HomeMy WebLinkAboutX2020-1242 - Permits�wta4r City of Newport Beach - Building Division
.1' 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
s3 -ra Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM GRAD
IIII�IIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-1242
Project No : 0957-2020
Issued Date : p
Inspection Area :6-
COSTA
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: 620 POPPY AVE NB
Description: NEW SFR WIATT GAR AND BSMNT 4857 SF & 604 SF, DECK 435 SF, PORCH 107 SF, ROOF DECK 333 SF & BALCONIES 203 SF INSPE
CTO R
Contractor: PATTERSON CONSTRUCTION Architect: BRANDON CHRISTOPHER
Address: 620 POPPY IYJ�
Owner: JACKSON PAT �-Ql
Address: 15 CORPORATE PLAZA STE.150 Address: 151 KALMUS DR #G-1
NEWPORT BEACH CA 92660
Phone: 949-723-1800
Legal Desc.: N TR 673 BLK B LOT 11
Code Edit :
2019
Type of Construction:
V-B-SPR
Occupancy Group:
R3IU
Added /New sq.ft. Bldg:
4857
Added /New sq. ft. Garage: 604
No of Stories:
3
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
Y
Flood Zone:
X
Construction Valuation: $952,000.00
Building Permit Fee: $6,710.00
Plan Check Fee: $5,456.50
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$164.00
Energy Compliance:
$303.00
CA Seismic Safety:
$123.76
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$39.00 -^
IITOTAL
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
.47
Con State Lie:
802367
Lie Expire:
07131I2022
Bus Lie:
BT02110534
Lie Exp Date:
09/3012021
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 9065406
Expire: 08/01/2021
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WO Insp. Fee
Electrical %:
Mechanical %:
Plumbing %:
Rear: 10
Front: 20
Left: 3
Right: 3
Parkins Spaces
$1,146.81
$284.00
$0.00
$1,961.44
$1,698.00
$430.56
$120.00
$878.34
$501.91
$1,129.29
Plan Check Fee
MESA CA 92626
Phone: 714-754-4040 State Lic:C031637
Engineer: MANSHADI FARHAD
Address: 1800E 16TH ST UNIT B
SANTA ANA CA 92701
Phone: 714-835-2800 State Lic:C-036840
Designer:
Address:
Phone:
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Special Conditions:
FUEL MOD >» >
LANDSLIDEA AREA ,
VHFHSZ „
Fire Hazard Zone :
N ON SATUR�.�YS
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication : $0.00
P/W Plan Check : $430.00
San Dist: $1,939.00
NMUSD Fee: $6,079.36
$7,827.55
PUBLIC WORKS
PLAN CHECK BY:
Fire Department
$462.50
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$190.00
$0.00
Demolition Fee
$0.00
Building DeptAdm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $22,219.92
PPROVAL:
f
APPROVAL TO ISSUE:
NEWPORT BEACH, CA 92625
Phone:
626-437-0653
Applicant:
WILSON TYLER
Address:
151KALMUS DR STE G-1
COSTA MESA, CA 92626
Phone:
714-754-0040
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)
;action 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
e 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
3t more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U 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
iprovements 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
;proved 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
oply 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:
y 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
911 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, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/caiaw.html.
ignature of Property Owner or Authorized Agent Date
ICENSED COYTPACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section Tof Divisio 3 of the Business and Professions Code, and my license is in full force
no eEect. Lic. nse Class License No Date ® Contractor Signature
IORKERS' COMPENSATION DECLARATION
ArN:NG: FAILURE r0 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED USAND DOLLARS (5700,DODI, IN ADDITION TO THE
DST OF COMPEN3ATIOV, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I�ereLy affirm irder penalty of perjury one of the following declarations:
t have and wiWmaintain 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 IN
4rfnjjx,Snce of Lio .vork for which 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 Ruu policy number are:
Policy Number
le of Agent'_
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 agrei
I, if I should become subject to orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date (/,jai/7_+
CLARATION REG RDING CON XrRLTCOON LENDING AGENCY
ireby affirm under penalty of ury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
p�
der'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 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county to a above -identified property r inspection purposes.
3ignature of Property Owner or Authorized Agen Print Property Owners or Authorized A
ACTION DATE BY D RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
GULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
EPA
PERMIT EMENDED
L1AQMD
PERMITFINAL
D A _
ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF
,-30
T/^
PROPOSED DEMOLITION
OCCUPANCY ISSUED
SIGNATURE: