HomeMy WebLinkAboutX2021-2658 - PermitsS��nrt¢ City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
s* :� Inspection Requests Phone (949)644-3255
Combination Type - MFP MECH ELEC PLUM
IIIIXIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-2658
Project No : 2306-2021
Issued Date : 04125/2022
° Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY i. 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:
10 RIVAGE NB
- - --
Description:
SFR DETACHED ACCESSORY DWELLING UNIT 509 SF
Legal Desc.:
N TR 15333 LOT 39
Owner:
KLINE JOHN Contractor:
BRYCE SANTANIELLO Architect: - - - -
Address:
10 RIVAGE Address:
3419 VIA LIDO UNIT 115 Address: - . ..
NEWPORT COAST, CA 92657
NEWPORT BEACH CA 92663 - -.
Phone:
Phone:
714-600-3719 Phone: State Lic: n
Applicant:
SNTANIELLO JAMES Con State Lic:
1070607 Engineer: HUSZCZ MARIAN JOHN _
Address:
3419 VIA LIDO Lic Expire:
11/3012022 Address: 8 CORNWALLIS < ,
NEWPORT BEACH CA 92663 Bus Lic:
BT30078093 IRVINE CA 92620 • «..
Phone:
714-815-5097 Lic Exp Date:
_
02/2812023 Phone: 949-551-3316 State Lic:S-003555
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: R3
Added /New sq.ft. Bldg: 509
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
11 Construction Valuation: $100
Building Permit Fee: $2,045.00
Plan Check Fee:$1,497.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$0.00
Energy Compliance:
$70.00
CA Seismic Safety:
$13.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$4.00
Worker's Compensation Insurance
Carrier: EXEMPT
Policy No: NO EMPLOYEES
Expire:
Building Setbacks Rear: /
Front: /
Left: /
Right: /
Use Zone: Parkino Soa
Excise Tax:
$0.00
Additional Fee :
($4,229.00)
Grading Bonds Fee:
$0.00
Grading PC Consultant
: $0.00
Grading Permit Fee:
$0.00
Grading PC Fee:
$0.00
WQ Insp. Fee :
$0.00
Electrical %: $143.15
Mechanical %: $81.80
Plumbing %: $184.05
IITOTAL FEE: $17.00 Plan Check Fee
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
0
Designer:
Address:
Phone:
Special Conditions: SPECAIL FIRE PROTECTION
IRVINE RANCH SANNITATION
Fire Hazard Zone : Y
Planning Department -
Plan check Fee:
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PNd Plan Check:
$0.00
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:
$0.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$17.00
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)
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 app giant for
ie 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 L) 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 oroperty 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 Icensure under the Contractors' State License Law for the following reason:
ly my Lignature 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' 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://www.leginfo.ca.gov/calaw.htmi.
Iigcatute of Property Owner or Authorized Agent Date
.ICENSED CCNTPACTOR'S DECLARATION
hereby affirm u:.r:er penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 of I ' n 3 of the Business and Prof sio my icense is in full force
nd etrect. Lic=nre Class License No Date D4 Contractor Signature G
VORKERS' COM.FENSATION DECLARATION
IARNING: FAILURE TC SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED ND DOLLARS ($100,000), IN ADDITION TO THE
'6E T 3.:-OMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm Lnde, penalty of perjury one of the following declarations:
I na"e and w''.II m3:ntain 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
Edo,niance of the worn. 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'
ranee carrier and policy number are:
Policy Number
Date
me of Agent rnune x
.Lertify that, in the performance of the work for which this -permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
t, if I should become sub' ct to wo s' compen3soKin provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant TRUDat
CLARATION RE SCTION LENDING AGENCY
)reby affirm unde y erjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 C vil Code).
Ider's Name Lender's Address
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 I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction. j I authorize representatives of this city or county t abov -i Ified property for inspection purposes. \ /c
nature of Prooertv Owner or Authorized Aqen u�l Print Property Owner's or Authorized Agent's Nam
ACTION
DATE
CLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
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