HomeMy WebLinkAboutX2021-3068 - Permitss,,gero4; City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-3068
o¢ ,r 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 3 0 6 8 Project No : 2665-2021
rermit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255 ��i Issued Date : 03/17/2022
Combination Type - SFP GRAD MECH ELEC PLUM
°;S �"»d 1 1
1 S Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0311712025 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: 1720 SKYLARK LN NB
Description: NEW SFR ON EXISTING FOOTING W/ATT GARAGE 4,3111775 SF
Legal Desc.: N TR 3097 LOT 7
Owner:
BETZLER OLGAIBRETT
Address:
15 PARK AVE
MILL VALLEY CA 94941
Phone:
Applicant:
COOMBS RANDALL
Address:
17341 GROVEMONT ST
SANTA ANA CA 92705
Phone:
714-267-6826
Code Edit :
2019
Type of Construction:
V-B-SPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
4311
Added /New sq. ft. Garage:
0
No of Stories:
2
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
Y
Flood Zone:
X
Building Permit Fee: $5,770.00
Plan Check Fee: $4,416.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$62.00
Energy Compliance:
$303.00
CA Seismic Safety:
$112.45
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$35.00
TOTAL FEE: $18,202.34
PROCESSED BY:
ZONING APPROVAL:
Contractor:
J P CONTRACTING
Address:
3419 VIA LIDO #233
NEWPORT BEACH CA 92663
Phone:
714-337-3700
Con State Lic:
620654
Lic Expire:
05/31/2023
Bus Lic:
BT30046672
Lic Exp Date:
07/3112022
Worker's Compensation Insurance
Carrier: WC EXEMPT
Policy No: (NO EMPLOYEES)
Expire:
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee :
Electrical %:
Mechanical %:
Plumbing %:
Rear: 6
Front: 20
Left: 6
Right: 6
Parking Spat
$1,068.06
$291.00
$0.00
$0.00
$237.00
$199.00
$152.00
$403.90
$230.80
$519.30
Architect: COOMBS RANDALL B
Address: 17341 GROVEMONT ST
SANTA ANA, CA 92705 "
Phone: 714-744-1972 State Lic:C019185
Engineer: CHEN MING-TARNG
Address: 12121 CANDOR DR
CERRITOS CA 90703 ,
Phone: 714-521-0169 State Lic:C-054011
Designer: '
Address:
Phone:
Special Conditions: 4 bed to 4 bed
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication: $0.00
PAN Plan Check : $456.75
San Dist: $0.00
NMUSD Fee: $3,426.08
Fire Department
$520.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee: $6,376.51 Fee Due at Permit Issuance : $11,825.83
PUBLIC WORKS APPROVAL:
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
to 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 am; 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 L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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 theproperty, 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 legal)
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 Ccde, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
ignatu-e of Property Owner or Authorized Agent Date
JUENSED CONTRACTOR'S DECLARATION
hereby affirm 'under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 Division 3 of the Business and ?Prs ons.Q de 9 my license is in full force
nC effect. License Class License No Date -LL- Contractor SignatUOR,KERS'Ct )MPFNSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINL PE ALTIES AND CIVIL FINES UP TO ONE HUNTHOUSAND DOLLARS ($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 -rder penalty of perjury one of the following declarations:
I have and wil, 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
'.ormonce of the wLr:c for which this permit is issued. Policy No.
I 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' compensa
urance carrier and policy number are:
Policy Number Expiration Date
of Agent Phone #
certify that, in the performance of k 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
P if I should become su t to fth wo s' compensation provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. 7
nature of Applicant Date `•� ^�� �L�
CLARATION REGNblVlkCONSTRUCTION LENDING AGENCY
:reby affirm under an y of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
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's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and co my ordinances a to laws relating to building construction. /
I authorize representatives of this city or county NAnLar they entified property for inspection purposes.
nature of Prooertv Owner or Authorized Agent /T�—� Print Property Owner's or Authorized ADent's Name \ i 1 /iYl l /f�/ft Dat .3�/ %'
ACTION I DATE I BY
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF 1.�3 •'l ¢!
OCCUPANCYISSUED
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
EPA
TO
FOR OFFICE USE ONLY