 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 ordina ces and state laws relating to building construction.
I authorize representatives of this city or county to on
ove-iden 'fled Operty f ecticn purposes. 'A
signature of Property Owner or Authorized Agent
m
Print Property Owner's or Authorized Agent's Nae C�Inn Date
"`r
ACTION DATE BY CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART fit OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EMENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
SUBMITTED
TO
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