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HomeMy WebLinkAboutX2021-0255 - Permitswr City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP GRAD ELEC MECH PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIII�IIII COMB Permit: X2021-0255 Project No: 0278-2021 Issued Date : 07/07/2021 Inspection Area,: 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 07/07/2024 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: 80 LINDA ISLE NB Description: NEW SFR WIATT 3 CAR GAR 5199 8 629 SF Legal Desc.: N TR 4003 LOT 80 Owner: FANTICOLA CHRISTIAN Address: 1422 EDINGER AVE TUSTIN CA 92780 Phone: 9491400-8777 Applicant: WALZ JOHN ROBERT Address: 510 LARKSPUR AVE CORONA DEL MAR CA 92625 Phone: 949-836-5977 Code Edit : 2019 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 5199 Added /New sq. ft. Garage: 629 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: AE Construction Valuation: $1,035,000.00 Building Permit Fee: $6,710.00 Plan Check Fee: $5,528.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $90.00 Energy Compliance: $303.00 CA Seismic Safety: $134.55 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $42.00 TOTAL FEE: $23,149.09 PROCESSED BY: ZONING APPROVAL: Contractor: PENINSULA HOME BLDRS INC Address: 101 SHIPYARD WAY#A NEWPORT BEACH CA 92663 Phone: 949-723-0147 Con State Lic: 842666 Lic Expire: 0713112022 Bus Lic: BT30008665 Lic Exp Date: 01131/2022 Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expire: Building Setbacks Rear: 25 (front/linda) Front: 10 (water side) Left: 4 Right: 4 Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: WALZ JOHN ROBERT 510 LARKSPUR AVER'\ CORONA DEL MAR CA 92625 949-836-5977 State Uc:C031388 GABRIEL MICHAEL R 483 E 20TH STREET COSTA MESA CA 92627 -...mm 949-646-6596 State Lic:S-002939 ° m •, ° ma• • ° mD D D mmooaa • a a• • Special Conditions: DEMO 5 BDRMS BUILDING 4BEDROOMS Fire Hazard Zone : N $1,223.88 Planning Department- $0.00 Plan check Fee $0.00 Fair Share $1,928.64 SJH Trans: $1,376.00 In -lieu Housing Fee $423.36 Public Works Department - $1,220.00 Park Dedication : $0.00 PAN Plan Check : $101.50 $469.70 San Dist: $0.00 $268.40 NMUSD Fee: $2,206.16 $603.90 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: omc m aca• 8m° D o - o oVD Jo D 6 D i3 - eD @ m m(l4 mL a ooeam �mreoo • • °+a .o• o aooaom 0 $0.00 m o ..� $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $6,222.80 Fee Due at Pemnit Issuance : $16,926.29 A PUBLIC WORKS APPROVAL: e 1 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) ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priorto its issuance, also requires the applicant for 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 fessions 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 more than five hundred dollars ($500). j LJ I, as owner of the property, or my employees with wages as their sole compensation, will do U 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 'mproved for the purpose of sale). 711, 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 ContractIor pursuant to the Contractors' State License Law). LJ I am exempt from licensure under the Contractors' State License Law for the following reason: I By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I nder; Professions Code, is available upon request when this application is submitted or at the following Web site: http://www. legnfo.c Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)!; of it and effect. Licerysg,�lass License No Date NORKERS' C'tW?F14SATION DECLARATION 4-.RJIWr4FAILURF6T0 V-pIfRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN L ES OUST OF SOMPENSMTION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. that a copy of the applicable law, Section 7044 of the Business and Date 13 of the Business and Professions bd { (i tense is in full force Contractor Signature , CIVIL FINES UP TO ONE HUNDRED THOUSAND CLARS ($ 0;000), IN ADDITION TO THE .reby affirm under penalty of perjury one of the following declarations: I nave and wyl:rppintain a certificate of consent to self -insure for workers' compensation, issued by the Director f Industrial Relations as provided for by Section 3700 of the Labor Code, for fprrltnce of thpwork for which this permit is issued. Policy No. I 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' ild policy number are: Policy Number Expiration Date ; ._cprtLfij that, irfifie p*&rformance of the work for which It rat; if I should become -subject to the workers' compens ....../ 1. ignature of Applicant DECLARATION REG DING CONSTRUCTION LE DIN hereby affirm under pbnalty of perjury that there is a con: Ender's Name y my signature below, I certify to each of the following: I am the property owner or authorized to act on the pr I have read this application and the information I have I agree to comply with all applicable city and count I authorize representatives of this city or countyA Brij ACTION PERMIT EXPIRED PERMITC4NCELLED PERMIT EMENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED DATE I BY ed, I s I not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre f Secti 3700 of the Labor od shall forthwith comply with those provisions. �/ n Date / 7 /� agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Address +te I 1=ect�on ding construction. purposes. I ,// / /„) / ,Mli� -71 i OF CO PL CE WITH CODE OF FEDERAL FOR OFFICE USE ONLY PART 51OFT 40ANDAQMDRULE 1403 LJ I SUBMITTED ASBESTOS NOTIFICATION TO LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION