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
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949-646-6596 State Lic:S-002939 °
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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:
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$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