HomeMy WebLinkAboutX2022-1323 - PermitsCity of Newport Beach -Building Division Illl��������������������������i��������� III COMB Permit: X2022-1323
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 1 3 2 3 Project NO : 1223-2022
4
vPermit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255 Issued Date : 05/09/202
+Combination Type - BLDG PLUM 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: DEMO DUPLEX 4 BEDROOMS 2037 SF (TOTAL LIVABLE SF)
Legal Desc.: BALBOA ISLAND SEC 3 BLK 6 LOT 25
Owner: BURNS CLINT
Address: 110 APOLENA
NEWPORT BEACH, CA 92660
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: R3
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 2
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Building Permit Fee: $122.00
Plan Check Fee: $223.00
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
$0.0c
Building Green Fee :
$1.0c
TOTAL FEE: $2,444.98
PROCESSED BY:
ZONING APPROVAL:
GRADING 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:
BT00011199
Lic Exp Date:
0813112022
Worker's Compensation Insurance
Carrier: STATE COMP INS FUND
Policy No: 0783123
Expire: 10/0112022
Building Setbacks
Use
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical W
Mechanical %:
Plumbing %:
Rear: /
Front: I
Left: /
Right: I
Architect:
HARRISON IAN J.N.
Address:
220 NEWPORT CENTER DR #11-342
NEWPORT BEACH CA 92660
Phone:
949-723-1091 State Lic:0006947
Engineer:
Address:
_
Phone: State Lic: > > . .
Designer: s� - 11
Address: 13
FIEC � OT
Phone: IN N 1 �' � L_
Special Conditions:
Zone:
$0.00
Planning Department -
Fire Department
0.00
$0.00
Plan check Fee :
$104.00 0 00
$
Fire Plan Rev
$0.00
$0 00
$0.00
Fair Share :
$0.00
Demolition Fee
$0.00
SJH Trans :
In -lieu Housing Fee :
$0.00
BuildingDept dm
$27.00
$0.00
$0.00
Public Works Department -
Service
GeneRefund
$
$ 265.00
$0.00
Park Dedication
Deposit
Grading Bond:
.00
$0.00
Plan Check :
$0 00
$0.00
San Dist :
$0.00
$0.00
$0.00
NMUSD Fee:
$0.00
$0.00
$10.98
Fee
Due at Permit
Issuance :
$2,444.98
Plan Check Fee
: $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 lb 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 U 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 oroperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
zpply to an owner _f property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I an exempt from licensure under the Contractors' State License Law for the following reason:
Cy 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 Ftructure 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
Hro.ess,ons 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 PrOP-Ay Cwner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION Date
I hereby affirm under penalty of perjury that I am Jjcensed under provisions of Chapter 9 (commencing with Section 7 00) of iliion 3 of the Business and Prof�syion ,and Icense is in full force
Ono ef�ect. License Class fS License No Ii IR S-q f � Date S t -LZ Contractor Signature I�(
NORKERS' cnmPENSATION DECLARATION 941
'IARNING 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 ($1 a0,0001, IN ADDITION TO THE
:GET COMPENDATIC.N, CAMAGES AS PROVIDED FOR IN SECTION 3766 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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 the
Ierformance of the work for which this permit is issued. Policy No.
s`
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'
carrier and policy number are:
of Agent
Policy Number
Date
I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
It, if I should becomes bjec a we r o nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /�/
(nature of Applicant �� Da e'/N n !CLARATION REGARDING DITSTRUCTION LENDING AGENCY /'�- J '1
sreby 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.
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 statei laws relating to building construction.
I authorize representatives of this city or counby'to en r the ove-�e ti ed property for inspection purposes.
iature of ProOertv Owner or Authorized Anant _
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
EPA
PERMIT EXTENDED
AQMD
PERMIT FINAL
CERTIFICATEOF
Z,ZZ-L'L
J"'
�eI-
BESTOS NOTIFICATION 15 NOT A PL BLE TO
OCCUPANCY ISSUED
PROPOSED DEM LIT( � �P_
SIGNATURE: K �.
Civil Code).
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