HomeMy WebLinkAboutX2018-2604 - Permits'°D City of Newport Beach - Building Division *X20182604* COMB Permit: X2018-2604
100 Civic Center Drive, Newport Beach, CA 92660 Project No: 1623-2018
,k Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
nauy�^ Combination Type - BLDG Issued Date : 08/30/2018
9
Inspection Area : 8
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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: 2245 ARBUTUS ST NB
Description: DEMO DETACHED GARAGE
360 SF
Legal Desc.: N TR 4705 LOT 100
Owner: CASTRO ANTONELLA
Contractor:
SALVINI MICHAEL CONTRACTORS Architect:
Address: 2245 ARBUTUS ST
Address:
836 EAST WASHINGTON
Address:
NEWPORT BEACH, CA 92660
SANTA ANA CA 92701
e
Phone:
Phone:
714-852-3844
Phone:
State Lie:
`
a
Applicant: SENNIKOFF STEVEN
Con State Lie:
637735
Engineer:
Address: 5500 E. 2ND ST
Lie Expire:
02/29/2020
Address:
o
LONG BEACH CA 90803
Bus Lie:
BT30059818
Phone: 562.438-2380
Lie Exp Date:
07131/2019
Phone:
State Lie:
•
• °
Code Edit: 2016
Worker's Compensation
Insurance
Designer:
L
• ° o
Type of Construction:
Occupancy Group: U
Carrier:
Policy No:
WIC EXEMPT
Address:
s e o
• o o °,�
••
•
° ° °
Added /New sq.ft. Bldg: 0
Expire:
Phone:
®• ° ° ° ,
Added /New sq. ft. Garage: 0
m
No of Stories: 0
Building Setbacks
Rear: /
Special Conditions:
FRANCHISED HAULER:
•
• • • ° o
No of Units : 0
Front: /
COUSYN GRADING & DEMO
'
°
•• °
Bldg Height: 0
Left: /
...
Bldg Sprinklers:
Right: I
Flood Zone:
Use Zone: Parking Spaces:
0 Fire Hazard Zone :
N
Construction Valuation: $1.000.00
Building Permit Fee: $97.00
Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Fee: $84.39
Additional Fee :
$0.00
Plan check Fee: $37.50
Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share : $0.00
Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant :
$0.00
SJH Trans: $0.00
Demolition Fee
Record Management: $0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee: $0.00
Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
Disabled Access : $0.00
PAN Plan Check: $0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist: $0.00
Building Green Fee : $1.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $219.89
Plan
Check Fee :
$0.00 Fee Due at Permit Issuance :
$219.89
/r
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL: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)
action 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 thq 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 Busines§ 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 penally of
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
ainess and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
)rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
)roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
)Iy to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure under the Contractors' State License Law for the following reason:
my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legallt
a struclyrethat I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
�fessione�Cyq�, is available upon request when this application is submitted or at the following We site:http:/lwww.leginfo.ca.gov/calaw.html.
of
pature Prpgerty Owner or Authorized Agent Date
-ENSED�60rN1RACTOR'S DECLARATION
areby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 o ivision of the Business an?RED
E nd my license is in full force
leffect. License Class License No Date �r 7 ' Contractor Sign
)RKER$' G05NPENSATION DECLARATION
..
rMNG: FAItIlRE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUHOUSAND DOLLARS (E100,000), IN ADDITION TO THE
h OF COMPeNsA ftgN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Iteby affir6uridt?r penally of perjury one of the following declarations:
T 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 th
fSrmance B:tbq Ark for which this permit is issued. Policy No.
.!;ave and will rrlaintain 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' compensatiol
irance carrilt.Ad policy number are:
Policy Number Expiration Date
Ct,
of Agent rnw)e
ertify that, in the perf man h w rk for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' coy ensation laws of California, and agre
I hould becomes bjec thew r ars' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ^7
ignature of Applicant �— - Date
DECLARATION REG RIDING C RUCTION LENDING AGENCY
hereby affirm under enalty 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).
ender's Name Lender's Address
y my signature below, I certify to each of the following:
I am the property owner or authorized to act o4pq
half.
I have read this application and the informatioct.
I agree to comply with all applicable city and cte laws relating to building construction.
1 authorize representatives of this city or countntified property for inspection purposes. .a / ��,
ionature of PronertV Owner or Authorized Acent _ Print Property Owner's or Authorized Agent's Name g V� Dat
DATE I BY / DECLARA41ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AC MD RULE
PERMITEXPIRED I I I ❑ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITFINAL f'n�1�) ❑ASBESTOS 40TIFICATION 15 NOT APPLICABLE TO
CERTIFICATE O
OCCUPANCYISSUEO 1 `�,� Y✓ SI NATURE• OLITI 10 ��