HomeMy WebLinkAboutX2021-0529 - Permitsgwrc,4,F City of Newport Beach - Building Division *X2021-0529* COMB Permit: X2021-0529
100 Civic Center Drive, Newport Beach, CA 92660 U1 Project No : 0482-2021
Permit Counter Phone (949)644-3288 ! n 'pry
Inspection Requests Phone (949)644=3255 � .g i. Issued Date : 0711212021
Combination Type- SFP ELEC MECH PLUM GRAD 4 v Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0711212024 OR PERMIT WILL BE INVALID
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 9:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 1720 KINGS RD NB
Description: NEW SFR WIATTACHED GARAGE 5818 SF & 640 SF
Legal Desc.: N TR 1221 LOT 15
Owner:
WERNER ERIC LAWRENCE
Address:
1720 KINGS RD
NEWPORT BEACH, CA 92663
Phone:
Applicant:
OLSEN ERIC
Address:
2728 E COAST HWY, STE A
CORONA DEL MAR CA 92625
Phone:
949-887-8856
Code Edit :
2019
Type of Construction:
V-B-SPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
5818
Added /New sq. ft. Garage:
640
No of Stories:
2
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
Y
Flood Zone:
X
Building Permit Fee: $9,159.00
Plan Check Fee: $6,683.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$58.00
Energy Compliance:
$303.00
CA Seismic Safety:
$130.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$40.00
TOTAL FEE: $33,354.58
PROCESSED BY:
ZONING APPROVAL:
Contractor:
LONGMAN CONSTRUCTION CO INC
Architect:
OLSEN ERIC
Address:
2782 CIRCLE DR
Address:
2728 E COAST HWY, STE A
NEWPORT BEACH CA 92663
CORONA DEL MAR CA 92625
Phone:
949-722-7711
Phone:
949-887-8856 State Lic:C034489
Con State Lic:
393881
Engineer:
FORBES DALE L -
Lic Expire:
08/31/2021
Address:
1800 E 16TH ST #B
Bus Lic:
BT00001921
SANTA ANA CA 92701
Lic Exp Date:
03/31/2022
Phone:
714-835-2800 State Lic:C-030407
Worker's Compensation
Insurance
Carrier:
STATE COMP INS FUND
Policy No:
9062475
Expire:
07/01/2022
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 10
Front: 20
Left: 4
Right: 4
$1,356.18
$0.00
$0.00
$0.00
$973.00
$846.51
$1,220.00
$641.13
$366.36
$824.31
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard Zone :
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication : $0.00
PAN Plan Check: $558.25
San Dist: $2,084.00
NMUSD Fee: $7,591.84
Plan Check Fee : $7,050.24
Fire Department
$520.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $26,304.34
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
,aaoa
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
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 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' 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).
I am exempt from Iicensure 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 following Web site:http://w .leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CON peCTOR'S DECLARATION
I affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 s 3 f the Business and Profess I ` d a r y .. nse full force
and elfeut. License Cass License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
d'ARNI,NI: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR D T USAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37D6 OF THE LAeOR CODE, INTEREST, AND ATTORNEY'S FEES.
1,aereby affirm under penalty of perjury one of the following declarations:
.have and wdl mdi.ltain 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
"-!;P&nce of tha worl. for which this permit is issued. Policy No.
�I h3'rr• 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' compensatiol
isbrance carrier and Nulicy number are:
riPr Policy Number Expiration Date
r.mo of Agent,____ Phone #
I certify that, in the performance wor r ch this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensatio aws California, and agre,
lot, if should becomes ject wor pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. jj..��//// /t ignature of Applicant Datry—
ECLARATION REG G CONSTRUCT LENDING AGENCY ✓✓ \\
hereby affirm under penalty of perjury that Mere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ender's Name Lender's Address
y my signature below, I certify to each of the following:
am the property owner or authorized to act on the property ow is bah
have read this application and the information I have pro is cor
agree to comply with all applicable city and c unty ces an t aws relating to building construction. /
authorize representatives of this city or count the ab - ntifigd property for inspection purposes. / / _ _ _ _ _ _ _ n % �. .6 d
ACTION DATE BY - DECLARATIONPrCOMPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 4F
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
F01