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Home My WebLink AboutX2017-2658 - Permits�gwt�r, City of Newport Beach -Building Division IIIIIIIIIIIIIIIIIIIIIIII1IImlll111il foCOMB Permit: X2017-2658 r 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 7 2° 6 5 8 0 roject No :1904-2017 H � Permit Counter Phone (949)644-3288 c°' p Inspection Requests Phone (949)644-3255 r* z Combination Type - MIFF MECH ELEC PLUM °Issued Date: 0813112017 ° o m e o e Inspection Area : 8 e mmo c o m PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAS -..l 1NSPf� `L'Tl • °' Construction Hours: Monday - Friday 7.00 a.m. to 6:30 p.m. and Saturday from 8:00 a.n4. to 6:00 p.m. No work on Sundays or Holidays Job Address: 340 OTERO NB Description: MFR REMODEL KITCHEN 180 SF Legal Desc.: N TR 7082 LOT 17 Owner: AUSTIN GARY Contractor: SANTANIELLO JAMES Architect Address: 340 OTERO Address: 3419 VIA LIDO #115 Address: NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92663 Phone: Phone: 714-815-5097 Phone: State Lie: i, Applicant: VALENTI ARNE Con State Lie: 361862 Engineer: Address: 330 E HILLETT ST Lie Expire: 08/31/2018 Address: LONG BEACH CA 90805 Bus Lie: BT30035015 Phone: 949-922-4931 Lie Exp Date: 03/3112018 Phone: State LIG: Code Edit: 2016 Worker's Compensation Insurance Designer: VALENTI ARNE Type of Construction: VB Carrier: STATE FUND Address: 330 E HILLETT ST Occupancy Group: R3/U Policy No: 1943290 LONG BEACH CA 90805 Added /New sq.ft. Bldg: 0 Expire: 0 2101/2 01 8 Phone: 949-922-4931 Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: I Special Conditions: No of Units: 3 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $40.000.00 Building Permit Fee: $592.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $515.04 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: $8.00 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 WO 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 %: $41.44 San Dist: $0.00 Building Green Fee: $2.00 Mechanical %: $23.68 NMUSD Fee: $0.00 $0.00 Plumbing %: $53.28 $0.00 TOTAL FEE : $1,272.94 Plan Check Fee : $552.54 Fee Due at Permit Issuance : $720.40 PROCESSED BY: J1 I PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER-BUILDER DECLARATION ; I hereby affirm under penalty of perjury that I arli dxe?V froin1h@,9ontiactors ;.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 ref uires"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 Iic fture and the,�jsis 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 ($500). ', • . ; • , •, ❑ I, as owner of the property, or my employees with ftges as:theif's ale CO W6 ns$tim, will do L) 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 Licerf9Q'Law.does n% ply 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 improbement 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). ❑ 1 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 legal) 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 fallowing Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) Div ion 3 of the Business and rofessions de, and my license is in full force and effect. License Class License No D Contractor Sign 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 USAND DOL RS ($700,000), 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: 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 IN e or ance of the work for which this permit is issued. Policy No. I ve 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 n ce carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # ❑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 that, if I should become s the workers' com sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. —s j Signature of Applica t Da[�� 7C DECLARATION RE R NG ONS ION LENDING AGENCY ("��a��/ 1 hereby affirm under pena perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, C vil Code). Lender's Name Lender's Address By 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. .. .'A I agree to comply with all applicable city and county- ances and state laws relating to building construction. tY1T�� I authorize representatives of this city or con , o ante he above-identified property for inspection purposes. /y/ Signature of PropertyOwner or Authorized Agent Print Property Owner's or Authorized Agent's N m CSC/ Date a ` ACTION DATE BY ECLARA ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA PERMIT EXTENDED 13AQMD PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF -��. �j PROPOSED DEMOLITION OCCUPANCYISSUED I I SIGNATURE: