HomeMy WebLinkAboutX2021-1518 - Permits (3)City of Newport Beach - Building Division
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
II
COMB Permit: X2021-1518
..
�, 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 1
1 5 1 6 Project No : 1335-2021
Permit Counter Phone (949)644-3288
a
Inspection Requests Phone (949)644-3255
Issued Date: 06/28I2021 �
/
� /
`:'��rna+'•'
Combination Type - SFP ELEC MECH PLUM
Inspection Area : 1
30. - l
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/28/2024 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 p.m. No work on Sundays or Holidays
L
Job Address:
389 23RD ST NS
50� i
Description:
Legal Desc.:
SFR INFILL VAULTED CEILING TO ADD 2 BEDROOMS, 2 BATH & GYM (511 SF, REMODEL 675 SF)
P BK 273 PG 45 PAR 1
(36:00
, � — 6o9 � -I I -
2,17 `v
Owner:
DOBSON JAMES
Address:
389 23RD ST
NEWPORT BEACH, CA 92660
Phone:
Applicant:
SANTANELLO JAMES
Address:
3419 VIA LIDO
NEWPORT BEACH, CA 92663
Phone:
Code Edit
Type of Construction: V-B
Occupancy Group: R3
Added /New sq.ft. Bldg: 511
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: N
Flood Zone: X
11 Construction Valuation: 500
Building Permit Fee: $3,637.00
Plan Check Fee: $3,164.19
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$28.00
Energy Compliance:
$303.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$20.00
TOTAL FEE: $8,777.84
PROCESSED BY:
ZONING APPROVAL:
GRI , JiNG APPROVAL:
Contractor: SANTANIELLO JAMES rE14REC[r
Address: 3419 I�dBED*#4°f Address:
IMPORT BEA H Q& 92663 it app!f cable,
Phone: - 97 Phone: � 1 0&% Ybjund
T1�'99 ,ate, Con State Enrineer� �A L
`mod^ ` is xp:re 08/31/2022 ddress: 1800 E 11 ST #B
Bus Up BTN035015 ' 'i r. SANTA ANA CA 92701 ,�--
-- -Lic Exp Date-`'�' 03/3112022^'.� r.x �� - one to
IIJlJ8hff0 tale Lic:C-030407
_3
` Worker's Compensation Insurance J c.°Designer: VALZANTI ARNE
Carrier. STATE COMP INS Address: 330 E HULLETT ST
PeIicy No; 9266012 LONG BEACH, CA 90805
Expire: 01/0112022 ' �x rg ne:. 949-922-4931
igiSetbacks Rear; I y..nS Conditions: CMSD PERMIT#SD21-0165
Front: I °st
Left. y� 9$ ��yy
Right: / ra 417e* ' n.9 9 �✓° Use Zone: Parking Spaces: 0 �^'Fjre az
1
0.00
alon s Fee: `�QrjjsgarteC`�
PC Consults $ 00
Permit Fee: $0.00
PC Fee: $0.00 _
.33
Wag Department '
Plan check Fee
Fair Share :
SJH Trans :
In -lieu Housing Fe
-_PPu�epartment-
Park Dedication : $0.00
43.00
San D' ®���``"°$
SD Fee: $0.00
(I o WC)fk SFitb ep fitment
46.25 Fire Inspection:
$0.00 Fire Plan Rev
$0.00 - ee
$0.00
$0.00
$0.00
Plan Check Fee : $3,556.44 Fee Due at Permit Issuance : $5,221.40
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: A� f
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the rea on (s) indicated
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alte prove, demolish
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contrac State License Law 1
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exennpti ny violation of Section
not more than five hundred dollars (S500). e
LJ I, as owner of the property, or my employees with wages as their sole com
Business and Professions Code: The Contractors' State License Law does not
improvements are not intended or offered for sale. If, however, the building or
improved for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed rI
apply to an owner of property who builds or improves thereon, and w ontrw
❑ I am exempt from licensure under the Contractors' State Lic a Law for t
By my signature below I acknowledge that, except for my p nal resident
sell a structure that I have built as an owner -builder if it not been co rucf
Professions Code, is available upon request when t ' p ion is sd6mitten
Signature of Property Owner or Authorized Age
LICENSED CONTRACTOR'S DECLA IO,N
I hereby affirm dnuer penalty of perjury I a �s under ovi ns of
nnc' offect. Cca.v.e Class Lice
WORKERS'COMPENSAT DEC L ION
NARN.NG: FAILURE TO SECUR RKERS' COMP S TION COVERAGE NL L. AND
CLsr OF COMPSNSAVQN,,Q#1IAGES AS PROYPtOFOR IN SECTION' 6t
hereby affirm it enaltyppotpe X ry one of fHe tollowirI
Ci I have an wit myqtaTa ce ificate of consent to_+.self-ir
fie' grmance l ;wof�.lbr which this. permit Is Issued Policy
and Wil
cannor
ie of Agent
certify that, in the pi
. if I should become
of Applicant
NOfkers' compensation insurapjce& .,'reN
number are:
Policy Number.
rk for which: this permit is is:
-scompensation provisions
or
)ensation, o U alhoi+ 'U po¢io Wthe work,
apply t owner q!(5. erty he` ugh employ
mp me++nt is ithin o ar of Zt4,Busi4
t
ctors to construct Q��ject (Section
is for the projPete a licensed ntracor putsan
ie.followino rea on:
which must have rem for at least one year prior
�d in tirety bv%�nsed contractors. I understanc
by Section 3700 of
Section
Date
ow by the checkmark(s) I have placed next to the applicable item(s)
repair any structure, prior to its issuance, also requires the applicant for
Ipter 9 (commencing with Section 7000) of Division 3 of the Business and
.5 by any applicant for a permit subjects the applicant to a civil penalty of
ao the,structbre is not intended or offered for sale (Section 7044,
s' or personal effort, builds or improves the property, provided that the
he Own - ilder will have the burden of proving that it was not built or
Code: The Contractors' State License Law does not
s' State License Law).
of the RIP Ncable law, Section 7044 of the Business and
Date
iiness and Prof onse ions C e, and my lit and my lit is in full force
ctor Signature
TO FEES. RIMINAL P�NO kle�JES UP TO ONE
gat
4 ��11
bYVheifiecto(Yndustrial Rela' s' as
IN ADDITION TO THE
Section 3700 of the Labor Code, for
this permit is issued. My workers'
C4' ExaWtion Date
one #
employ any person i ny moon o o become subject to the workers' compensatio laws of California, and agree
I of the Labor Co , 1 shall fo wit mply with those provisions.
011ie Date
Ireby affirm under pers�lry ty of p that there is a cos dyo T€ndiryency for the
ider's Name G� L
my signature below, I certify to eat of th o i ll�
am the property owner or authorize to anTconty
ropertybwner's ue' .
have read this application and the in me provided is cor
I agree to comply with all applicable city orditiat�ces stat _ elI authorize representatives of this city or cter sty[ ve-i rty
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE I BY
for which this permit is issued (Section 3097, Civil Code).
5 to building construction,
for inspection purposes.
IMP ANCE WITH TOE O EDE.
610 TITLE 40 AND AQMD ULE
IESTOS NOTIFICATION TO
ATION IS NQTAPPLICA E TO
FOR OFFICE USE ONLY
w