The URL can be used to link to this page

Home My WebLink AboutX2021-1855 - Permitswt City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 u. ar Inspection Requests Phone (949)644-3255 Combination Type - SFP COMB Permit: X2021-1855 IIIIIIIII�IIIIIIIII�IIIII�IIIIIIIIIIIIil�ll II Project No: 2306-2020 NO CONSTRUCTION WORKIssuedDate : 07/15/2021 9 YV IlrlInspection Area : 2 i PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE'L COMPLETED BY UH5/2024 OR PERMIT WILL BE INVALID Construction Hours: Monday- Friday 7:00 a.m. to 6:30 p.m. and Saturdayy{rQgtO,Q,�,pi,ZgOgp,pr� No work on Sundays or Holidays Job Address: 120TOPAZAVENB `,j��! jji u�.j �Y Description: DELTA 1, ADD PLATFORM IN GARAGE FOR FUTURE HVAC (REV21-1098) Legal Desc.: BALBOA ISLAND RESUB SEC 1 BLK 13 LOT 33 Owner: KEASEY DAVIDIANITA Contractor: SANTANIELLO JAMES Architect: Address: 120 TOPAZ AVE Address: 3419 VIA LIDO #115 Address: NEWPORT BEACH, CA 92662 NEWPORT BEACH CA 92663 � d Phone: Phone: 714-815-5097 Phone: State Lic: Applicant: KEASEY DAVID Con State Lic: 361862 Engineer: HUSZCZ MARIAN JOHN Address: PO BOX 293 Lic Expire: 08/31/2022 Address: 8 CORNWALLIS NEWPORT BEACH CA 92662 Bus Lic: BT30035015 IRVINE CA 92620 Phone: 949-400-9672 Lic Exp Date: 03/31/2022 Phone: 949-551-3316 State Lic:S-003555 -J Code Edit : 2019 Worker's Compensation Insurance Designer: JAUERT DENNIS`! Type of Construction: V-B-SPR Carrier: STATE COMP INS Address: 17504 WINDCREEK CIR Occupancy Group: R3/U Policy No: 9266012 RIVERSIDE CA 92503 Added /New sq.ft. Bldg: 0 Expire: 0110112022 Phone: 9514-688-5421 Added /New sq. ft. Garage: 0 No of Stories: 3 Building Setbacks Rear: I Special Conditions: LIQUEFACTION AREA No of Units : 1 Front: / HIGH DENSITY AREA Bldg Height: 0 Left: / Bldg Sprinklers: Y Right: / Flood Zone: A01 Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $8,000.00 Building Permit Fee: $212.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $184.44 Additional Fee : $0.00 Plan check Fee : $52.00 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: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $4.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 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 : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $453.44 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $0.00 Fee Due at Permit Issuance : $453.44 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 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) ction 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 fessions 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, ;iness 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 was not built or roved for the purpose of sale). 1, 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 ply 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). V I 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 cover 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent --Date. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec:tion.7QQQ1 o DMVISIO 3 of the Business and Fies " ns Co and effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION his permit, I cannot of the Business and and my licpgse is in full force IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PPIIALTIES AND dIVIL FINES UP TO ONE HUNDRED TKO AND POLL—=s ($XW,0r00), IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: KK1 h e 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 thI rmance of the work for which this permit is issued. Policy No. Km and will maintain workers' compensation insurance, as requify by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatioi isurance carrier and polity member are: ;n Date Name of Agent W � Phone 9 I certify that, in the performance of the work for wI this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensaibn laws of alifornia, and agre that, if I should become 1e t the workers' co ns 'on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Da'� DECLARATION REGA - ONTZ S RU ION EN ING AGENCY I hereby affirm under pelfelt f perjury.Kat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information ave p ovided is correct. I agree to comply with all applicable city and ounty ord antes and s laws relating to building construction. ,S I authorize representatives of this city or co my to r the a e-i ad property for inspection purposes. Signature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY ECLA N OF C PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AN[ AOMD RU LE 1403 PERMIT EXPIRED PERMITCANCELLED PERMITEXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED I SUBMITTED ASBESTOS NOTIFICATION TO L.f ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION