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Home My WebLink AboutX2021-2064 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-2064 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 2 0 s a PfOJBCY NO : 1789-2021 Permit Counter Phone (949)644-3288 -" 44 Inspection Requests Phone (949)644-3255 ,.' Combination Type - BLDG PLUM Issued Date : 08/0512021 Yau Inspection Area :2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0810512024 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: 508 VIA LIDO NORD NB Description: DEMO SFR 8 ATT GARAGE. 3245 SF. 4 BEDROOMS. SEWER CAP INCLUDED Legal Desc.: N TR 907 LOT 495 Owner: DEVIR JOHN Contractor: PATTERSON CONSTRUCTION Architect: Address: 508 VIA LIDO NORD Address: 15 CORPORATE PLAZA STE.150 Address: NEWPORT BEACH CA 92663 NEWPORT BEACH CA 92660 Phone: Applicant: ROOT TIM Phone: Con State Lic: 949-723-1800 802367 Phone: State Lic: /^'�NN\14o Engineer: CRAFT PAUL DOMINICK- �li` Vtltl L Address: 15 CORPORATE PLAZA STE 150 Lic Expire: 0713112022 Address: 8512 OXLEY CIR vVV NEWPORT BOEACH CA 92660 4 HUNTINPhone: A 92646 WStae Phone: Code Edit: 2019 LBicsEx'p Date: 09/30/2021 Worker's Compensation Insurance 716/tRO6M1 Designer: �v L o S 008516 ` \�o �� Type of Construction: V-B Carrier: STATE COMP Address: �J Occupancy Group: R3/U Policy No: 9065406 ^tom\ I^ SN Added /New sq.ft. Bldg: 0 Expire: 08/01/2022 Phone: r0A Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Building Setbacks Rear: / Front: / Special Conditions: high density JD demo to Bldg Height: 0 Left: I haul debris ? Bldg Sprinklers: Right: I �1.r 1 Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $12,500.00 Building Permit Fee: $122.00 Excise Tax: $0.00 Planning Department - Fire Department -- Plan Check Fee: $223.00 Additional Fee : $0.00 Plan check Fee : $104.00 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 : $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $27.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $265.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $1,220.00 Park Dedication : $0.00 Refund Deposit $1,692.00 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 NMUSO Fee: $0.00 $0.00 Plumbing %: $10.98 $0.00 TOTAL FEE : $3,664.98 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $3,664.98 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: y�1� 1 `W PLAN CHECK BY: GRADING APPROVAL: 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) 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 (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness 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). 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 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 Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Iignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 00) of Division 3 of the Business and Profes;s ( de, a y license Is in full force nd effect. License Class License No D e Contractor Signatur COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAR $100,000). IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: have and will maintain a Certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for hkiance of the work for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' carrier and policy number are: of Agent Policy Number Expiration Date Phone # certify that, in the performance 4gf the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and if I should become sut;iect t¢.t11e v(OLkirrs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of D t4,ca 1.9/, f CLARATION REGABOINOt'bIGSTRUCTION LENDING AGENCY :reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner' behalf. I have read this application and the information I have provided is C rrect. I agree to comply with all applicable city and county ordirInces state laws relating to building construction. I authorize representatives of this city or county to nteAhe ad property for inspection purposes. j n�fum ni P.....ed., n,.mer n. a,HHnrivnd anonf \/ Pdnr Prno Hv nulnor'e nr aurhnrl>cd AnanPc Nnm�/ T 1 w$ Civil Code). Date ACTION DATE BY DECLARATION OFCOMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO - PERMITCANCELLED DEPA PERMITEXTENDED qMD PERMITFINAL prl.ti BASBEST05NOTIFICATFN IS NOT PLICABLE TO CERTIFICATE OF 4 /-2I-1( jo+— PROPOSED DEIV LUTI0 OCCUPANCY ISSUED i SIGNATURE\ / _ /q,!&g 20 GD 4035 wo:=±-: 7019 1640 0001 7107 4011 :El1:1 ` � 2 • � ;