HomeMy WebLinkAboutXR2022-2367 - PermitsCity of Newport Beach �W POR I III I I I I II I I III II II II
r COMB Permit : XR2022-2367
Community Development Department -Building Division
1DO Civic Center Drive, Newport Beach, CA 92660 Plan Check No
n Permit Counter Phone: (949) 644-3288
Issued Date
Inspection Requests Phone: (949) 644-3255 Inspection Area : 3
°gcivo a��P newportbeachca.gov/inspections
Combination Type - SFP PLUM
Work Class - Demolition
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 604 ALDEAN PL Legal Desc : N TR 1583 BLK LOT 2
Description: DEMO SFR & GARAGE 1157 SF. 3 BEDROOM. SEWER CAP INCLUDED
Owner: RICHARD NELSON
Contractor: PATTON CONSTRUCTION INC
Architect
Address : 604 ALDEAN PL NEWPORT BEACH, CA 92663
Address : 1881 TAHITI DR NEWPORT BEACH, CA
Address
92663
Phone:
Phone: (714)444-2980
Phone:
Con State Lic : 521850
State Lic
Applicant: PATTON CONSTRUCTION INC
Lic Expire : 12/31/2023
Address : 1881 TAHITI DR NEWPORT BEACH, CA 92663
Bus Lic : BT00000821
Engineer
Phone: (714) 444-2980
Bus Lic Expire : 10/31/2022
Address
Workers' Compensation Insurance
Phone:
Owner/Builder :
Carrier :
Address:
Policy No: 9037333
Designer:
Phone:
W. C. Expire: 1/1/2023
Address
Phone:
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation :
$26,000.00
Type of Construction : V-B
Fire Hazard Zone : No
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups : R-3
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 1
Added/New sq. ft. Garage :
0
Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10
Flood Zone : X
I �o,
Use Zone : R-1 - Single -Unit Residential
1 N[
PROCESSED BY: oet
SPECIAL CONDITIONS: JD DEMO TO HAUL DEBRIS
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(si
(Section 7031.5, Business and Professions Code: Any city or County that requires a permit to construct, after. 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' Stale 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 appiieantto a civil penalty of
not more than five hundred dollars ($500).
El I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 Stale License Law does not
,aP�ply 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).
LJ I am exempt from icensure under the Contrectors' 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 legally
sell a structure that I have, built as on owner -builder if it has not been constructed In its entirely 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:iiwm .leg'mfo.ca.govicalaw.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 700 D' Ision 3 of the Business and Profs d e Is in full force
and effect. License Class License No Dat� ConVactor Sdgna a
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUaJEOT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t6100,000), IN ADDITION TO THE
COST 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:
I 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 th
mince of the work for which this permit is issued. Policy No.
va and. will maintain workers' compensation insurance, as required by Section 370D of the Labor Code.. for the performance of the work for which this permit is issued. My workers' compensatiol
sur ce carrier and policy number are:
Baer policy Number Expiration Date
Vane of Agent Phone lF
—1I certify that, in the pert f the wo k for w h thi permit Is issued, I shall not employ any person m any manner so as to become subject to the workers' compensation laws of Caffomia, and agre
,hat.. if I should become sable, t e work r.'o e s n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. p
14
>Ignalure of Applicant __, Da _____ 1� �.
DECLARATION REGAR N'T UCTION MENDING 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).
_endar s Name Lenders Address
3y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the properly owner's behalf.
have read this application and the information t hey, vitled is correct.
I agree to comply with all applicable city and county r it noes in sl. a relating to building construction.
I authorize representatives of this city or county to er e a. v -id rty for Inspection purposes. /
Si nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name V lzKll Date
ACTION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 51 OF TITLE 40 AND AQ.MD RULE
PERM1TkXPMED j U I5URMITTED A58ESTO5 NOTIFICATION TO
PERMlTCANCELIED pA All required alarms, rches gates and renew which . Lrre itpart of a pool/spa barrier, shall
PERA47ExTEND£O qMp be in place prior to ar pr ;ve! to fill poollspa & shall remain'�n place & be maintained for the
PERMIT PlNA1 ? `23 /uAyj�r�❑ ATD5 NOTI CA ION 15 T P A TO life Of the pool.
CERTIRCATE OF
QCCUPANCYfSSSU£D __' %%._]L SGNATUREDEM .._ 1. /L24%? _