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Home My WebLink AboutX2018-0365 - Permits (3)_.Ly of Newport Beach - Building Division it' 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG GQWW Permit: X2018-0365 III'�X 2 01 8 03Il - rojEct'No : 2788-2017 Issued Date : 0412012018 Inspection Area : 4 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VAL'D WCPEC7ION. Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a m. tc 6* p.m. No wnik ort jirgdiy7;br IK Job Address: 2715 WINDOVER DR NB Description: SFR RETAINING WALL 244 LF 8 TEMP SHORING Legal Desc.: N TR 6113 LOT 39 Owner: DUBCHANSKY SCOTT B Address: 2715 WINDOVER DR CORONA DEL MAR, CA 92625 Phone: Applicant: LINDSAY BRANDON Address: 151 KALMUS DR #G.1 COSTA MESA CA 92626 Phone: 714-754-4040 Code Edit: 2016 Type of Construction: V-B Occupancy Group: U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Construction Valuation: Building Permit Fee: $386.00 Plan Check Fee: $342.50 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 : $0.00 TOTALFEE: 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: 07/3112018 Bus Lic: BT02110534 Lic Exp Date: 09130/2018 Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9065406 Expire: 08131/2018 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: I Front: I Left: I Right: I 3arkina Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Architect: BRANDON CHRISTOPHER Address: 151 KALMUS DR#G-1 COSTA MESA CA 92626 Phone: 714-754-4040 State Lic:C031637 Engineer: JAFARI MASOUD Address: 23 ORCHARD #250 LAKE FOREST CA 92630 Phone: 949-206-9929 State Lic:S-003812 Designer: Address: Phone: Special Conditions Planning Department - Plan check Fee Fair Share: SJH Trans : In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $342.50 Fee Due at Permit Issuance : $423.50 PUBLIC WORKS APPROVAL: krclf PLAN CHECK BY: 5v."q / c-+% I GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjur7 ttat I an exempr trom 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 Oode: Any cIry ur aouoty that -equires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also require; the applicant 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 3 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 applicant to a civil penalty of not more than five hundred dollars ($500;. ❑ I, as owner of the property, or my eff,ployeos w!.h •vanes as their sale com✓ensation, will do I_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' Sta*e I icense Law 4ais :_iot 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, hJwesat, the bcilding s, 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). ❑ lam 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 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 fallowing Web site:http:/Aw .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent CIS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ''700�0)� ofD�(nnvisiio�o'n' //3��of the Bus iness and Professi � , and�1 Ic a is in f once and effect. License Class License No Date Contractor Signatur WORKERS' COMPENSATION DECLARATION ll K ` WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE (COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I 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 IN Rffamance of the work for which this permit is issued. Policy No. I h ve 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' compensation insur nce carrier and policy number are: arrier Policy Number Expiration Date Name of Agent - - Phone # I certify that, in the performance of th or for which this er A issued, I sh I not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre that, if I should become subject ork compensati r is s of Se n 3700 of the Labor Code, I shall forthwith comply with those provisions. " � Signature of Applican D� DECLARATION REGi ING CONSTRUCTION LENDING AGENCY I 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 Cade). Lenders 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 orreal I agree to comply with all applicable city and county ordinance a d s e la s relati to building construction. I authorize representatives of this city or cou o e a- fie rty for inspection purposes. t , Signature of PropertyOwner or Authorized Agent Print PropertyOwner's or Authorized Agent's Nam ?2:�iL Date ACTION DATE BY DECLAR ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EMENDED QMD PERMIT FINAL ^� ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF S-IZ-ZI }" PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: