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HomeMy WebLinkAboutX2020-2749 - Permits11 4111000'City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 S Inspection Requests Phone (949)644-3255 ixoa'#`Combination Type - 5FP GRAD ELEC MECH PLUM iiiiiiiiiiiiiiiiiiiiiiiiiiiiiviiiiiiiiiiiiiii II COMB Permit: X2020-2749 Project No: 2185-2020 Issued Date : 04/2012021 Inspection Area : 2 OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/20/2024 OR PERMIT WILL BE INVALID PERMIT EXPIRES 180 DAYS AFTER ISSUANCE Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Job Address: 502 VIA LIDO NORD NB Description: NEW SFR WIGAR 2971 & 554 SF, COVERED PATIO 159 SF, BALCONIES 262 SF 6 N S Q ` Legal Desc.: TR 907 LOT 493 ALL -EX NWLY 40 FT- i LE'CT d Owner: SNELL MARK & TERI Contractor: PATTERSON CONSTRUCTION Architect: BRANDON CHRISTOPHER Address: 2865 S RABBIT BRUSH LN Address: 15 CORPORATE PLAZA STE.150 Address: COSTA MESA CA#G-1 92626 JACKSON WY 83001 NEWPORT BEACH CA 92660 949-723-1800 Phone: 714-754-4040 State Lic:C031637 Phone: Phone: Applicant: HANNA ELIZABETH Can State Lic: 802367 Engineer MANSHADI FARHAD Address: 1800 E 16TH ST UNIT B Address: 151 KALMUS DR #G-1 Lic Expire: Bus Lic: 07131/2022 BT02110534 SANTA ANA CA 92701 COSTA MESA CA 92626 Lic Exp Date: 09130/2021 Phone: 714-8335-2800 StateLic:C-036840 Phone: 714-754-4040 Code Ed201 Worker's Compensation Insurance CONI&TRUCTION N I��, • Type Construction: SPR STATE COMP Adp4QCJ: . , Occupancy Group: R311J Policy No: Expire: 9065406 08/0112021 Phone: Added /New sq.ft. Bldg: 2971 , Added /New sq. ft. Garage: 554 Building Setbacks Rear: 10' H2O Hi dens - Special Conditions: �y� No of Stories: 2 Front: 4' STREET .'tag N°c�e•s�c No of Units: 1 Left: 3' Bldg Height: 0 Right: 3' , Bldg Sprinklers: Y Flood Zone: X/AE8' Use Zone: R-1 Parkin Spaces: 0 Fire Hazard Zone : N Construction Valuation: $600 000.00 Building Permit Fee: $6,840.00 Excise Tax: $740.25 Planning Department Plan Fee: - Fire Department ; $462.50 Fire Inspection:0.00 Plan Check Fee: $3,272.50 Additional Fee : $452.00 check $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Overtime Plan Ck: $0.00 Fee: $0.00 Grading Bonds Fee: Grading PC Consultant: $1,945.86 SJH Trans : $0.00 Demolition Fee $0.00 Investigation Record Management: $102.00 Grading Permit Fee: $1,277.00 In -lieu Housing Fee: $0.00 Building DeptGeneral Service $0.00 Energy Compliance: $303.00 Grading PC Fee: $427.14 Public Works Department Park Dedication : - $0.00 Refund Deposit $0.00 CA Seismic Safety: $78.00 WQ Insp. Fee: $120.00 PAN Plan Check : $516.00 Grading Bond: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Electrical W $408.80 San Dist: $0.00 $0.00 Building Green Fee : $24.00 Mechanical W $233.60 NMUSD Fee: $0.00 $0.00 Plumbing %: $525.60 TOTAL FEE : $16,728.25 Plan Check Fee : $5,120.00 Fee Due at Permit Issuance : $11,608-25 PROCESSED BY: ZONING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: r �: 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) inc�icated below by the checkmark(S) I have placed next to the applicable items) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dolish, 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 Licens''"dddd1111 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 Se :tion 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 U all of or U portions o 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, througl 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 con pleticn, 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 70 , 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 Contract r 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 1 must have resided for at least onelyear 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:/Iwww.leginfo.ca.gov/calaw.htmi. 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 Se 17 00) If Division 3 of the Bu ' s and Profs ssi s Code, y license is in full force and effect. License Class License No a 'i 2c� / zl Contractor nature _ WORKERS' COMPENSATION DECLARATION WARNING: FAILURE C [. E-URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100,0001, IN ADDITION TO THE COST OF COMPENSATFON. DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. f hs�eby' affirm tinder penalty of perjury one of the following declarations: QI have and wil: ,n3?main a certificate of consent to self -insure for workers' compensation, issued by the Director I f Industrial Relations as provided for by Section 3700 of the Labor Code, for th "4 monce of the work for which this permit is issued. Policy No. ave and wii. maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the erformance of the work for which this permit is issued. My workers' compensatiol f an�arrier aad policy number are: (:grrier Policy Number Expiration Date Nam= or Agent Phone # ❑I Le,t:fy that, in the perfoy�+ance of the work f r which this permit is issued, I shall not employ any person in any manna so as to became subject to the work_ ' compensation laws of California, and agree `hat, if I should.Tecnmi 6bjec he workers' ompensation provisions of Section 3700 of the Labor Code, I shall forthwi h comply with those provisions. Signature of Ap nt Dat ri fto / a-. ( DECLARATION'fiR ONSTRUCTIO LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for whi this permit is issued (Section 0 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 behalf. I have read this application and the information I have provided is corr ct. I agree to comply with all applicable city and county orgriances and to laws relating to building construction. I authorize representatives of this city or c to a the abo perty for inspection purposes. Signature of Property Owner or Authorized gent Print PropertyOwner's or Authorized Agent's ��nZ 77jol do. ate o ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE= USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EMENDED QMD PERMIT FINAL U ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF q PROPOSED DEMOLITION OCCUPANCY ISSUED iS IJ c�r_unruvc.