HomeMy WebLinkAboutX2020-1599 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
v Inspection Requests Phone (949)644-3255
e, r,w7`e Combina il a Yype- E E PLUM
t'intm. 5-fir-2 1
Job Address:
18 SAN PIETR(
Description:
MFR-REMODI
Legal Desc.:
Owner:
ARNOTTAMANI
Address:
18 SAN PIETRO
NEWPORT BEA
Phone:
314-814-6222
Applicant:
WISMER KEITH
Address:
2601 E CHAPMA
FULLERTON CA
Phone:
714-336-5445
Code Edit: 2
Type of Construction: V
Occupancy Group: R
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 4
Bldg Height: 0
Bldg Sprinklers: Y
Flood Zone: X
Building Permit Fee: $762.00
Plan Check Fee: $662.94
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Monday - Friday 7:00 a:30 , "se
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AT(;38sFANC
Lto whom: -
Contractor: HAVEN DEVELOPMENT GRP INC Architect:
Address: f FF Address:
ne: Phone:
o Lic: 01 Engineer:
Lie Expire: 01/3112022 Address:
Bus Lie: BT30046360
Lie Exp Date: 02/28/2021 Phnna-
Ca ar o: al WC EXEMPT
(work stari�
Po' (NO EMPLOYEES)
l�
Building Setbacks Rear: I
Note: `iote: front: /
Left: /
Right /
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$14.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $1,604.36
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
COMB Permit: X2020-1599
Project No : 1236-2020
WISMER KEITH
2601 E CHAPMAN AVE
FULLERTON CA 92831
714.336.5446 St
i a r,plea
(no worl�gt@rted)
Special Conditions:
initials:
)ate : 07/24/2020
ion Area : 6
WIT WILL BE INVALID
Pays or Holidays
ITE 116
i
ke Lic:C032253
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Excise Tax:
$0.00
Planning Department - -
Fire Department
Additional Fee : -
$0.00
Plan check Fee, $41.50
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share: $0.00
Fire Plan Rev
$0.00
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
$0.00
Grading PC Fee:
$0.00
Public Works Department-
General Service
$0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
PAN Plan Check : $0.00
Grading Bond:
$0.00
Electrical %:
$53.34
San Dist: $0.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$68.58
$0.00
Plan Check Fee
: $1,604.36 Fee Due at Permit Issuance :
$0.00
PUBLIC
WORKS APPROVAL:
PLAN CHECK BY:
((��
%lJ
APPROVAL TO ISSUE:
i hereh aRrm under penalty of perjury that I am xempt 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 End Professions Code Any city or courty jo,t requires a permit to construct alter. improve, demolish, or repair any structure. prior to its issuance, also requires the applicant !or
hePra"S to fr a cloned statement that he or she islicensed pursuant c the provisions of the Contractors' Sfate. License Law (Chapter 9 r PYO P551 rig Y'jptl (, p ( Jrmenang. with Section 7000) of Division 3 of the 8vsmess and
not more fi n fiv hundred dollars ($500)_ subjects the applicant to a civil penalty of
❑ I as o e o he P e , rimy emo sxmt,�gaar r sole companszllon, will do ali pfor
SUS14e; tl, F^r es s icq� CJ (_ .• Itions the r or and the structure is not mten d orbffered for sale (Section 7044.
dd �7T�CQ apt Stale Ices law d n of aDDiv to an owner of properly r F� or Personal cifort, builds o impr6vas the property, provided that the
improver }it"star not intended or offered for sale if, however, the building cr rmerpvement is sold within one wiA
Improved fgdfjlR DUBOSE, issue). year -of completion, the Owner -Builder will have the urden of proving that it was not built or
❑ I, 2s a gay +c he p qq//��((��oo// ,,,,11 xClusiv cfi 'th tic d. ntr c t roject (JeslidflrF0N47 ariC0Q0 $i�. SThe ontractors' State. License Law does not
❑apply to an Ice of or 6 ilds c proves th an tr s for the v a licensed Contractor pursuant to the Contractors' Statetic rise Law).
I an e pt om II n ribs Ira s' e e pr foli i reason:
By my sign , e. !ow that or per esi e I or prior to comD'eticn pf the im�ove en(s covered by this permit, 6 cannel IegaO
set; a S io a Ih t 1 ha owner -builder if it has not been constructed in itsentirelyby licensed contractors. I understand that a copy of the applicable w, Section 7044 ofthe Business and
P nfesslnn od is available upon request when this application is submitted oratWeb site:http:/Imp v leginfo.ca.gov/calaw,htmi.
Signature c .rty odzed
LICE (GO TR TOR'S C T ON Dale
1 herEaDya a er p alty ofp ryfha d en • rid o f g n g wi echo D) f Div ion 3 of the Business and Pro ions de m license is in full force
•. • • and efjec4 :i�:e a CI s Li se No y
Date Contractor Signature
• WORD C PE ECt
• • wARNiNG'F R'e SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNOREO T OUSApD DOLLARS is100.000), IN ADDITION TO THE
• • COST OFCC ONE ION,OAMAGESAS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST; AND ATTORNEYS FEES.
• • • I hereh
• Y4 er PeZELIty ofperju one of the following declarations
• -I h2v}e• rd A me ce pop yp �k rs' compen anon, ssu tl o • s�a�Ilr ai . r vided for y Sa2lion 3700 of the labor Cede, for th
•• oerfcmwm e-t'. .wog It 's �' I P P t�f 9 0 Di6.J � ar
•s •• di
• • • • • I have 3'me d policy
; workers' c mpensgtion nsur s regwred by Section 370p of the La or Cade, for the performance the work for which this e11-dis !ssued..My workers' compensatiol
insurance d8rrier rid policy numbera�vuorrc cared �no work started) • • Darner • a • • v-!
• • --�- policy Number
• Aame c�Agpet • Expiration Dale
aht .('=fz L1/'�)X VI�O.� —U.S.Q. �Phcnef
••••�ii•J l
Celli
- CeniyNfi�rise of NIB %v*
am act tot a t! fh ker c oration taws of California, and agre,
•" -Hoc. I. ! tFUdir jers' compensation previsions or Section 3700 of the Labor Code, 1 shall forthwith comply with those h' provisions,.. �
Signaturl e of Appant_ - fllSp. in* ate
T UCTION LENDING tl�IC' ?�-. E7 DECLARAYION GA D VG CON AGENCY -
I11 hereby aft N un er Pena y o perju
Namry z .ere Js a
Lender's e Lenders Address )
JIBy my signature below, I certify to each of the fallowing:
I ! am the property Owner or authorized to act on the property
p p rty owner's behalf.
1 1 have read this apphDation and the information I have provided is corset
Comply
II I agree to m Rh all applicable: city and county ordinances and state taws relating to building construction.
I authorize representatives of this city or cou y enter'. a idenfifed property for inspection purposes.
�ISignature of Property Owner or Authorized AgenE Print PropertyOwner's or Authorized A ent's Name. �"'^'• Da ^2 7iL
ACTION DATE BYO'NPECLARATION OPCONTUANCE WITH CODE OF FEDERA! 'IONSPART 61 OFT1TLE 40 AND AQMD RULE
PE.RMlT EXP/RED fvttTTEDASBESTOSNOTIFICATIONTO
PERMIT CANCELLED Q.._:A
PERMIT EXTENDEDPERMJTFWAL STOS' T [CATION' IS NOT APPLICABLE TO
CERTIFICCTE OF i DDEM TIO'OCCUPANCY ISSUEDRP