HomeMy WebLinkAboutX2019-0635 - Permits1a City of Newport Beach - Building Division
' 100 Civic Center Drive, Newport Beach, CA 92660
s Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
COMB Permit: X2019-0635
0 6 3 5��IIII
Project No: 0454-2019
Issued Date :
Inspection Area : 2
�=Km"b L:XI-IRE 180 DAYS
Construction Hours: Monday -Friday 7:00 a.m. to 6.30
Job Address: �0
308 SAPPHIRE AVE NB
Description:
p.mA and Saturday from 8:00 a.m. 6:00 p.m. No work on Sundays orliolidays
SFR REMODEL EXISTING BATHROOM AND CONVERT
CLOSET TO BATHROOM 72 SF
Legal Desc.: BALBOA ISLAND SEC 3 BLK 15 LOTS
Owner: 308 SAPPHIRE LLC
Address: 308 SAPPHIRE AVE
Contractor: VITARELLI CONSTRUCTION INC Architect: HARRISON IAN J.N.
Address:
NEWPORT BEACH, CA 92662
Phone:
140 S BAY FRONT Address: 220 NEWPORT CENTER DR
NEWPORT BEACH CA 92662
NEWPORT BEACH CA 92660
Phone: 949-677-1872
Applicant: IAN J.N.
Phone: 949-723-1091 State Lic:C006947
Address: 220 NE
220 NE
NEWPORT CENTER DR
Con State Lic: 485418
Engineer:
- NEWPORT BEACH CA 92660
Lic Expire: .02/28/2021 Address:
Bus Lic:
Phone: 949-723-1091
BT00011199
Lic Exp Date: 08/31/2019 Phone:
Code Edit : 2016
Type of Construction: V
State Lic:
Worker's Compensation Insurance
V •�
-g
Occupancy Group: R3/U
Carrier: STATE Designer:
COMP INS FUND Address:
i 1up��
Added /New sq.ft. Bldg: 0
Policy No: 0783123
-
Added /New sq. ft. Garage: 0
Expire: 10/01/2019 Phone:
No of Stories: 2
No of Units : 1
Building Setbacks Rear: /
Special Conditions: AE FLOOD ZONE
Bldg Height: 0
Front: /
Bldg Sprinklers:
Left: /
Flood Zone: -
Right: /
Construction Valuation: 520.000 00
Use Zone: Parkin S aces: 0 Fire Hazard Zone : N
Building Permit Fee: $392.00
Plan Check Fee: $341.04
Excise Tax: $0.00 Planning Department -
Overtime Plan Ck: $0.00
Investigation
Fire Department
Additional Fee : $0.00 Plan check Fee
Grading Bonds Fee: $0.00 $40.00 Fire Inspection:
Fee: $0.00
Record Management: $4.00
Grading PC Consultant: $0.00 Fair Share : $0.00 Fire Plan Rev
SJH Trans :
$0.00
$0.00
Energy Compliance: $0.00
$0.00 Demolition Fee
Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00
Grading PC Fee: Building
CA Seismic Safety : $0.00
Dept Adm
$0.00 Public Works Department-
WQ Insp. Fee: General
$0.00
Disabled Access : $0.00
Service
$0.00 Park Dedication : $0.00
$0.00
Hazardous Mat
$1.�0
Refund Deposit
PNPlan Check: $41.25 Grading Bond:
Electrical %'o
$0.00
Building Green Fea :
$27.44 San Dist: $0.00
Mechanical %:
$0.00
$15.68
Plumbing %: $36.28 NMUSD Fee: $0.00
$0.00
TOTAL FEE : $897.69
$0.00
Plan Check Fee: $897.69 Fee Due at Permit Issuance
$0.00
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION cant for
Code: An cit or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the app'
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)
epee7031.5, Business and Professions Y Y
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 an
ofessions 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
t more than five hundred dollars ($500). all of or (_) portions of the work, and the. structure is not intended r offered for sale (Section,provided that the
1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_)
Isiness 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, p
Iprovements 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
(proved for the purpose of sale).7044, Business and Profesi
ons Code: The
,ply to an ownertof property property
builds, amsor improves thereon, and who contracts for the projects w th a licensed C ntract r pursuant to he Contr ctors' State License ContrLaw)s' State License Law does not
1, as owner ofontractors' State License Law for the following reason:
ll
] 1 am exempt from licensure under the Cof the applicable law, Section 7044 of the Business and
y 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
timprovements covered by this permit, I cannot lege
-11 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 pp Date
rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
ignature of Property Owner or Authorized Agent
ICENSED CONTRACTOR'S DECLARATION Contractor Signature
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in fu force
nd effect.' License Class
License No
THE
VORKERS' COMPENSATION DECLARATION
!OST OF COM ENE TTOION URE WOR AS PROVIDED SA IN SECTION TION RAGE
10E THE`LABOR CODE, INTEREST, AND ATTORNEY'S FEES. PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO
hereby affirm under penalty of perjury one of the following declarations:
1 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 th
)erformance of the work for which this permit is issued. Policy No.
:11 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' compensatlo
nsurance carrier and policy number are: Expiration Date
'amer Policy Number Phone #
Name of Agent person in an manner so as to become subject to the workers' compensation laws of California, and agn
:11 certify that, in the performance of the work for which this -permit is issued, I shall not employ any p Y
I shall forthwith comply with those provisions.
that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, Date_
ignature of Applicant
NCY Civil Code).
iECLARATION REGARDING CONSTRUCTION LENDING AGE
hereby affirm under penalty of perjury that there is a construction lending agency fo Lendeeerr's ATrance ddress of the work for which this permit is issued (Sefion 3097,
ender's Name
ly 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.
I authorize representatives of this city or county to enter the above -identified property for i spnt Property Ownerection purposes. 's or Authorized Agent's Name
Priii nature of Pro erf Owner or Authorized Agent
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
/%'P:I
PEHMII to IOVUCV -
PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE I PROPOSED DEMOLITION
OCCUPANCYISS ]ED SIGNATURE