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Home My WebLink AboutX2022-1625 - Permits�,Y,c+rrr4, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�III �� , • T 100 Civic Center Drive, Newport Beach, CA 92660 COMB Permit: X2022-1625 Permit Counter Phone (949)644-3288 Project No : 0170-2022 .; Inspection Requests Phone (949)644-3255- `+ttr„wa*' Combination Type - BLDG Issued Date : 06/08/2022 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 110 APOLENA AVE NB Description: SFR TEMPORARY SHORING Legal Desc.: BALBOA ISLAND SEC 3 BLK 6 LOT 26 Owner: BURNS CLINT Address: 110 APOLENA AV NEWPORT BEACH CA 92662 Phone: Applicant: HARRISON IAN J.N. Address: 220 NEWPORT CENTER DR #11.342 NEWPORT BEACH CA 92660 Phone: 949-723-1091 Code Edit : 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $2 500 00 Building Permit Fee: $609.00 Plan Check Fee: $0,00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $610.00 PROCESSED BY: ZONING APPROVAL: Contractor: VITARELLI CONSTRUCTION INC Address: 140 S BAY FRONT NEWPORT BEACH CA 92662 Phone: 949-677-1872 Con State Lic: 485418 Lic Expire: 02/28/2023 Bus Lic: ST00011199 Lic Exp Date: 0813112022 Worker's Compensation Insurance Carrier: STATE COMP INS FUND Policy No: 0783123 Expire: 10/01/2022 Building Setbacks Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical %: Plumbing %: Rear: 5 Front: 5 Left: 3 Right: 3 rking Spac $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Architect: HARRISON IAN J.N. Address: 220 NEWPORT CENTER DR #11-342 NEWPORT BEACH CA 92660 Phone: 949-723-1091 State Lic:0006947 Engineer: GABRIEL MICHAEL R Address: 483 E 20TH STREET COSTA MESA CA 92627 Phone: 949-646-6596 State Lic:S-002939 Designer: Address: Phone: Special Conditions: Planning Department - Plan check Fee Fair Share: SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist : $0.00 NMUSD Fee: $0.00 Plan Check Fee : $0.00 721 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $610.00 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 ish, or repair the cheucture (s) have placed next to the applicable item(s) ;Section 7031.5, Businessand Professions that he Code: As licensed or county that tortheires a permit to con I lions of the Contractorsstruct ' StaterLoense Lalw (Chapter9 (commentc ng with priorSe Section 7000) of Divisto its issuance, also ion 3 of the Business lfand the permits file a or nil Professions Code) or that he or She is exempt from s license 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 o not more than five hundred dollars ($500). will do L) L) P 44, I, as owner of the property, or my employees with wages as their sole compensation, all of or portions of the work, and the structure is not intended or offered for sale (Section provided that Business and roperty who, through improvements are not intended or offered for sale. State If, howlcense Law ever, the builoes not iild ng or imprly to an ovement sner soldfwithin one year of completion, loyees' or personal the Owner-Buildeweffort builds therburden of provingt that itwasnot builtor improved for the purpose of sale). I, as owner of t1hE property, am exclusively contracting with licensed Contractors to construct the project (Section Contractor Business and Professions Code: The Contractors' State License Law does no apply to an owner of omperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ' om exempt f-cm. under the Contractors' State License Law for the following reason: D completion of see. ayssructure that 1 have built es aneownere-builder f itrlhasenot beenconstructedconstructed idence in n I must have resided entirety by licensed contractors. r at least l understand that a copy of thene year prior bhappl cable law, Section 7044tof the Business nandnotlega Pmfe=dons Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Date Sirnaty;-e of Property Owner or Authorized Agent LICENSED CON i RACTOR'S DECLARATION I herebv affirm unJPr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se Datq D O) f [yvi_siotll3 of tCootractor 5 gnaturef s on ode; and y lic rise is full force and effect. License :ass License No 55 CC.. WORKERS' COMPENSATION DECLARATION PLOYER TO ARNIOF CO ILURE TO S LURE WO AS S' COIMPE FOEM R IN MNSATION COTVER GE ISF NLAWFUL, AND SHALL CODE, INTEREST,CT AN ATTORNEV'S FEESRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION T O THE THE COST I nereoy affirm unr penalty of perjury one of the following declarations: I have and wi;l 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, far th performance of the work for which this permit is issued. Policy No. 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' compensatio surance carrier and policy number are: Expiration Date ,,,,,flit Policy Number o1 e � me of Agent I certify that, in the pe rmance of the work for which h' permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, an agree It, if I should beco e s 'act orkerrs cp t n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. rrrrrr��\d'�/a-rp !1, ILJI Date `n )nature of Applicant) X :CLARATION REG DIN NSTRUCTION LENDING AGENCY ereby affirm under penalty of perjury that there is a construction lending agency forthe per Address of the work for which this permit is issued (Section 3097, IVI Code). rider's Name 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 and1untyordinances and state laws to building construction. �� authorize representatives of this city or co to ` ter thea ve-id ntified property for inspection urp ses. s or Authorized Agent's Nan � � Da Signature of Pro erty Owner or Authorized A4 it �-- ----- BY D ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ACTION DATE REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXPIRED PERMIT CANCELLED EPA PERMIT EXTENDED AQM D PERMIT FINAL D f,p— ASBESTOS NOT ICATION IS OT U CERTIFICATE OF Jr- ZZ-Z P POSE 0 ION S ib OCCUPANCY ISSUED SIGN TUR