HomeMy WebLinkAboutX2018-1277 - PermitsCity of Newport Beach - Building Division
100 -Civic Center Drive, Newport Beach, CA 92660
Perhiit Counter Phone (949)644-3288
1 /Inspection Requests Phone (949)644-3255
Combination Type - SFP
IIII�I�IIII�IIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII IICOMB Permit: X2018-1277
x 2 0 1 8 1 2 7 7 Project No : 1702-2017
Issued Date : 04/30/2018
Inspection Area : 2
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: 120 S BAY FRONT NB
Description: SFR DELTA 3, REDUCE SKYLIGHT BY 7', ADD ROOF DECK 166 SF W/ STORAGE AREA 70 SF
Legal Desc.: BALBOA ISLAND RESUB SEC 1 BLK 1 LOT 6
Owner: CUPPS MICHAEL SCOTT
Contractor:
SANTANIELLO JAMES
Architect:
Address: 78 GOLDEN EAGLE
Address:
3419 VIA LIDO #115
Address:
IRVINE CA 92603
NEWPORT BEACH CA 92663
Phone:
Phone:
714-815-5097
Phone:
State Lic:
Applicant: SANTANIELLO JAMES
Con State Lic:
361862
Engineer:
FORBES DALE L
Address: 3419 VIA LIDO
Lic Expire:
08/3112018
Address:
1800 E 16TH ST #B
NEWPORT BEACH CA 92663
Bus Lic:
BT30035015
SANTA ANA CA 92701
Phone: 714.815-5097
Lic Exp Date:
03/31/2019
Phone:
714-835-2800 State Lic:C-030407
Code Edit : 2016
Worker's Compensation Insurance
Designer:
VALENTI ARNE
Type of Construction: VB
Carrier:
WESCO
Address:
330 E HULLETT ST
Occupancy Group: R3/U
Policy No:
WWC3329846
LONG BEACH CA 90805
Added /New sq.ft. Bldg: 0
Expire:
0210112019
Phone:
949-922.4931
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: /
Special Conditions: REV18-0765
No of Units : 1
Front: I
Bldg Height: 0
Left: /
LIQUEFACTION AREA
Bldg Sprinklers: N
Right: /
Flood Zone: AE
Use Zone: Parkinq Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $12.000.00
Building Permit Fee: $247.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $214.89
Additional Fee :
$0.00
Plan check Fee :
$37.50 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: $12.00
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
WQ 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 : $1.00
Mechanical %:
$0.00
NMUSO Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE: $512.39
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee:
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$0.00 Fee Due at Permit Issuance : $512.39
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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-Aem(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
:he 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 Businessand
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
lot 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 U 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
'mprovgd for tF a purpose of sale).
❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Coder The Contractors' State License Law does net
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 legall)
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.html.
Signature of Property Owner or Authorized Agent gate -
LICENSED CONTRACTOR'S DECLARATION
I hereby�affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of Division of the Business and Profe ions Co ,and my license is in full force
and effect. License Class License No Date Contractor Signature
-IORKERSCOMPENSATION DECLARATION
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
IN ADDITION TO THE
13 I 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 IN
ape rmance of the work for which this permit is issued. Policy No.
I have and *1 aintain 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' compensatio
insurance carrid( nnjpolicy numb
Carrier \ \ f3ollNumber Expiration Date
Name ' / v Phone #
I certify that, in the perforrrppa of the work for ich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensatio laws o California, and ogre
that, if I should become sut'Tect to the workers' p nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant D
DECLARATION RE RDING 0 ION LE ING AGENCY
I hereby affirm under penalty f perj that there is a c truction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Lender's Address
By 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 informatioa
vided is correct.
I agree to comply with all applicable city and antes and state laws relating to building construction. -G
1 authorize representatives of this city or counh bov ntified property for inspection purposes. G ✓\
1SignatureofPropertvOwner or Authorize -I. ent Print PropertyOwner's or Authorized A ent's Na Da e
ACTION DATE BY DEC ON 0 OMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403 • • " • • • `
PERMITEXPIRED (SUBMITTED ASBESTOS NOTIFICATION TO • • • ' " • "• • `
PERMITCANCELLED EPA ` " i• ••` i+• �••
PERMIT EXTENDED QMD
PERMITFINAL ASBESTOS OTIFICATI NIS NOTAPP LE
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CERTIF104TE OF PROPOSED M LITIO • • • • • • • +
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SIGNATURE: