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HomeMy WebLinkAboutX2019-3119 - Permitse�1rn City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IICOMB Permit: X2019-3119 o 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 1 1 9 Project No : 1623-2018 Permit Counter Phone (949)644-3288 Ins action Re uests Ph 949 644 3255 P q one ( ) - "r'Mylrnu�;b Combination Type - BLDG Issued Date, 10/0212019. Inspection Area : 8 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: 2245 ARBUTUS ST NB - Description: SFR INSTIL (2) 6'H PILASTERS, 3 LF X 6'H BLOCK WALL Legai Desc.`. N TR4705 LOT 100 Owner: CASTRO ANTONELLA Address:. 2245 ARBUTUS ST Lie Exp Date: NEWPORT BEACH, CA 92660 Phone: Record Management: $2.00 Applicant: SENNIKOFF STEVEN Address: 5500 E. 2ND ST Expire: LONG BEACH CA 90803 Phone: 562.438.2380 - Code Edit 2016 Type of Construction: Occupancy Group:. U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage:. 0 No of Stories: 0 No of Units : 0 Bldg Height: 0. Bldg Sprinklers: Flood Zone: Building Permit Feer $104.00 TOTAL FEE: $237.48 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: SALVINI MICHAEL CONTRACTORS Address: 836 EAST WASHINGTON SANTA ANA CA 92701 Phone: 714-852-3844 Con State Lie: 637735 Lie Expire: Plan Check Fee: $90.48 Bus Lie: Overtime Plan Ck: $0.00 Lie Exp Date: Investigation Feer $0.00 Worker's Compensation Record Management: $2.00 Carrier: Energy Compliance: $0.00 Policy No: CA Seismic Safety: $0.00 Expire: Disabled Access : $0.00 Building Setbacks Hazardous Mat $0.00 Additional Fee : Building Green Fee : $1.00 TOTAL FEE: $237.48 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: SALVINI MICHAEL CONTRACTORS Address: 836 EAST WASHINGTON SANTA ANA CA 92701 Phone: 714-852-3844 Con State Lie: 637735 Lie Expire: 02129/2020 Bus Lie: BT30059818 Lie Exp Date: 0713112020 Worker's Compensation Insurance Carrier: WICEXEMPT Policy No: $0.00 Expire: - Building Setbacks Rear: I (y Additional Fee : Front: / Plan check Fee : Left: / (Q $40.00 Right: 1 tom,. Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: State Lie: State Lie: Use Zone: Parking Space: 0 Fire Hazard Zone : N o omom 0 Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00. Plan check Fee : $40.00 Fire Inspection: Grading Bonds Fee: $0.00. Fair Share: $0.00 Fire Plan Rev 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 Grading PC Fee: $0.00 Public Works Department- General Service WQ Insp. Fee : $0.00 Park Dedication : $0.00 Refund Deposit P/W Plan Check: $0.00 Grading Bond: Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 Plan Check Fee : ■ o m oommmm m emmm 0 0 m0000p o e m o omom 0 0 •e o oomm o m o DODom p o mm DO p a o°gabs p $0-00 0 0 0 Doom $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $237.48 PUBLIC WORKS APPROVAL: PLAN CHECK BY: \ APPROVAL TO ISSUE: 000moo m m D m o mmmoao o D 0000 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 is 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 'rofessions 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 of more than five hundred dollars ($500). 1, 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, lusiness and Professions Cade: 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 nprovements 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 n roved for the purpose of sale). 1, 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 pply 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: ly 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,. ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. lignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ction of Division 3 of the B?Tn and Professions Co d, Iii )icense is in full force end effect. License Class License No e a —O%r k�ontignature VORKERS' COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UN HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm w4for pie salty of perjury one of the following declarations: 0.1.haxp and w�I.rpgintain 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, forth rtormaDce of tale work for which this permit is issued. Policy No. •..• a0" and will ryaintain 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' compensatioi Isur, a carrier Vrld l;olicy number are: ,orier• _ ' ' Policy Number Expiration Date in the pstforma of tw k for which this permit is issued, I shall not employ any person in any manner so as to become subject to the cecan3a. bje the wor rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. F�&%4`I'IONNREGARIDING CONSTRi7CTION LENDING AGENCY veby affirm underpeltalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued SAT'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 o e I I have read this application and the information I have pr dad is cor a t. I agree to comply with all applicable city and unty I and sta laws relating to building construction. I authorize representatives o is cit ounty to enter the a nti I roperty for inspection purposes. ,.�t„ra ..f Drr.nadv rn.,nar .,r Anf ivarl Anant Print Prooertv Owner's or Aulh Gent's Nan' DATE BY DECLARATION OF WITH CODE OFI REGULATIONS PART061 OF TIT40 AND QMD RULERAL FOR OFFICE PERMIT EXPIRED U I SUDMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED 0AQMD PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF tttt I(� PROPOSED DEMOLITION OCCUPANCY ISSUED I l SIGNATURE: drkers' compensation laws of California, and agre Date Zg '—CZ'Z,401/. , Civil Code). to