HomeMy WebLinkAboutX2014-1149 - PermitsCity of Newport Beach - Building Division..
100 Civic Center Drive. Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
V
Combination Type - SFP ELEC MECH PLUM
Job Address: 1701 SKYLARK LN NB
Description:SFR ADD/
KITCHEN EXPANSION 110 SF AND RMDL 34 SF
Inspector Area: 3 Legal.Dgq
Owner:
PALMQUIST TIM S
Address:
.
1701 SKYLARK LN -
:1
NEWPORT BEACH, CA 92660
Phone:
3
Applicant:
PALMQUIST TIM
Address:
1701 SKYLARK LN
NEWPORT BEACH, CA 92660
Phone
Code Edit : 2013
Type of Construction: VB
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 110
Added /New sq. ft. Garage: 0
No of Stories. 2
No of Units: 1
Bldg Height: 0
Bldg Sprinklers:
Construction
Building Permit Fee: $481.00
Plan Check Fee: $346.32
Overtime Plan Ck: $0.00
Investigation Fee:
$0.00
Record Management:
$14.00
Energy Compliance:
$56.00
CA Seismic Safety:
$2.80
Disabled Access:
$0.00
Fee Increase: Fee:
$0.00
Additional Fee :
$0.00
Hazardous Mat:
$0.00
Building Green Fee:
$2.00
TOTALFEE:
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
%WNER/BLDR
Phone:
Con$t 1da,1g)/13J0Al\(M
LicExbb re
*X2014-1149*
COMB Permit: X2014-1149
Project No: 0950-2014
Inspection Requests Phone (949)644-3255
Issued Date : 04/24/2014
=e
Address:
Phone: ° n1 State Lic:
ti
Engineer: NELSON Irb MI,WILLIAM pA �_, KE _
AIdr�� 9 1 I�E$ARCHij121VE #200 5
r�-3' 4RIN�`'OA'9`�6 Fa -
Phone: 949-752-2070 State Lic S-O(
Worker's Compensation Insurance Designer:
Carrier. Address
Policy No:
s
Expire: h e ��
Building Setbacks Rear: / .,- F � Pp a o 076'ATH-FORM ATTACHED
Front: /
Left: /
%00�
10%09 ❑P
ru"�
apar
m�c
Hxi5�a
70
PlanchF
ildde JJ
Fair Share :
Grading PC Consultant
0�p
{b'O:oli.°
SJH Trans
Grading Permit Fee:
$0.00
In -lieu Hous��in,ggF
Grading P 3 Fee:
of s' ep
ee .
$0.00
Park Dedication
P/W Plan Check
Electrical %:
$33.67
San Dist:
Mechanical %:
$24.05
NMUSD Fee:
Plumbing %:
$48.10
Plan Check Fee
Fire
I ',�, Fire Plan Rev
$0.00
$0.00
$0.00
$0.00
$1,062.04 Fee Due at Permit
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
General Service
Refund Deposit
APPROVAL TO ISSUE:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS !PLUMBING FIXTURES TO BE UPGRADED
'ia o
•fl 4.00 0....
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
OWNER -BUILDER DECLARATION i
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 itereys)
ction 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
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
tslons 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
are than five hundred dollars ($500).
as owner of the prope
rty, rty, 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,
;iness 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
rovements 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 burd-e7r of proving that it was not built or
roved for the purpose of sale).
I, as owner of the property, -am exclusively contracting with licensed
ly to an owner of property who b iIQL d_,.;--�arttftlPls21'
LJ I am exempt from Iicensure un e
By my signature below I acknowle
sell a structure that I have built as
Professions Code, is avail
Signature of PPJn ner or Aut
LICENSED CONTRACTOR'S
I hereby affirm under penalty of ped
and effect. License Class
WORKERS' G®id9PENSATION I
WARNING: FAILURE SO SECURE WORKERS
COST OF COMPEN S4T40N, DAMAGES AS PF
•...•
I hereby affirm uridpi;Qenalty of perjr
C! I have and will maintain a card
perltmance of the \A"k for which tf
ELI have and wAl4adltain workers'
Insurance carriecandpolicy number
NpiApr- .•
ie of Agent
cerofy that,.ip:he.performance of
, J 0:should becomd subject to the
IEture of AooliuMl
the Contractors' State License
lam
hereby affirm under penalty of perjury h9fO
enders Name
ly my signature below, I certify to eac of the
I am the property owner or authori d to i
I have read this application and the
I agree to comply with all applicable ci
I authorize representatives of t I y or c
tignature of Property Owner orArrt�,
or
insurance, as required by Section 3700 of the Labor Code, for
AGENCY
AC7hW1 n4W
BY
PFRWFTF}.`P Fn
fi
r'E17Jso`rTGAfld'i1LL^_n
PERASrT,Yr.TENDED
PL4MfT r1NAt
i,ER-,F.VCATE OF
OCCUPANCYiSSVEO
_
MTiiofessions Code: The Conti
to the Contractors' State License
ro esslons
Contractor Signature
TIES AND CIVIL FINES UP TO ONE HUNDRED
of Industrial Relations as provided for,by Sec
performance of the work for hich this permit
u u
uR„pr at n[late b'?Y
v Phone # ..
I not employ any person in any n%Fifl' kWQrtKb 6i`s8hJV_t to the workers'
3700 of the Labor Code, I shall forthwith comply with those provisions.
of the work for which this
Address
g to building construction.
for inspection purposes.
Print Property Owner's, or Authorized
FEDERAL REGULATIONS PART Bf OF 717LE40 AND
❑ t SFK1WTTT1?ASFYST0S W)TfrX'ATX)N TC):
❑ EPA
\ ❑ f0cmzi
M
to License Law does not
y this permit, I cannot legall)�
14 of
the Busines and
I Z r
f my license is in full force
IS ($100,000(, IN ADDITION TO THE
0 of the Labor Code, for th(
I. My workers' compensatior
I laws of California, and agrec