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Home My WebLink AboutX2022-0303 - Permitsr�,wr„�, City of Newport Beach - Building Division *X2022-0303" .� ,,; Tp 100 Civic Center Drive, Newport Beach, CA 92660 .; ' .. Permit Counter Phone (949)644-3288 u"A Inspection Requests Phone (949)644-3255 � !� I�,^`T !!� A'1��; 4i.� - •:,��y��y,,,* Combination Type - BLDG u COMB Permit: X2022-030 Project No : 2011-2019 Issued Date : 02/02/2022 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/02/2025 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: 119 SHORECLIFF RD NB Description: SFR BIO-RETENTION (REV21-1993) Legal Desc.: N TR 1116 LOT 116 Owner: BENTLEY GREG & DONELLE Contractor: PATTERSON CONSTRUCTION Architect: BRANDON CHRISTOPHER Address: 119 SHORECLIFF RD Address: 15 CORPORATE PLAZA STE.150 Address: 151 KALM US OR #G-1 CORONA DEL MAR, CA 92625 NEWPORT BEACH CA 92660 COSTA MESA CA 92626 Phone: 949-520-0663 Phone: 949.723-1800 Phone: 714.754-4040 State Lic:C031637 - Applicant: BRANDON ARCHITECTS, INC. Con State Lic: 802367 Engineer: MANSHADI FARHAD Address: 151 KALMUS DRIVE #G-1 Lic Expire: 07/31/2022 Address: 1800 E 16TH ST UNIT B COSTA MESA, CA 92626 Bus Lic: BT02110534 SANTA ANA CA 92701 Phone: 714-7544040 Lic Exp Date: 09/30/2022 Phone: 714-835-2800 State Lic:C-036840 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B-SPR Carrier: STATE COMP Address: „ Occupancy Group: R3/U Policy No: 9065406 Added /New sq.ft. Bldg: 0 Expire: 08101/2022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: 6 Special Conditions: No of Units : 1 Front: 25 , Bldg Height: 0 Left: 6 Bldg Sprinklers: Y Right: 6 Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $5,000.00 Building Permit Fee: $161.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $140.07 Additional Fee : $65.25 Plan check Fee: $52.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $12.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safely: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist; $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $431.32 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $431.32 PROCESSED BY: ZONING APPROVAL: c PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: SP1G APPROVAL TO ISSUE: M (C 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) 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 applicant for ie 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved for the purpose of sale). 1, 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 pply 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: ly 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 ell 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 Case, is mailable upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html. 'ignatum of Property Owner or Authorized Agent Date ICENSED CIONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professlo and myice r a Is In fuu force nd effect. Licensa Class License No DatOC2 /22 Contractor Signature V.ORKERS' CGfdPENSATION DECLARATION 7 iARNINGI FAILURE ",G SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($I00,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby.afflrm urd=r 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 the 811"Irmcnce of tte wcrfor which this permit is issued. Policy No. 31 Have and wili Inaimain 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' compensation Isuranca carrier and aJicy nuAnber are: Policy Number 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 if I should become subjectSa-thq workers' corppensation pEgyielo's of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date 2 �L- Xt - la— ereby 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). Ider's Name Lender's Address 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 enterl4lp]bove-ider4fied_properr;y4. [fispection purposes. of Property Owner or Authorized ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED I DATE I BY Print $ECLARATION OF COMPLIANCE WITH CODE OF FEDEI REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 SUBMITTED ASBESTOS NOTIFICATION TO EPA QM D - ASBESTOS NOTIFICATION IS NOT PLICABLE TO PROPOSEDM SIGNATURE::X Owner's or Authorized ADent's Name I FOR OFFICE USE ONLY Dat 2' I—