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HomeMy WebLinkAboutX2021-1518 - Permits (3)City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1518 .. �, 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 1 1 5 1 6 Project No : 1335-2021 Permit Counter Phone (949)644-3288 a Inspection Requests Phone (949)644-3255 Issued Date: 06/28I2021 � / � / `:'��rna+'•' Combination Type - SFP ELEC MECH PLUM Inspection Area : 1 30. - l PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/28/2024 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 p.m. No work on Sundays or Holidays L Job Address: 389 23RD ST NS 50� i Description: Legal Desc.: SFR INFILL VAULTED CEILING TO ADD 2 BEDROOMS, 2 BATH & GYM (511 SF, REMODEL 675 SF) P BK 273 PG 45 PAR 1 (36:00 , � — 6o9 � -I I - 2,17 `v Owner: DOBSON JAMES Address: 389 23RD ST NEWPORT BEACH, CA 92660 Phone: Applicant: SANTANELLO JAMES Address: 3419 VIA LIDO NEWPORT BEACH, CA 92663 Phone: Code Edit Type of Construction: V-B Occupancy Group: R3 Added /New sq.ft. Bldg: 511 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X 11 Construction Valuation: 500 Building Permit Fee: $3,637.00 Plan Check Fee: $3,164.19 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $28.00 Energy Compliance: $303.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $20.00 TOTAL FEE: $8,777.84 PROCESSED BY: ZONING APPROVAL: GRI , JiNG APPROVAL: Contractor: SANTANIELLO JAMES rE14REC[r Address: 3419 I�dBED*#4°f Address: IMPORT BEA H Q& 92663 it app!f cable, Phone: - 97 Phone: � 1 0&% Ybjund T1�'99 ,ate, Con State Enrineer� �A L `mod^ ` is xp:re 08/31/2022 ddress: 1800 E 11 ST #B Bus Up BTN035015 ' 'i r. SANTA ANA CA 92701 ,�-- -- -Lic Exp Date-`'�' 03/3112022^'.� r.x �� - one to IIJlJ8hff0 tale Lic:C-030407 _3 ` Worker's Compensation Insurance J c.°Designer: VALZANTI ARNE Carrier. STATE COMP INS Address: 330 E HULLETT ST PeIicy No; 9266012 LONG BEACH, CA 90805 Expire: 01/0112022 ' �x rg ne:. 949-922-4931 igiSetbacks Rear; I y..nS Conditions: CMSD PERMIT#SD21-0165 Front: I °st Left. y� 9$ ��yy Right: / ra 417e* ' n.9 9 �✓° Use Zone: Parking Spaces: 0 �^'Fjre az 1 0.00 alon s Fee: `�QrjjsgarteC`� PC Consults $ 00 Permit Fee: $0.00 PC Fee: $0.00 _ .33 Wag Department ' Plan check Fee Fair Share : SJH Trans : In -lieu Housing Fe -_PPu�epartment- Park Dedication : $0.00 43.00 San D' ®���``"°$ SD Fee: $0.00 (I o WC)fk SFitb ep fitment 46.25 Fire Inspection: $0.00 Fire Plan Rev $0.00 - ee $0.00 $0.00 $0.00 Plan Check Fee : $3,556.44 Fee Due at Permit Issuance : $5,221.40 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: A� f OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the rea on (s) indicated (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alte prove, demolish the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contrac State License Law 1 Professions Code) or that he or she is exempt from licensure and the basis for the alleged exennpti ny violation of Section not more than five hundred dollars (S500). e LJ I, as owner of the property, or my employees with wages as their sole com Business and Professions Code: The Contractors' State License Law does not improvements are not intended or offered for sale. If, however, the building or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed rI apply to an owner of property who builds or improves thereon, and w ontrw ❑ I am exempt from licensure under the Contractors' State Lic a Law for t By my signature below I acknowledge that, except for my p nal resident sell a structure that I have built as an owner -builder if it not been co rucf Professions Code, is available upon request when t ' p ion is sd6mitten Signature of Property Owner or Authorized Age LICENSED CONTRACTOR'S DECLA IO,N I hereby affirm dnuer penalty of perjury I a �s under ovi ns of nnc' offect. Cca.v.e Class Lice WORKERS'COMPENSAT DEC L ION NARN.NG: FAILURE TO SECUR RKERS' COMP S TION COVERAGE NL L. AND CLsr OF COMPSNSAVQN,,Q#1IAGES AS PROYPtOFOR IN SECTION' 6t hereby affirm it enaltyppotpe X ry one of fHe tollowirI Ci I have an wit myqtaTa ce ificate of consent to_+.self-ir fie' grmance l ;wof�.lbr which this. permit Is Issued Policy and Wil cannor ie of Agent certify that, in the pi . if I should become of Applicant NOfkers' compensation insurapjce& .,'reN number are: Policy Number. rk for which: this permit is is: -scompensation provisions or )ensation, o U alhoi+ 'U po¢io Wthe work, apply t owner q!(5. erty he` ugh employ mp me++nt is ithin o ar of Zt4,Busi4 t ctors to construct Q��ject (Section is for the projPete a licensed ntracor putsan ie.followino rea on: which must have rem for at least one year prior �d in tirety bv%�nsed contractors. I understanc by Section 3700 of Section Date ow by the checkmark(s) I have placed next to the applicable item(s) repair any structure, prior to its issuance, also requires the applicant for Ipter 9 (commencing with Section 7000) of Division 3 of the Business and .5 by any applicant for a permit subjects the applicant to a civil penalty of ao the,structbre is not intended or offered for sale (Section 7044, s' or personal effort, builds or improves the property, provided that the he Own - ilder will have the burden of proving that it was not built or Code: The Contractors' State License Law does not s' State License Law). of the RIP Ncable law, Section 7044 of the Business and Date iiness and Prof onse ions C e, and my lit and my lit is in full force ctor Signature TO FEES. RIMINAL P�NO kle�JES UP TO ONE gat 4 ��11 bYVheifiecto(Yndustrial Rela' s' as IN ADDITION TO THE Section 3700 of the Labor Code, for this permit is issued. My workers' C4' ExaWtion Date one # employ any person i ny moon o o become subject to the workers' compensatio laws of California, and agree I of the Labor Co , 1 shall fo wit mply with those provisions. 011ie Date Ireby affirm under pers�lry ty of p that there is a cos dyo T€ndiryency for the ider's Name G� L my signature below, I certify to eat of th o i ll� am the property owner or authorize to anTconty ropertybwner's ue' . have read this application and the in me provided is cor I agree to comply with all applicable city orditiat�ces stat _ elI authorize representatives of this city or cter sty[ ve-i rty ACTION PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED DATE I BY for which this permit is issued (Section 3097, Civil Code). 5 to building construction, for inspection purposes. IMP ANCE WITH TOE O EDE. 610 TITLE 40 AND AQMD ULE IESTOS NOTIFICATION TO ATION IS NQTAPPLICA E TO FOR OFFICE USE ONLY w