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Home My WebLink AboutX2019-3202 - PermitsCity of Newport Beach - Building Division II IIIIIII IIIIII�IIII IIIL IIIIIIIIIIII II COMB Permit: X2019-3202 $0.00 Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - ' 100 Civic Center Drive, Newport Beach, CA 92660 x 2 Permit Counter Phone 0 1 9 Project No : 0532-2019 H (949)644-3288 �$ Inspection Requests Phone (949)644-3255 Plan Check Fee: $0.00 Additional Fee : issued Date Plan check Fee: Combination Type - SFP GRAD ELEC MECH PLUM Fire Inspection: $0.00 Inspection Area ; 2 _ $0.00 Grading Bonds Fee: $0.00 - PERMITS EXPIRE 100 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m, and Saturday from 6:00 a.m, to 6:00 p.m. No work on Sundays or Holidays $0.00 Job Address: 108PEARL-AVENB Investigation Fee: $0.00 Description: NEW SFRW/ATT GAR 2324& 395SF*CHANGE OF.CONTRACTOR• FEMA ELEVATIONCERTIFICffe) CONSTRUCTION NOISE Legal Desc.: BALBOA ISLAND RESUB SEC 1 BLK 7 LOT 30 Demolition Fee REQUIRED FOR FINAL $0.00 Owner: LISSOY SCOTT Contractor: SANTANIELLO JAMES Architect: In -lieu Housing Fee : Address: 108 PEARL AVE - Address: 3419 VIA LIDO#115 Address:. $0.00 ' NEWPORT BEACH, CA 92962 NEWPORT BEACH CA 92663 t�° Phone: 949.224-1970 - Phone: 714-815-5097 Phone: StQN:THE :VVESKEND°,,- Grading PC Fee: $127.44 0000 Applicant: GUIDERO WILLIAM Con State Lic: 361862 Engineer: GABRIEL MICHAEL R Address: 425 30TH ST, STE 23 Lic Expire: 08/31/2020 Address: 483 E 20TH STREET WQ Insp. Fee: NEWPORT BEACH CA 92663 ' Bus Lic: BT30035016 COSTA MESA CA 92627 Phone: 949.675-2626 Lic Exp Date: 03131/2020 Phone: 949.646.6596 State Lic:S-002939 O®`s Code Edit 2016 Worker's Compensation Insurance Designer: GUIDERO WILLIAM Type of Construction: V -B -SPR Carrier: WESCO Address: 425 30TH ST, STE 23 Occupancy Group: R31U 'Policy No: WWC3401372 NEWPORT BEACH CA 92663 Added/New sq.ft. Bldg: 2324 Expire: 0210112020 Phone: 949-675-2626 Electrical %: Added /New sq. ft. Garage: 395 San Dist: $0.00 No of Stories: 3 - Building Setbacks Rear: 5 Special Conditions: LIQUEFACTION & FLOODZONE No of Units : 1 Front: 10 _ 3 BED TO 3 BED Mechanical %:. - " Bldg Height: 0, Left: 3 NOISE FORM RECEIVED Bldg Sprinklers: Y - Right:. 3 _ $0.00 Frond 7nne - AE Use Zone: Parkina SDaces 0 Fire Hazard Zone : N Plumbing %: Construction Valuation: $0.00 Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $35.00 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 : $580.56 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: $127.44 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 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 - Electrical %: $0.00 San Dist: $0.00 Building Green Fee $0.00 Mechanical %:. $0.00: NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00. $0.00 TOTAL FEE : $35.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $35.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: �y \ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Cont lilla h eason s) indicated below by the checkmark(s) I have placed next to the applicable item(s) ction 7031.5, Business and Professions Code: Any city or county that Y demolish, or repair any structure, prior to its issuance, also requires the applicant for permit to file a signed statement that he or she is licensed pursuant to the prov' ' o h ntr nse 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 th g olation 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 L) all of or `) portions of the work, and the structure is not intended or offered for sale (Section 7044, liness 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 wasnot built or 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 ly 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). J I.am exempt from licensure under the Contractors' State License Law for the following reason: 3y 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 in sell a structure fi9t ?lave built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the appl 'rofessions Code is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. ii�RdtQre of Property Owner or Authorized Agent ,ICE,NSED COMACTOR'S DECLARATION fRsPyfJy affirm untler penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 Of vial 3 of the Business and Ind effect. LicerSeC,llass License No Date .Contractor Signa VORKERS' CVMPENSATION DECLARATION IARNING: FAILUWF1r-rC%%URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIT) AL PENALTIES AND CIVIL FINES UP TO ONE HUI' IbSf LSF,COMPESATIOW, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. fIE2Dy affirm under penalty of perjury one of the following declarations: law, Section 7044 of th, and usiness and ,e is in full force DOLLARS ($100,000), IN ADDITION TO THE sell have and vvppig ",Tntain 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 Serformence oft Ig work for which this permit is issued. Policy No. ..• and 4tlhlaI4taln 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 ns nce carrier -ami -policy number are: farrier. Policy Number Expiration Date Name of Agent Phone # :1I certify that, in the perfogn he of the work for ich this permit is issued, I shall not employ any person in any manner so as to become subject to the worker ' compensatio laws F California, and agre .hat, if I should become s, j ct to the workers' ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 3ignature of Applicant ate�B L e )ECLARATION REGARV'fi)6;6& KSVef16NttNDING AGENCY hereby affirm under pe y of perju hat there is a construction lending agency for the performance of the work for which this permit is issued (Sectio 3097, Civil Code). -ender's Name Lender's Address 3y my signature below—,] certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. have read this application and the information I haveptoSlded' correct. 1 agree to comply with all applicable city and county Ananc and state relating to building construction. I authorize representatives of this city or county to n r th abov 4den roperty for inspection purposes. �, / 3i nature of Property Owner or Authorized A ent Print Pro art Owner's or Authorized A ant's Name 14� Date ACTION DATE BY D LARAT OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY EGULATIONS PART 61 OF TITLE 40 AND AQMD RULE TO PERMITFINAL {� lA EST TIFICATI IS NO ABLE TO CERTIFICATEOF V� 1/A PROPOS S �9 OCCUPANCY ISSUED V !Jt SIGNATIIR //f