HomeMy WebLinkAboutX2021-3117 - Permits,•r}kT City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
r Combination Type - BLDGPLUM ,NO CONSTRUCTION NOISE
COMB Permit: X2021-3117
Project No : 2702-2021
Issued Date : 11/17/2021
Inspection Area : 1
2024 OR PERMIT WILL BE INVi
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 11/17/
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from WEEKEND
om 8:000m. No work on Sundays or Holidays
Job Address: 1615E BAY AVE NS aa....ed
Description: DEMO (E) SFR WIATT GARAGE 2,939 SF (4 BEDROOMS)
Legal Desc.: BALBOA BAY FRONT TR BLK P LOT BAND BALBOA TR EAST SIDE ADD BLK 25 POR
Owner:
SCHULMAN JAYINANCY
Address:
16201 MEADOWRIDGE WAY
ENCINO CA 91436
Phone:
Applicant:
TIM/PATTERSON CONST.
Address:
15 CORPORATE PLAZA STEA 50
NEWPORT BEACH CA 92660
Phone:
949-723-1800
Code Edit : 2019
Type of Construction: VB
Occupancy Group: R3/U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: N_
Building Permit Fee: $122.00
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
TOTAL FEE : $2,269.98
PROCESSED BY:
ZONING APPROVAL:
Contractor:
PATTERSON CONSTRUCTION
Address:
15 CORPORATE PLAZA STE.150
NEWPORT BEACH CA 92660
Phone:
949.723-1800
Con State Lic:
802367
Lic Expire:
07131/2022
Bus Lic:
BT02110534
Lic Exp Date:
09/30/2022
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 9065406
Expire: 08/01/2022
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: /
Left: I
Right: /
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
State Lic:
State Lic:
Phone:
Special Conditions: HAULER: JD DEMO
LIQUEFACTION & HIGH
DENSITY AREA
Zone:
$0.00
Planning Department -
$0.00
Fire Department
Fireaction:
$0.00
Plan check Fee :
$0.00
FPlan
$0.00
$0.00
$0.00
Fair Share :
SJH Trans :
$0.00
Demolition Fee
..
$27.00
$0.00
In -lieu Housing Fee :
$0.00
Building Dept Adm
General Service
$265.00
$0.00
Public Works Department -
Refund Deposit
$1,692.00
$152.00
Dedication :
Park plan Check:
$0.00
$0.00
Grading Bond:
$0.00
$0.00
San Dist:
$0.00
$0.00
$0.00
NMUSD Fee:
$0.00
$0.00
$10.98
$0.00
Fee
Due at Permit
Issuance :
$2,269.98
Plan Check Fee
:
PUBLIC 'PORTS APPROVAL:
PLAN CHECK BY:
APPRAVF,L TO ISSUE:
GRADING APPROVAL:
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) 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 items) 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 ir of the Business and
Professions Code) or that he or she is exempt from Iicensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the not more than five hundred dollars ($500). applicant to a civil penalty of
❑ 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,
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 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 Iicensure 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 legall
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.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section��770 ) of Division 3 of the Business and Pr essio ode, a my license is in full force
and effect. License Class License No Date) 1 J 1 i ! z�ontractor Signatur
NORKERS' COMPENSATION DECLARATION / _
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS D DO' RS I$100,000I, IN ADDITION TO THE
:OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 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 thi
)erformance of the work for which this permit is issued. Policy No.
.41—
and will tain 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 any number am
of Agent
Date
LJI certify that, in the performance of theNork r 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
that, if I should become su ject he worker compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant 1�/ —
DECLARATION REGA?na�ltyCof
NSTRU T N LENDING AGENCY
I hereby affirm under p perjury that the is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Lender's Address
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's half.
I have read this application and the information I have provided is coryect.
I agree to comply with all applicable city and county ordi nces a d to law'
aw lating to building construction.
I authorize representatives of this city or coun t r the ab I led property for inspection purposes. �1
Signature of Property Owner or Authorized Agent Print Prope Owner's or Authorized Agent's Name M /FDoT Da !/ ACTION DATE BY D RATION OF C PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY '
EGU TIONSPART61OFTITLE40ANE AOMD RULE
PERMIT EXPIRED
PERMIT FINAL „7 �1-7 1 -MASSES 5 NOTIFI i ION IS T PPLICABLE TO
CERTIFICATE OF V' !� ll PROPOS DU
OCCUPANCY ISSUED SIGN RE
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