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Home My WebLink AboutX2021-2569 - Permitsypiv �fb%gt- City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 a Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIII II COMB Permit: X2021-2569 NO CONSTRUCTION NOISFPfojectNo: 113s-2o21 Tssued Date : 09/23/2021 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PRO � � work on Sundays WILL L BEINVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday rom t Job Address: 205 AMETHYST AVE NB Description: DEMO (E) SFR W/GARAGE 732 SF (2 BEDROOMS) Legal Desc.: BALBOA ISLAND SEC 3 BILK 19 LOT 26 Owner: BOHLINGER PETER Address: 1140 HIGHLAND AVE MANHATTAN BEACH, CA 90266 Phone: Applicant: SANTANIELLO JAMES Address: 419 VIA LIDO #115 NEWPORT BEACH CA 92663 Phone: 714-815-5097 Code Edit: 2019 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Building Permit Fee: $122.00 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: $2,117.98 PROCESSED BY: ZONING APPROVAL: Contractor: SANTANIELLO JAMES Address: 3419 VIA LIDO #115 NEWPORT BEACH CA 92663 Phone: 714-815-5097 Con State Lic: 361862 Lic Expire: 08/31/2022 Bus Lic: BT30035015 Lic Exp Date: 03/3112022 Worker's Compensation Insurance Carrier: STATE COMP INS Policy No: 9266012 Expire: 01/01/2022 Building Setbacks Rear: / Front: / Left: / Right: I Use Zone: Parking Spa Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: State Lic: State Lic: Special Conditions: HAULER; JD DEMO HIGH DENSITY AREA Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $27.00 Grading PC Fee: $0.00 Public Works Department - General Service $265.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $1,692.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $10.98 $0.00 1 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,117.98 B .01 - P.UECLh: WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: 4PPPOV/' L 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 R 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 L) all of or L) 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). U I am exempt from licensure under the Contractors' State License Law for the following reason: By 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 legall). 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.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent D e LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 ivisi n 3 of the Business an P fe ion Code, a my license is in full force and effect. License Class License No Date Contractor Signa WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE HOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 performance of the work for which this permit is issued. Policy No. Rnhave and will fain workers' comp . ation insurance, as requ' ed by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatioi ance carrier d p icy number are: Carrier Polic u er Expiration Date 'Jame of Agent Phone # ❑1 certify that, in the perf4eof f hich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compens��ion I ws of California, and agreI ws of California, and agre:hat, if I should becomers' ensation provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. Signature of ApplicantDECLARATION REGATI LENDING AGENCY hereby affirm under pe athere s 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 3y my signature below, I ertify to each of the following: / I am the property owner or authorized to act on the grope y owner's behalf. I have read this application and the information ave pro ided is corr t. ` (� Y e I agree to comply with all applicable city and C unt ordi ance, and ate ws relating to building construction. j authorize representatives of this city or coun a tF7>ratlove ' n ' d property for inspection purposes. Signature of Property Owner or Authorized Age C.,1 Print Property Owners or Authorized Agent's Nam ACTION DATE E RAT N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY EG TIONS PART 610E TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED 0 ISU ITTED ASBESTOS N57IFIC:ITION TO PERMIT CANCELLED EP - PERMIT EXTENDED Q D PERMITFINAL ASBE 0 1 ATION IS NO PPLICABLE TO CERTIFICATE OF PROP E L 10 - OCCUPANCYISSUED Io ti� SIG TUR . - - ��== 6TO4