HomeMy WebLinkAboutX2017-3983 - Permits)f Newport Beach - Building Division
*;r 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
v $ Inspection Requests Phone (949)644-3255
mn'' Combination Type - SFP ELEC PLUM
COMB Permit: X2017-3983
x 2 0 1 7 3 9 8 3 Project No : 1702-2017
Issued Date : 02126/2018
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 ffoidays
Job Address: 120 S BAY FRONT NIB
Description: DELTA i - ADDITIONAL SCOPE (REV17-2270) -RELOCATE KITCHEN, ADD ROOF DECK, RELOCATE BATH FIXTURES
Legal Desc.: BALBOA ISLAND RESUB SEC 1 BLK 1 LOT 6
Owner: CUPPS ARNE Contractor: SANTANIELLO JAMES Architect:
Address: 120 BAY FRONT S Address: 3419 VIA LIDO #115 Address:
NEWPORT BEACH, CA 92662 NEWPORT BEACH CA 92663
Phone: Phone: 714.815-5097 Phone: State Lie:
Applicant: SANTANIELLO JAMES
Address: 3419 VIA LIDO
NEWPORT BEACH CA 92663
Phone: 714-815-5097
Code Edit: 2016
Type of Construction:. V -B
Occupancy Group: R3/U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units: 1
Bldg Height: 0
Bldg Sprinklers:
Building Permit Fee: $1,066.00
Plan Check Fee: $0.00
Overtime Plan Ck:.
$0.00
Investigation Fee:
$0.00
Record Management:
$42.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$4.00
TOTAL FEE: $1,282.56
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lie:
361862
Lie Expire:
0813112018
Bus Lie:
BT30036016
Lie Exp Date:
03/31/2018
Worker's Compensation Insurance
Carrier: WESCO
Policy No: WWC3329846
Expire: 0210112019
Building Setbacks
Use
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbina %:
Rear: /
Front: /
Left: I
Right: /
Parkino Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$74.62
$0.00
$95.94
Plan Check Fee
Engineer: FORBES DALE L
Address: 1800 E 16TH ST #B
SANTA ANA CA 92701 ....
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Phone: 714-635-2800 State Lic:C-030407 e. a o......
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Designer.
Address:
00 0
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Phone:
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Special Conditions: PC FEES PAID ON
REV17-2270
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Pim Hoo M7 --Y 000eeo
Planning Department -
Plan check Fee:
Fair Share
SJH Trans
Fire Inspection:
In -lieu Housing Fee
$0.00
Public Works Department-
Park Dedication :
$0.00
PM Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$0.00 Fee Due at Permit Issuance : $1,282.56
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
00 O
Fire Department
$0.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $1,282.56
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
f
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 -.,.,..,b,
;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 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
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:/Lwww.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Dat
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm unligr Tgpalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) If Divi 'on 3 of the Business and Profs sion -Cod and my license is in full force
P,nd effegt. Licerlst'Ohass License No Date i Contractor Signature
I*W aRS' WMI)EVSATION DECLARATION
NMNIN91: FAILURE feSECGRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS l} D DOLLARS ($700,000(, IN ADDITION TO THE
00St OF ®OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
10
11 hereby affirm under panalty of perjury one of the following declarations:
4U th23e and vAlPmalhtain 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
pppance of tlle-Wark for which this permit is issued. Policy No.
❑ .have and will moarntain 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' compensatiol
ryrgpgp carrier aGd policy number are:
Cartier : _ Policy Number Expiration Date
_ Phnno it
4ttity that, III Ripptrfo, race of the
if I should t iei t to the wo
for which 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
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of Applicant Dataz'
CLARATION REGARD STRUC ON LENDING AGENCY
ereby affirm under pe Ity 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 provided is correct.
I agree to comply with all applicable city and county ordinance and stat I s relating to building construction.
I authorize representatives of this city or county t rater the -id ' IP.3F'property for inspection purposes.
nature of Prooertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EMENDED
PERMIT FINAL
CERTIFIC4TE OF
OCCUPANCYISSUED
OF COMPLIANCE WITH CODE OF FEDERAL
PART 610E TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
SIGNATURE:
NOT APPLICABLE ' TO
FOR OFFICE USE ONLY