HomeMy WebLinkAboutX2022-0148 - Permits(9)
City of Newport Beach - Building Division 11IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 11COMB Permit: X2022-0148
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 0 1 4 8 Project No : 0170-2022
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255.,...,d:;Issued Date: 0610812022
Combination Type - SFP ELEC MECH PLUM GRAD
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: NEW SFR W/ ATT JUNIOR ACCESSORY DWELLING UNIT 2501 SF. ATT GARAGE
399 SF
Legal Desc.: BALBOA ISLAND SEC 3 BLK 6 LOT 25
,
Owner: BURNS CLINT
Contractor: VITARELLI CONSTRUCTION INC Architect: HARRISON IAN J.N.
- -
Address: 110 APOLENA AV
Address: 140 S BAY FRONT
Address: 220 NEWPORT CENTER DR #11-342
NEWPORT BEACH CA 92662
NEWPORT BEACH CA 92662 NEWPORT BEACH CA 92660
, - ' • '
Phone:
Phone: 949-677-1872
Phone: 949-723-1091 State Lic:C006947
Applicant: HARRISON IAN J.N.
Con State Lic: 485418
Engineer: GABRIEL MICHAEL R
Address: 220 NEWPORT CENTER DR #11-342 Lic Expire: 02/28/2023
Address: 483 E 20TH STREET
NEWPORT BEACH CA 92660
Bus Lic: BT00011199
COSTA MESA CA 92627
Phone: 949-723-1091
Lic Exp Date: 08/3112022
Phone: 949-646-6596 State Lic:S-002939
,
Code Edit : 2019
Worker's Compensation Insurance
Designer:
Type of Construction: V-B-SPR
Carrier: STATE COMP
INS FUND Address:
. - . ....
Occupancy Group: R3/U
Policy No: 0783123
Added /New sq.ft. Bldg: 2501
Expire: 1010112022
Phone:
Added /New sq. ft. Garage: 398
No of Stories: 3
Building Setbacks Rear: 5
Special Conditions: HIGH DENSITY
No of Units: 1
Front: 5
LIQUEFACTION AREA
Bldg Height: 0
Left: 3
4 BDRM TO 4 BDRM
Bldg Sprinklers: Y
Right: 3
Flood Zone: 0.2%
Use Zone: Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $525,000.00
Building Permit Fee: $5,855.00
Excise Tax: $608.79
Planning Department - Fire Department
Plan Check Fee: $3,297.00
Additional Fee: $0.00
Plan check Fee : $520.00 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: $58.00
Grading Permit Fee: $973.00
In -lieu Housing Fee : $0.00 Building Dept Adm
$0.00
Energy Compliance: $303.00
Grading PC Fee: $846.51
Public Works Department - General Service
$0.00
CA Seismic Safety : $68.25
WQ Insp. Fee: $1,220.00
Park Dedication : $0.00 Refund Deposit
$0.00
Disabled Access : $0.00
PAN Plan Check: $203.00 Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %: $409.85
San Dist : $513.65
Building Green Fee : $21.00
Mechanical W $234.20
NMUSD Fee: $853.76
$0.00
Plumbing %: $526.95
$0.00
TOTAL FEE : $16,511.96
Plan Check Fee :
$4,264.51 Fee Due at Permit Issuance : $12,247.45
PROCESSED BY:
1�3PUBLIC
WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason($) 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, priorto 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 a civil penalty of
not more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 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 n 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:
By my s ignature 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)
iSill a. -�I ructure 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 Coo-, Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
S;gnature of Propm:y Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I herebyaffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) f Q' Ilsigp 3 of the Business and Profe Co , and ray icen I in full farce
and effect. License Class License No Date b 'Y [.` Contractor Signature �%
WORKERS' COMPENSATION DECLARATION
WARNING: 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 I$100,0001, IN ADDITION TO THE
CJJ, OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hL,l eJy affirm under pe.lalty 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 th
performance of the work for which this permit is issued. Policy No.
/ yRaue 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' compensation.
i urance ca[ci�)r and poll number are:
r .-� W�Io. S taL,:1l Policv Number Expiration Date
ame of Agent
I certify that, in the perfarma I f the work r 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 agree
lat, if I should becomg sybje t to the work s' ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �y
ignature of Applicaniii/Q\ Daj ;jam—
iECLARATION REG DIN�-CONSTRUCT10N LENDING AGENCY d/61
hereby 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, Ivll 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 on the property owners 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 state laws relating to building construction.
I authorize representatives of this city or ccf� ynot to a er th abcvaF`Iden Fb/ for inspection purposes. t� _
lianature of Property Owner or Authorized Ag1'fftl\ C v Print Property Owner's or Authorized Agent's Nam V \a
ACTION DATE DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED EPA
PERMIT EXTENDED AQM D
PERMIT FINAL A1BESTOSNOT ON IS1NOTAPPLICABLE TO
CERTIFICATE OF z PR OSED D)1(MO TION `;
OCCUPANCYISSUED SIGNATUR V
�EWP°Rr City of Newport Beach II III I III II I II III I III I II Permit: X2022-0148
° 100 Civic Center Drive Plan Check: 0170-2022
u r"► s� Newport Beach, CA 92660
�9cFo nN`r
Certificate of Occupancy
THIS CERTIFICATE ISSUED PURSUANT TO THE REQUIREMENTS OF SECTION 111 OF THE CITY OF NEWPORT
BEACH ADMINISTRATIVE CODE ATTESTS THAT AT THE TIME OF ISSUANCE, THIS STRUCTURE WAS IN
COMPLIANCE WITH THE VARIOUS ORDINANCES OF THE CITY OF NEWPORT BEACH REGULATING BUILDING
CONSTRUCTION OR USE.
Owner: CLINT BURNS
Address: 110 APOLENA AVE, NEWPORT BEACH, CA
Tenant:
Use Zane: R-BI -Two-Unit Residential, Balboa Island
Description of Work: NEW SFR W/ ATT JUNIOR ACCESSORY DWELLING UNIT
2501 SF. ATT GARAGE 399 SF
Special Conditions:
Chief Building Official: Tonee Thai, PE, CASp, CBO Signature: / 'el
Code Year Edition:
2019
Number of Stories:
3
Construction Type:
V-B
Occupancy:
U,R-3
Total Occupant Load:
Fire Sprinklered: YES
Date: 5/14/2024