HomeMy WebLinkAboutX2020-1363 - Permitsa n° City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
h =' Permit Counter Phone (949)644-3288 '
&r Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
COMB Permit: X2020-1363
IIIIIIIYIIIIIIIIYIIIIIIIIYIIYIIIIIIIIYIIIN
Project No : 1051-2020
Issued Date: 08121/2020
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 08/22/2023 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: 1737 SKYLARK LN NB
Description: SFR ADD 466 SF, REMODEL 357 SF. NEW PORCH 124 SF
Legal Desc.: N TR 3097 LOT 13
Owner:
DANIEL WILLIAM
Address:
1737 SKYLARK LN
NEWPORT BEACH, CA 92660
Phone:
714-907-7054
Applicant:
CONTRERAS FELIPE
Address:
3837 E 7TH ST
LONG BEACH CA 90804
Phone:
562-879-3756
Code Edit: 2019
Type of Construction: V-B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 466
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Building Permit Fee: $2,217.00
Plan Check Fee: $1,751.43
Overtime Plan Ck
$0.00
Investigation Fee:
$0.00
Record Management:
$42.00
Energy Compliance:
$157.50
CA Seismic Safety:
$29.25
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$9.00
TOTAL FEE_: $5,631.86
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
TREEIUM INC
Address:
5352 LAUREL CANYON BLVD #200
VALLEY VILLAGE CA 91607
Phone:
855-833-8733
Con State Lie:
617148
Lie Expire:
0413012021
Bus Lie:
BT30053191
Lie Exp Date:
11/30/2020
Worker's Compensation Insurance
Carrier: CAROLINA CASUALTY
Policy No: BNUWC0144084
Expire: 05/18/2021
Building Setbacks
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
Parkina Spaces
$0.00
($140.72)
$0.00
$0.00
$0.00
$0.00
$0.00
$155.19
$88.68
$199.53
Plan Check Fee
1�V cCT0
Architect:
Address:
Phone: State Lie
Engineer: RASHEED ZOHER
Address: 641 GALLOPING COLT
WALNUT CA 91789
Phone: 626-912-3365 State Lic:C-058615
Designer: CONTRERAS FELIPE
Address: 3837 E 7TH ST
LONG BEACH CA 90804
Phone: 562-879-3756
Special Conditions:
Planning Department -
Plan check Fee:
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication : $0.00
P/W Plan Check: $129.00
San Dist: $0.00
NMUSD Fee: $0.00
Fire Department
$185.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$26.00
General Service
$219.00
Refund Deposit
$564.00
Grading Bond:
$0.00
$0.00
$0.00
$5,631.86 Fee Due at Permit Issuance : $0.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
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:
the 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
Professions 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
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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
improved for the purpose of sale).
❑ I, 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 Contractor pursuant to the Contractors' State License Law).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below 1 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 legally
sell 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.�leginfo.m.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
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 Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date Contractor Signature
ORKERS' 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 THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I 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 thr
performance of the work 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' compensatior
insurance carder and policy number are:
Policy Number
of Agent
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any
, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
Date
o as to become subject to the workers' compensation laws of California, and
comply with those provisions.
nature of Applicant uare__
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
�reby affirm under penalty 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 county ordinances and state laws relating to building construction. i
I authorize representatives of this city or county to enter the above -identified property for inspection purposes. j
nature of PrODertv Owner or Authorized Agent _ Print Property Owner's or Authorized Agent's Name
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMITEXFENDED
CERTIFICATE OF
OCCUPANCYISSUED
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
ASBESTOS NOTIFICATION TO
2ft I /����' I ASBESTOS NOTIFICATION 1S NOT APPLICABLE TO
h' 71 '/',II C PROPOSED DEMOLITION
SIGNATURE:
Date