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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: � y/�+T= '''�r,�'g �/(� {�_ CONSTRVV I,r�✓r�J •""'R"" N® 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: