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HomeMy WebLinkAboutx2021-1584 - Permitswrra City of Newport Beach - Building Division 3 100 Civic Center Drive, Newport Beach, CA 92660 ;.:'. Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP MECH ELEC PLUM COMB Permit: X2021-1584 II�IIIIIIIIIIIIIIIUIIIIIIIII�lllllll�lll II Project No : 1390-2021 Issued Date : 0912312021 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0912312024 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: 1606 SANTANELLA TER NB _ Description: SFR ADD 156 SF (DINING RM), REMODEL 225 SF Legal Desc.: N TR 1701 LOT 84 r..., Owner: CHIAPUZIO TONY Address: 1606 SANTANELLA TER CORONA DEL MAR, CA 92625 Phone: Applicant: MARVICKJOHN Address: 1827 CAPITAL ST #102 CORONA CA 92880.` Phone: 951-808-0520 Code Edit : 2019 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 144 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Construction Valuation: Building Permit Fee: $1,611.00 Plan Check Fee: $1,316.25 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $56.00 Energy Compliance: $61.00 CA Seismic Safety: $9.75 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $3.00 TOTAL FEE: $3,637.95 Contractor: EARLY MAN DESIGN BUILD Address: 17712 LEWIS LN HUNTINGTON BEACH CA 92647 Phone: 714-642-2704 Con State Lie: 547473 Lie Expire: 03/31/2023 Bus Lie: Lie Exp Date: Worker's Compensation Insurance Carrier: NO EMPLOYEES Policy No: Expire: 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: 110 Front: / ile' Left: / Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $112.77 $64.44 $144.99 Architect: MARVICKJOHN Address: 1827 CAPITAL ST 9102 CORONA CA 92880 Phone: 951-808-0520 State Lic:CO22267 Engineer: YAGHI SHUCRI I Address: 112 E. CHAPMAN #D ORANGE CA 92866 Phone: 714-997-9120 State Lic:C-043205 Designer: Address: Phone: 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 : $50.75 San Dist: _ $0.00 NMUSD Fee:---'---.__$0.00 -- Fire Department $208.00 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 : $1,610.25 Fee Due at Permit $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,027.70 1,, PROCESSED BY: Y � " ° J' pl IdLIC SVORF?S APPROVAL: ZONING APPROVAL: \ tso us« AkAN CHBCK BY: GRADING APPROVAL: - - APPROVAL TO ISSUE: oe� o oeo OWNER -BUILDER DECLARATION 1 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 m 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). I, 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 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 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 nproved 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 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). I am exempt from Iicensure under the Contractors' State License Law for the following reason: Iy 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 legally 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://w .leginfo.ca.gov/calaw.html. signature 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 Section 7 0 of Iv ion 3 • f the Business and Prof si G e, a " BRee-is-iR#BiFfidree nd effect. License Class License No Date Contractor Signature PORKERS' COMPENSATION DECLARATION Z/ IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL INES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 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 IN erformance of the work for which this permit is issued. Policy No. have and will maintain 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' compensation rance carrier and policy number are: 'ier Policy Number Expiration Date ie of Agent Phone # certify that, in the perfonnanc ark for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers, mpensati n laws f California, and ogre I should become C/subject the orkers' co/moP^caflon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �-y lature of Applicant 7 ate 7 21 z 9 noATIr1Nl DFC Gr ❑ _f1N r1N I FNr11Nf: Ar:FNCV hereby affirm unde/penalty 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 Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the pro t/wner's behalf. I have read this application and the information I have ovi Ed is correct. I agree to comply with all applicable city and county rdina - es and s aws r lating to buildin c ction. I authorize representatives of this city or co ty enter e b -Identified pr pection purposes. signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACTION DATE BY ECLARATION OF COMPL ANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY T- ONS PART 61 OF TITLE 40 AND AQMD RULE 3 PERMIT EXPIRED LJI SUBMFrrW ASBESTOS NOT4FICAT10N.50 • + • PERMIT CANCELLED EPA • • •• PERMITEXTENDED Q4QIVD 1 0.6 • e PERMITFINAL ASBESTOS OTIFI 10 NOT PLICABL TO CERTIFICATE OF /� PRO OSED I N OCCUPANCYISSUED Z✓ Sir• •a+ ea c n o 0 0 0 0 0 Z