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Home My WebLink AboutX2017-1812 - PermitsOwner: City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� 2805 BALBOA BLVD Record Management: NEWPORT BEACH, CA Phone: $0.00 Applicant: MELILLO DAN. Address: 2901 W. COAST HWY II COMB Permit: X2017-1812 .. 949.375-8310 100 Civic Center Drive; Newport Beach, CA 92660 X 2 0 1 7 1 8 1 2 Project No: 2986-2016 9gsvxo * n Permit Counter Phone (949)644-3288 cr # Inspection Requests Phone (949)644-3255 "�xrr rn*' Combination Type - BLDG PLUM Issued Date: 03107/2018 - Inspection Area : 1 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: 2805 W BALBOA BLVD NB Description: DEMO DUPLEX 2490 SF (8 BEDROOMS) Legal Desc.: .. Owner: GOLD STONE PROPERTIES LLC Address: 2805 BALBOA BLVD Record Management: NEWPORT BEACH, CA Phone: $0.00 Applicant: MELILLO DAN. Address: 2901 W. COAST HWY Hazardous Mat NEWPORT BEACH, CA 9266 Phone: 949.375-8310 Contractor: OWNERIBLDIR - Architect: r D Phohg �#�; Phone: � � � Pf applicable: State Lis Con State Lic: O/B I Engineer: Lie Ex ire: Address:80% or ❑ 100% 10-ir nd B Li xp Date. ,Ij� Phone: - State Lie: .v. Code Edit: 2016 rker's tion u ce silgrW hom: Type of Construction: Carrier: - Address: Occupancy Group: R3/U Policy No: Added /New sq.ft. Bldg: 0 12 E tea. one: Added /New sq. ft. Garage: 0 No of Stories: 0 ilding a backs epi r` ,i,^,� l ' ecial Conditions: No of Units : 2, Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parkins Soaces: 0 Fire Hazard 7nne - N Building Permit Fee: $103.00 Plan Check Fee: $189.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $2,305.27 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: l ;�° o", rc its" rn. u� �. fit': a g ' J `?�•9 ri � & ,) d7ei„ r�xai TBYtY" Plannin en - FI a ri��n Additional Fi�ee..,,"t�Y c4 y Plan check Fee : ( �. Fire Inspection: Grading Boa Pee!` Ju r! :00 Fair Share: (now, �4.00tarte"�re Plan Rev Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee �Wgng Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm WO Insp. Fee: $0.00 Park Dedication : $0.00 P/W Plan Check, $0.00 Iger), in Plumbing %: $9.27 Plan Check Fee : $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 4 ••em F $0.00 $0.00 $24.00 $197.00 $1,692.00 $0.00 $0.00 $0.00 $2,305.27 e me000�� m e c •mm e o 00 , e000c m emooc cmmon�. m mmm000 m eooc� 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) action 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 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 Ifessions 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). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, ainess 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 withinone year of completion, the Owner -Builder will have the burden of proving that it was not built or javed 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 5}y to an onng 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 e*Mot from licensure under the Contractors' State License Law for the following reason: qiy signature 4elow I acknowledge that, except fo 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 II p structtre.th at•I have built as an owner -builder it h been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and I ssions•Cod'e, is available upon request whe Is a p' tion is gubmi%dorat the following Web site:http://www.leginfo.ca.gov/calaw.htmi. 6 iture of Property Owner or Authorized Age �)ff11 Date SENSED EONWCTOR'S DECLA ®1 iP•by affirmurlder penalty of perjury that I m licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions de, an my license is in full force tlreffect. 6icenseClasss,License No Date IfQNVrfatftq nature f NOF4ERSWOMPENSATION DECLAIATION'- _— NARRING: FAILURE40 SECURE WORKERS' COMPEN ATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYE TOCEIMINALENALTIES ANI �N UP(�Q' H ��pTp�(E700,DOO), IN ADDITION TO THE fQST•gF COMPENVATION• DAMAGES AS PROVIDED F(1R IN SE FTHE ODE, REST D�i'$ �D "`��'^�tteretyy affirmurfliBfpenalty of perjury one of the f'llowing larati s:sY h$ve and will•m�intain a certificate of °consA t to ser sure w e toLustio las provided for by Section 3708 of the Labor Code, for tb liths mance of W6 iwrl) for which this -perm! is issi - No. :1I have and will maintain workers' compedf)ation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My workers' compensation nsurance carrier and policy number are: ?, farrier t{ Polic umb IV Expiration Date Jame of Agent z3 _ Phone # :1I certify that, in the pert ance of the wor, for vi'I' rmit is Issued, I shall not employ any person in any manner so as to become subject to the workers' c pensation - aws of California, and agre hat, if I should become s e workerscompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant D)ECLA— hereby affirm REG RDlt NST that LE A C� r t ) j Pis iG hereby affirm under penalty of perjury that there isra con ru I n n y f t pgttp n ce of the wo for is t ' c n o ^� -ender's Name � "s-�`-- n e s7"'�,ddress t' 3y my signature below, I certify to each of thE'..following: ��R//ryry rr�(�( c¢¢�� ` (no work started) 61 1 am the property owner or authorized to pct on the property �urilir3F§lie lt'aif."'ed / 1 L I have read this application and the inform atlon I have provided is correct. E` I agree to comply with all applicable it and Y'eQu (y:prdinances and state laws relating to building construction. I authorize representatives of this city or douilty' `"' v -I EMIG le prope y or Inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized NeI191Me Q(i moi'' e 3 ACTION DATE BY _ 0 RATI N OF COMPLIANCE WITH CODE OF FEDERAL R ....�.. 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED C//11///A ( OEPA CERTIFICATE OF 'PRO! DEITFINAL N �TyIFICN� /LN IS NOTAPPLICABLE �T�O OCCUPANCYISSUED SIGNATURE: 1 I)�jV-41A Gk)Qy �"`