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Home My WebLink AboutX2019-2637 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM COMB Permit: X2019-2637 IIIIIIIIIII0IIIII�II�IIIIIIIIIIIIIIIIIIII� II Project No: 2915-2016 Issued Date: 0 812 2/2 01 9 Inspection Area : 3 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 1339 HAMPSHIRE CIR NB - Description: SFR"REPLACE EXPIRED PERMIT X2016-3660 & X2016-4240" REMODEL KITCHEN & BATHROOM (NO STRUCTURAL WORK) 3,400 SF Legal Desc.: N TR 3852 LOT 42 Owner: CREATIVE ROOTS MARKETING Contractor: SANTANIELLO JAMES Architect: Planning Department- Fire Department Address: 1339 HAMPSHIRE CIR NEWPORT BEACH, CA 92660 Address: 3419 VIA LIDO #115 NEWPORT BEACH CA 92663 Address: $1,334.00 Plan check Fee : $0.00 Phone: Phone: 714-816-5097 Phone: - State Lie: $0.00 Applicant: SANTANIELLO JAMES .Con State Lie 361862 Engineer: FORBES DALE L Grading PC Consultant: Address: 3419 VIA LIDO #115 Lie Expire: 08/31/2020 Address: 1800 E 16TH ST #B V lJ NEWPORT BEACH CA 92663 Bus Lie: BT30035015 Building Dept Adm SANTA ANA CA 92701 Energy Compliance: Phone: 714-815.5097 Lie Exp Dater 03/31/2020 Phone: 714-835-2800 Slate Lic:C-030407 $0.00 Code Edit : - 2013 Worker's Compensation Insurance Designer: VALENTI ARNE Park Dedication: $0.00 Type of Construction: VIB Carrier: WESCO Address: 330 E HULLETT ST Occupancy Group: R3/U Policy No: WWC3401372 Hazardous Mat LONG BEACH CA 90605 Electrical %: Added /New sq.ft. Bldg: 0 Expire: 02/01/2020 Phone: 949-922-4931 $0.00 Added /New sq. ft. Garage: 0 $0.00 NMUSD Fee: $0.00 $0.00 No of Stories: 2 Building Setbacks Rear: I Special Conditions: No of Units : 1 TOTAL FEE : $1,334.00 Front: I Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,334.00 Bldg Height: 0 Left: I Bldg Sprinklers: N PROCESSED 8Y: Right: I PUBLI,C,-_WgRKS APPROVAL: u c a Flood Zone: X Use Zone: Parkino Spaces: 0 Fire Hazard Zone, N Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $0.00 Additional Fee : $1,334.00 Plan check Fee : $0.00 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 :. $0.00 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 WO 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 : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 '- $0.00 TOTAL FEE : $1,334.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,334.00 PROCESSED 8Y: PUBLI,C,-_WgRKS APPROVAL: u c a ZONING APPROVAL: < c - PLAN CHECK BY: GRADING APPROVAL: ;,,APPNliC/A;.`f71SSUE: _ 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 applicant for the 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 Professions 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 improved 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 apply 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). ❑ 1 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 covered by this permit, I -cannot legally 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 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent to LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 of ivisi 3 of the Business and Pr fe IGna ode, and license is in full force and effect. License Class License No Date Z Contractor Signa WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED OUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 111 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 Dedormance of the work for which this permit is issued. Policy No. have and willtain 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' rance carrier an licy number a64 ferT �i r\ [�nl�ir.Pv`NlknNer�l Expiration Date _ 1e of Agent certify that, in the p, . if I should become of I_a, the work for is 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 workers' m sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. D cf Ti y l' BLAB IMV RCVN IRb VIVJ MVI I IV1V LCIVUIIVO MbCIVVI Ireby affirm under p nalt of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil 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 prove correct. I agree to comply with all applicable city and county Inances nd state laws relating to building construction. I authorize representatives of this. city or county t P4er the abif1¢yltifjgti property for inspection purposes. A / . , r i Signature of Property Owner or Authorized Agent I Print Property Owner's or Authorized A ACTION DATE BY DELLA TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RE TIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED LII SUBMITTED ASBESTO�NOTIFI(••ATION TO PERMIT CANCELLED EPA ��•—'+� • • n • • a PERMIT EXTENDED -1 DAQMD • • + PERMITFINAL tl'�17 pIASBESTOS NOTJFICATION NOT ARPLICABLE TO CERTIFICATEOF V PROPOSED DF�M(�ll •!/I• 1 • • ••• OCCUPANCYISSUED SIGNATURE: �( e� a • i • i i