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Home My WebLink AboutX2018-0995 - Permits-qwport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2018-0995 400 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 0 9 9 5 Project No : 1702-2017 ti 1yPermit Counter Phone (949)644-3288 Inspection'Requests Phone (949)644-3255 Combination Type -SFP Issued Date: 04/06/2018 Inspection Area : 2 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: 120 S BAY FRONT NIS Description: SFR REROOF T/O ASPHALT SHINGLES REPLACE W/ ASPHALT SHINGLES 6 SCS CLASS B MIN Legal Desc.: BALBOA ISLAND RESUB SEC 1 BILK 1 LOT 6 - • e ®o o ° oo•„ Owner: CUPPS ARNE Contractor: SANTANIELLO JAMES Architect: � ° ° • ° ° 0 0 0 Address: 120 BAY FRONT S Address: 3419 VIA LIDO #115 Address: • •» ° NEWPORT BEACH, CA 92662 NEWPORT BEACH CA 92663 • ° °•°° Phone: Phone: 714-815-5097 Phone: State Lie:p Applicant: SANTANIELLO JAMES Con State Lie: 361862 Address: 3419 VIA LIDO #115 Lie Expire: 08/31/2018 Engineer.°i�° Address: e • • ° �� NEWPORT BEACH CA 92663 Bus Lie: BT30036015 aP'' 5 -, •°°'OO Phone: 714.815-5097 Lie Exp Date: 03/31/2019 Phone: State Lic:�3- Code Edit: 2016 Worker's Compensation insurance Designer: 0 0 Type of Construction: - V-B Carrier: WESCO Address: Occupancy Group: R3/U Policy No: WWC3329846 Added /New sq.ft. Bldg: 0 Expire: 02/01/2019 Phone: `O ° Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: _ Use Zone: Parking Spaces: 0 Fire Hazard Zone : N _ Construction Valuation: $6.000.00 Building Permit Fee: $,304.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee: $0.00 Plan check Fee : $0.00 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: $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 PMI 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 : $305.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $305.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: - PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION It 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 appfcable, items) ction 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, alsrtequires the 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 Business 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 penalty of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, ;mess and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or roved for the purpose of sale). 1, as ownerrl the property, amexclusivelycontracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ply to an ftwi dproperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). aim exempt irom licensure under the Contractors' State License Law for the following reason: my signaturE6$WQw 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) a structure tDat 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 fp9sions Code is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of P,&D II.Owner or Authorized Agent INSED C'OIEIRACTOR'S DECLARATION 4eby affirnj flQdAFpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) of iv' ion 3 of the Business and P ofessi s ,and my license is in full force (Affect_ L.cen"Class License No _. Date Contractor Signal NO•RfKERS' COMPENSATION DECLARATION " r L " Illp �: FAILURB'LO `y`y,,��..yy�,,URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR OUSAND DOLLARS (E700,000), IN ADDITION TO THE :OST OP COMPEASA r6 DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hsleb$ affirm upderpenalty of perjury one of the following declarations: :I•PFSave and will4Aaintain 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 le ormance of the work for which this permit is issued. Policy No. 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' compensatior isurance carrier and policy number are: Policy Number Date ne of Agent Phone # certify that, in the perf rmance of the wor which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' �odddmpensat'on Is s of California, and agre I, if I should becom ie t to the work compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant D e— �' Y CLARATION REG4[RPMG CON UCTION LENDING AGENCY Ireby affirm under ally ofrjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). 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 ovided is correct.�/ ZDatet /I agree to comply with all applicable city an ou ordi ances and state s relating to building construction../I authorize representatives of this city or c nt o ent the eove-Iden ' vd prop y for inspection purposes.(� ��nature of Prooertv Owner or Authorized Agen Print Property Owner's or Authorized A ent's me ACTION DATE ECLA tQN OF COMPeANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ( REGU ONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED ZjNiM:D: PERMITFINAL- BESTOS OTIF ATIONI NOTAPPLICABLE TO CERTIFICATE OF 4 O SEDD MO TION OCCUPANCY ISSUED I� %,I ) SIGNATOR