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HomeMy WebLinkAboutX2020-2595 - Permitst City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 r�cfryi�z` Combination Type - SFP MECH ELEC PLUM GRAD ����������9III Project Permit: X2020-2595 Issued Date : 11/10/2020 Inspection Area: 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1111112023 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: 387 VISTA BAYA NB Description: SFR ADD 205 SF @ OFFICE, REMODEL LAUNDRY, KITCHEN, GUEST RM, MASTER BEDRM 696 SF. CITY STANDARD DRAINAGE Legal Desc.: N TR 2609 LOT 15 ®.» Owner: DOBSON LES Address: 381 VISTA BAYA Occupancy Group: NEWPORT BEACH, CA 92660 Phone: 205 Applicant: SANTANIELLO JIM Address: 3419 VIA LIDO No of Units, NEWPORT BEACH CA 92663 Phone: 714-815-5097 Code Edit : 2019 Type of Construction: V -B Occupancy Group: R3/U Added /New sq.ft. Bldg: 205 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units, 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X _ Construction Valuation: $140 Building Permit Fee: $1,965.00 Plan Check Fee: $1,629.23 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $36.00 Energy Compliance: $98.00 CA Seismic Safety: $18.20 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $6.00 TOTAL FEE: $6,201.07 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: SANTANIELLO JAMES Address: 3419 VIA LIDO #115 $0.00 NEWPORT BEACH CA 92663 Phone: 714-815-5097 Con State Lie: 361862 Lie Expire: 08/31/2022 Bus Lie: BT30035015 Lie Exp Date: 0313112021 Worker's Compensation Insurance Carrier: STATE COMP INS Policy No: 9266012 Expire: 01/01/2021 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 20 Front: 20 Left: 5 Right: 5 3arking Space $0.00 $0.00 $0.00 $0.00 $232.00 $195.00 $120.00 $137.55 $78.60 $176.85 0 Planning Department - Plan check Fee, Fair Share: SJH Trans : In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check: $43.00 San Dist: $0.00 NMUSD Fee: $1,280.64 Fire Department $185.00 Architect: $0.00 Fire Plan Rev Address: Demolition Fee U) Building Dept Adm 73 Phone: State Lie: Grading Bond: ni Engineer: FORBES DALE L Address: 1800 E 16TH ST #B SANTA ANA CA 92701 Phone: 714.635-2800 State Lic:C-030407 Designer: VALENTI ARNE Address: 330 E HULLETT ST LONG BEACH CA 90805 - Phone: 949-922.4931 Special Conditions: Planning Department - Plan check Fee, Fair Share: SJH Trans : In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check: $43.00 San Dist: $0.00 NMUSD Fee: $1,280.64 Plan Check Fee : $1,672.23 Fee Due at Permit Issuance i 1919LIOIWORKS APPROVAL: o : ' PLAN: HECK BY: APPROVAL TO ISSUE: °ciJ ec° $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $4,528.84 Fire Department $185.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Plan Check Fee : $1,672.23 Fee Due at Permit Issuance i 1919LIOIWORKS APPROVAL: o : ' PLAN: HECK BY: APPROVAL TO ISSUE: °ciJ ec° $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $4,528.84 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 to 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 (_) all of or (_) 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 Er;m roved 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 following Web site:http://www.leginfo.ca.gov/calaw.hlml. Signature of Property Owner or Authorized Agent ZDat LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section f isio 3 of the Business and Pr Ssion, a my license is in full force and effect. License Class License No Date Contractor Signal"; VORKERS' COMPENSATION DECLARATION C ` v IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR:711CUSAND DOLLARS ($100,000), IN ADDITION TO THE ;OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 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 th, erfo/rynance of the work for which this permit is issued. Policy No. Jf have and vv�� m ++ntain workers' compensation insure ce, 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 card and bolicy numJ r re: farrier III I P I' u ber Expiration Date lam)e of Agen Phone # 3I certify that, in a pe ormanc of the work for which t s 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 iat, if I should L subje the work ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lignature of Applicaof r_ )ECLARATION REGAD C T TION LENDING AGENCY hereby affirm under pen y of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). .ender's Name I Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the prVrov' wner's behalf. I have read this application and the information I haved is correct. 1 agree to comply with all applicable city and cou {yors and t laws relating to building construction.I authorize representatives of this city or count ant e fled property for inspection purposes. /n li nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam, t !r ACTION DATE BY hP, i1�A ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY GULA NS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED L3AQm • • + • • • • • • • • PERMITFINAL /,�I �'/AA AS BE SNOTIR ION IS 01-APPL2ABL T(5 CERTIFICATEOF b 2�-�I v✓_J TR ED DE 0 OCCUPANCY ISSUED ATURE: