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Home My WebLink AboutX2021-0109 - Permitswrr,&r City of Newport Beach - Building Division 4 100 Civic Center Drive, Newport Beach, CA 92660 r P Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type- SFP MECH ELEC PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-0109 Project No : 0121-2021 Issued Date : 04/1912022 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0411912025 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: 3706 PARK LN NS Description: SFR REMODEL 140 SF, STORAGE 52 SF, 3RD FLOOR CALIFORNIA ROOM 194 SF, ROOF DECK 340 SF Legal DeSC.: P BK 51 PG 3 PAR 1 Owner: WOODALL NEIL Contractor: Address: 3706 PARK LN Address: NEWPORT BEACH, CA 92660 Phone: 949-28OA228 Phone: Applicant: RICHART JASON Con State Lic: Address: 1041 W 18TH ST, #A106 Lic Expire: COSTA MESA CA 92627 Bus Lic: Phone: 949/422-9191 Lic Exp Date: Code Edit: 2019 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 262 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X Construction Valuation: Building Permit Fee: $1,177.00 Plan Check Fee: $1,091.99 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $48.00 Energy Compliance: $67.03 CA Seismic Safety: $12.45 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $4.00 TOTAL FEE: $3,307.37 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: OWNER/BLDR O/B Worker's Compensation Insurance Carder: Policy No: Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical W Plumbing %: Rear: / Front: / Left: I Right: / 'arking Spa $0.00 $362.00 $0.00 $0.00 $0.00 $0.00 $0.00 $82.39 $47.08 $105.93 Architect Address: Phone: State Lic Engineer: GHAZLANI ANDY Address: 4202 ATLANTIC AVE #204 LONG BEACH CA 90807 Phone: 662-253-2385 State Lic:C-060867 Designer: RICHART JASON Address: 1041 W 18TH ST, STE Al 06 COSTA MESA CA 92627 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: $101.50 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $208.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: LU VIJ $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $2,649.51 Fee Due at PerrlA Issuance : $657.86 PUBLIC WORKS APPROVAL.'; FLAN CHECK 8Y: _ APPROVAL TO ISSUE: o 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, �a��s�''�ner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Isiness aid 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-Builderwill have the burden of proving that it was not built or nerved for a purpose of sale). a I, a ner 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 o 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). -1 1 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 resident in which I must hav esided for at least one year prior to completion of the improvements covered by this permit, I cannot legal ell a structure that I have built as an owner -builder if it has not b n con ucte In Its [ licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rgofessions Code, is available upon request gw n t s So s }t%r at Web site:http://www.leginfo.ca.govlcalaw.htmi. „ �( �/74 li nature of Property Owner or Authorized A en .,.1 ifs/ ' �U'�i P i� `L JCENSED CONTRACTOR'S DECLARAON" v-1 4 hereby affirm under penalty of perjury that m licensed(under p ovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License No Date Contractor Signature 'COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU BAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby 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 erformance of the work for which this permit is issued. Policy No. have 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' Fence carrier and policy number are: ie of Agent certify that, in the performance of the work if I should become suhriect to the workers' of Applicant Policy Number Expiration Date employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre I of the Labor Code, I shall forthwith comply with those provisions. MTe* hereby affirm under penalty of perjuryry tyfat thefe 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 3y 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 ordin as a state ws rela lding construction. I authorize representatives of this city or county t e r e a- 'ed pro nspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam!?d 4 ACTION DATE BY LA TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REG TION5 PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I L;i I S UBNk,7ED AS C ESTOS NOTI FI I A I iON-i0 PERMITCANCELLED -EPA PERMIT EXTENDED + CtM PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED p / 7(r2 ASBEST 5 NOTIFICATIONIS TAPP CAB TO PROPOSE DEMOL ION/ �� SIGNATAE: Y. ,% j�jJJJ-/.�/