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Home My WebLink AboutX2017-1409 - PermitsFIRE Construction Hours: Monday - Friday 7:00 a.m, to 6:30 p.m. and SaturdajFf &mN Job Address: 542 S BAY FRONT NB City of Newport Beach - Building Division �. 100 Civic Center Drive, Newport Beach, CA 92660 $0.00 Permit Counter Phone (949)644-3288 . Inspection Requests Phone (949)644-3255 exsnu` Combination Type - SFP GRAD ELEC MECH PLUM FIRE Construction Hours: Monday - Friday 7:00 a.m, to 6:30 p.m. and SaturdajFf &mN Job Address: 542 S BAY FRONT NB $700.000.00 " Description: NEW SFR W/ ATTACHED GARAGE 2326/428 SF $0.00 Legal Desc.: BALBOA ISLAND RESUB SEC 1 BLK 15 LOT 3 $3,238.00 Owner: SHAW KENNETH & CATHERINE Contractor: VITARELLI CONSTRUCTION INC Address: PO BOX 7696 Address: 140 S BAY FRONT NEWPORT BEACH CA 92658 ($699.48) NEWPORT BEACH CA 92662 Phone: Phone: 949-677-1872 Applicant: SHAW KENNETH & CATHERINE Con State Lic: 485418 Address: PO BOX 7696 Lic Expire: 02128/2019 NEWPORT BEACH CA 92658 Bus Lic: BT00011199 Phone: Lic Exp Date: 08/31/2017 Code Edit : 2013 Worker's Compensation Insurance Type of Construction: V -B -SPR Carrier: STATE COMP INS FUND Occupancy Group: R3/U Policy No: 0783123 Added /New/TI sq.ft. Bldg: 2326 Expire: 1 0/011201 7 Added /New sq. ft. Garage: 428 $0.00 Park Dedication : No of Stories: 3 Building Setbacks Rear: 5 No of Units : 1 Front: 9 Bldg Height: 29 Hazardous Mat Left: 3 Bldg Sprinklers: Y $226.66 Right: 3 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: COMB Permit: X2017-1409 Project No: 1879-2016 Issued Date: 05/01/2017 Inspection Area : 2 I 1UN. If p.m. No work on Sundays or Hol04sg °! r � ;a v e i SHINDELUS BRUCE 2623 ANTONIO DR #206 s a CAMARILLO CA 93010 .... 805-404-8216 State Lic:C015916 • ° • o i • ° • ° i Y e° e FREITAS RICHARD G e 595 W. LAMBERT RD #104 BREA CA 92821 714-256-2722 State Lic:C-049072 •"• e eomee0 e Special Conditions: LIQUEFACTION AREA Construction Valuation: $700.000.00 " Fire Inspection: $0.00 Fire Plan Rev Building Permit Fee: $3,238.00 Excise Tax: $578.34 Planning Department - General Service Plan Check Fee: $57.00 Additional Fee : ($699.48) Plan check Fee: Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans Record Management: $58.00 Grading Permit Fee: $820.00 In -lieu Housing Fee: Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - CA Seismic Safety: $91.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Hazardous Mat $0.00 Electrical %: $226.66 San Dist: $0.00 Building Green Fee : $28.00 Mechanical %: $129.52 NMUSD Fee: $0.00 Plumbing %: $291.42 IITOTAL FEE: $5,118.46 Plan Check Fee PROCESSED BY: p� AX ZONING APPROVAL: l 'AAJ-,) GRADING APPROVAL: 51a $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $5,118.46 PUBLIC WORKS APPROVAL: t PLAN CHECK BY: APPROVAL TO ISSUE: eomea m mecca 00TY Gl, 9 T O 9 pp9m90 o e oeTc Fire Department $300.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $5,118.46 PUBLIC WORKS APPROVAL: t PLAN CHECK BY: APPROVAL TO ISSUE: eomea m mecca 00TY Gl, 9 T O 9 pp9m90 o e oeTc 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 all eq3 q1p'' violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of more than five hundred dollars ($500). 6' S 3ni'l3eiiiatio ad I, as owner of the property, or my employees with wages as�tliBi�s�r`�fe'�compensation vfitl� )all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, liness and Professions Code: The Contractors' State License Law ddiR�bj} Qb e o3y of property who, throughpemployees' or personal effort, builds or improves the property, provided that the rovements are not intended or offered for sale. If, however, the buil raft n Is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by thi: I a structure tpaPlifte built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of rfessions Code-, is -available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. nature of Prope$ty Owner or Authorized Agent Date 'EN$ED C®NRR4CTOR'S DECLARATION 6rebvaffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7001/0, 3 of the Business and Profe s e, a m I pct. Licerlsglass License No Date —/—f Contractor Signature 3RKERS' MropgNSATION DECLARATION and force iNIM: FAILURE 10 SEC RE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIM14QAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE NOW COMPENSpTKYJ�VNIAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. :Peby affirm under penalty of perjury one of the following declarations: J "n`aje and vvjll 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 th, fbrmance ofthrswerk for which this permit is issued. Policy No. ..i.. and will rly4ain 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' compensatior lraM1se carriQr and policy number are: 'arrier Policy Number Expiration Date Jame of Agent Phone # :1I certify that, in the perfor ance of the work for whit this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' co ensation laws of California, and agre hat, if I should become s le rkers' c mp rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. L 1 signature of Applicant DZ )ECLARATION REG RDING CONSTRUCTION LENDING AGENCY 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 3 97, 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 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 coun ordinances and state laws relating to building construction. L I authorize representatives of this city or county e e albve= tifie perty for inspection purposes. ��NNyS �/ \ /a(1/Z.. Date J^"I' Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED iJEPA All required alarms, latches gates and fences which serve as part Df a pool/spa barrier, shall PERMITEXTENDED qMD - be in place priorto approval to fill pool/spa & shall remain in place & be maintained for the PERMITFINAL BESTOS NO FICATI0N IS NOT APPLICA 11 L TO life of the pool. CERTIFICATE OF / 2 RO6PO DE LITION OCCUPANCYISSUED 7 SIGNATUR : _